ITEMS IN AFP WITH KEYWORD:
During a geriatric preoperative assessment, the physician should address potential risks and benefits of surgery in the context of the patient’s goals and overall health. The assessment should evaluate key areas such as medical comorbidities, cognitive function, decision-making capacity, frailty, fall risk, nutrition, and inappropriate medication use.
The goal of the geriatric assessment is to evaluate factors that influence patients’ overall well-being and to identify problems that impair quality of life. Typical domains to assess include functional status, fall risk, medications, nutrition, vision, hearing, cognition, mood, and toileting. Medicare’s Annual Wellness Visit provides an opportunity to address these elements in a single office visit.
In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. nonresponders or on the potential adverse effects of treatment.
Feb 1, 2017 Issue
Interventions for Preventing Falls Among Older Adults Living in the Community [Cochrane for Clinicians]
Structured exercise programs and home safety interventions reduce both the rate and the risk of falling among community-dwelling adults 65 years and older, whereas multifactorial assessment and intervention programs reduce the rate of falls but not the risk of falling. Vitamin D supplementation does...
End-of-life discussions in moments of excellent health may pose as much of a challenge as waiting until illness arrives.
Decisions about cancer screening in older patients should be individualized, taking into account life expectancy, potential benefits vs. harms, and patient preferences. Get suggestions on how to incorporate current guidelines into daily practice.
Combined treatment with citalopram plus methylphenidate provided faster improvement of depression symptoms in older patients with unipolar depression. Combined treatment was also more likely than either medication alone to lead to remission of depression at four weeks and 16 weeks.
How does pneumonia present clinically in these patients? How is the diagnosis confirmed? What is the recommended timing and duration of antibiotic therapy? Which patients should be transferred to the hospital? Review the answers to these questions and more.
Jul 15, 2015 Issue
Screening for Cognitive Impairment in Older Adults [Putting Prevention into Practice]
N.D. is a 72-year-old white man who presents for a preventive visit. He smokes, and his medical history is significant for essential hypertension, which is stable and well controlled with medication. N.D.'s close friend was recently diagnosed with dementia, and N.D. is concerned that he may receive ...