Geriatric Care

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...

Jan 1, 2000 Issue
The Older Adult Driver [Article]

More adults aged 65 and older will be driving in the next few decades. Many older drivers are safe behind the wheel and do not need intensive testing for license renewal. Others, however, have physiologic or cognitive impairments that can affect their mobility and driving safety. When an older patie...

Mar 1, 1999 Issue
Suspected Abuse in an Elderly Patient [Curbside Consultation]

In many ways, this case represents a typical elder-abuse situation and the challenges that health care professionals face when trying to resolve it.

Nov 1, 1998 Issue
Home Health Care [Article]

Home health care is the fastest-growing expense in the Medicare program because of the aging population, the increasing prevalence of chronic disease and increasing hospital costs. Patients and families are choosing the option of home care more frequently. Medicare's regulations are often considered...

Jun 1, 1998 Issue
Diagnostic Evaluation of Urinary Incontinence in Geriatric Patients [Article]

In most cases, the evaluation of urinary incontinence requires only a history, a physical examination, urinalysis and measurement of postvoid residual urine volume. The initial purposes of the evaluation are to identify conditions requiring referral or specialized work-up and to detect and treat rev...

Feb 1, 1998 Issue
Hospice Care in the Nursing Home [Article]

Hospice care is being used more frequently to provide skills and services that are not otherwise available in nursing homes. For eligible terminally ill patients, the Medicare Hospice Benefit supplies an interdisciplinary team with skills in pain management, symptom control and bereavement assistanc...

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