Geriatric Care

Sep 15, 2013 Issue
Functional Decline in Older Adults [Article]

Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social support, financial s...

Sep 15, 2013 Issue
Frailty as a Terminal Illness [Editorials]

Debility not otherwise specified (NOS) has surpassed lung cancer as the most common diagnosis in hospices. In August 2013, the Centers for Medicare and Medicaid Services issued a rule that debility NOS and adult failure to thrive can no longer be listed as principal hospice diagnoses, but rather, secondary comorbid conditions.

Apr 1, 2013 Issue
Appropriate Use of Polypharmacy for Older Patients [Cochrane for Clinicians]

Multidisciplinary interventions that address polypharmacy decrease inappropriate prescribing and medication-related problems in patients 65 years and older, but it is not clear if they reduce hospital admissions or improve quality of life. Most interventions studied were led by pharmacists or health...

Jan 15, 2013 Issue
Screening for Hearing Loss in Older Adults: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in asymptomatic adults 50 years or older.

Dec 1, 2011 Issue
Management of Falls in Older Persons: A Prescription for Prevention [Article]

Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. An indiv...

Nov 1, 2011 Issue
Cognitive Interventions for Improving Cognitive Function [Cochrane for Clinicians]

Compared with no treatment, cognitive interventions improved cognitive performance in healthy older adults and older adults with mild cognitive impairments. However, there is inadequate evidence to determine which aspects of these interventions are effective.

Aug 15, 2011 Issue
Geriatric Assistive Devices [Article]

Disability and mobility problems increase with age. Assistive devices such as canes, crutches, and walkers can be used to increase a patient’s base of support, improve balance, and increase activity and independence, but they are not without significant musculoskeletal and metabolic demands. Most pa...

Jan 1, 2011 Issue
The Geriatric Assessment [Article]

The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. It is usually initiated when the physician identifies a potential problem. Speci...

Jul 1, 2010 Issue
Gait and Balance Disorders in Older Adults [Article]

Gait and balance disorders are a major cause of falls in older adults, and are associated with increased morbidity and mortality, and reduced level of function. They are usually multifactorial in origin and require a comprehensive assessment to determine targeted interventions.

May 15, 2010 Issue
Nursing Home Care: Part I. Principles and Pitfalls of Practice [Article]

Approximately 1.5 million Americans reside in nursing homes. A family physician often leads the interdisciplinary team that provides for the medical, functional, emotional, nutritional, social, and environmental needs of these patients. The treatment of nursing home residents is a dynamic process of...

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