Geriatric Care

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.

Feb 1, 2002 Issue
Promoting and Prescribing Exercise in the Elderly [Article]

Regular exercise provides a myriad of health benefits in older adults, including improvements in blood pressure, diabetes, lipid profile, osteoarthritis, osteoporosis, and neurocognitive function. Regular physical activity is also associated with decreased mortality and age-related morbidity in olde...

Apr 1, 2000 Issue
Falls in the Elderly [Article]

Falls are the leading cause of injury-related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years. The mortality rate for falls increases dramatically with age in both sexes and in all racial and ethnic groups, with f...

Mar 1, 2000 Issue
Appropriate Use of Psychotropic Drugs in Nursing Homes [Article]

The Omnibus Budget Reconciliation Act (OBRA) of 1987 limited the use of psychotropic medications in residents of long-term care facilities. Updates of OBRA guidelines have liberalized some dosing restrictions, but documentation of necessity and periodic trials of medication withdrawal are still emph...

Feb 15, 2000 Issue
The Geriatric Patient: A Systematic Approach to Maintaining Health [Article]

The number of persons 65 years of age and older continues to increase dramatically in the United States. Comprehensive health maintenance screening of this population is becoming an important task for primary care physicians. As outlined by the U.S. Preventive Services Task Force, assessment categor...

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