Geriatric Care

Jul 15, 2007 Issue
Predicting Hip Fracture Risk in Older Women [Point-of-Care Guides]

Approximately one in six women will have a hip fracture during her lifetime, and approximately one in 35 of all women will die of complications from hip fracture.

Aug 15, 2006 Issue
Predicting Four-Year Mortality Risk in Older Adults [Point-of-Care Guides]

Survival prognoses for older adults may help patients and physicians make decisions about screening, treatment, and advance directives.

Aug 1, 2006 Issue
Exercise and Older Patients: Prescribing Guidelines [Article]

A combination of aerobic activity, strength training, and flexibility exercises, plus increased general daily activity can reduce medication dependence and health care costs while maintaining functional independence and improving quality of life in older adults. However, patients often do not benefi...

Mar 15, 2006 Issue
Older Adult Drivers with Cognitive Impairment [Article]

As the number of drivers with cognitive impairment increases, family physicians are more likely to become involved in decisions about cessation of driving privileges in older patients. Physicians who care for cognitively impaired older adults should routinely ask about driving status. In patients wh...

Jul 1, 2005 Issue
Prevention of Falls in Older Patients [Article]

Falls are one of the most common geriatric syndromes threatening the independence of older persons. Between 30 and 40 percent of community-dwelling adults older than 65 years fall each year, and the rates are higher for nursing home residents. Falls are associated with increased morbidity, mortality...

Jan 15, 2005 Issue
Selecting Medications for the Treatment of Urinary Incontinence [Article]

In response to the growing population of older patients with incontinence, pharmaceutical companies are developing new drugs to treat the condition. Before prescribing medications for incontinence, however, physicians should determine the nature and cause of the patient's incontinence. The evaluatio...

Jul 15, 2004 Issue
Geriatric Failure to Thrive [Article]

In elderly patients, failure to thrive describes a state of decline that is multifactorial and may be caused by chronic concurrent diseases and functional impairments. Manifestations of this condition include weight loss, decreased appetite, poor nutrition, and inactivity. Four syndromes are prevale...

Apr 15, 2003 Issue
Ambulatory Devices for Chronic Gait Disorders in the Elderly [Article]

Gait disorders in the elderly are common and in most cases cannot be treated medically or surgically. Therefore, treatment often relies on ambulatory devices such as canes, crutches, and walkers. Before selecting a device, the patient should be evaluated to define whether one or both upper extremiti...

Nov 15, 2002 Issue
Using Medications Appropriately in Older Adults [Article]

Older Americans comprise 13 percent of the population, but they consume an average of 30 percent of all prescription drugs. Every day, physicians are faced with issues surrounding appropriate prescribing to older patients. Polypharmacy, use of supplements, adherence issues, and the potential for adv...

Jun 1, 2002 Issue
Which Interventions Help to Prevent Falls in the Elderly? [Cochrane for Clinicians]

Beneficial interventions include individually prescribed programs of muscle strengthening, balance retraining, tai chi exercise, and home hazard assessment, limiting use of psychotropic medications, and team-approach multiple health and environmental risk factor reduction programs.

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