Geriatric Care

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...

May 15, 2010 Issue
Nursing Home Care: Part II. Clinical Aspects [Article]

Understanding the distinctions between the management of clinical problems in nursing homes compared with the community setting helps improve the overall care of nursing home residents. Liberalizing diets helps avoid unintentional weight loss in nursing home residents, although the use of feeding ...

Jan 1, 2010 Issue
Physical Activity Guidelines for Older Adults [Article]

Few older adults in the United States achieve the minimum recommended amount of physical activity. Lack of physical activity contributes to many chronic diseases that occur in older adults, including heart disease, stroke, diabetes mellitus, lung disease, Alzheimer disease, hypertension, and cancer....

Jan 1, 2010 Issue
Promoting Physical Activity in Older Adults [Editorials]

Nov 1, 2009 Issue
Therapeutic Home Adaptations for Older Adults with Disabilities [Article]

Family physicians commonly care for older patients with disabilities. Many of these patients need help maintaining a therapeutic home environment to preserve their comfort and independence. Patients often have little time to decide how to address the limitations of newly-acquired disabilities. Physi...

Jul 15, 2008 Issue
Geriatric Screening and Preventive Care [Article]

Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death (i.e., tobacco ...

Dec 15, 2007 Issue
Minimizing Adverse Drug Events in Older Patients [Article]

Adverse drug events are common in older patients, particularly in those taking at least five medications, but such events are predictable and often preventable. A rational approach to prescribing in older adults integrates physiologic changes of aging with knowledge of pharmacology. Focusing on spec...

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