Geriatrics

Clinical tool calculates medical risks for seniors

Clinical tool calculates medical risks for seniors By

A simple checklist can help primary-care providers evaluate the health risks that influence the longevity of older adults.

Use a laser to get patients walking

Use a laser to get patients walking

A simple technique gets patients with Parkinson disease and dementia to ambulate.

U.S. dementia costs to surpass $200 billion annually

U.S. dementia costs to surpass $200 billion annually

In 2010, dementia-associated costs ranged from $159 billion to $215 billion, and are projected to increase 80% per adult by 2040.

No increased delirium with hydromorphone after hip surgery

No increased delirium with hydromorphone after hip surgery By

Hydromorphone for postoperative pain does not appear to increase delirium in elderly patients having hip fracture surgery.

Imaging guidelines issued for Alzheimer disease

Imaging guidelines issued for Alzheimer disease By

Alzheimer's Association issues first guidelines for PET scanning in Alzheimer disease diagnosis.

Depression lowers efficacy of shingles vaccine

Depression lowers efficacy of shingles vaccine

Elderly patients with depression have diminished response to the shingles vaccine, but antidepressants may help.

Alzheimer disease projected to affect 13.8 million in U.S. by 2050

Alzheimer disease projected to affect 13.8 million in U.S. by 2050

The incidence of Alzheimer disease (AD) dementia among U.S. seniors is expected to triple during next 40 years.

Antipsychotic Rxs common for nursing home residents

Antipsychotic Rxs common for nursing home residents

Nearly one-quarter of nursing home residents are prescribed one or more antipsychotic agents, generally off-label, results of a national analysis show.

"Sit test" predicts mortality in older adults

"Sit test" predicts mortality in older adults By

The ability to sit down on the floor and then rise back to a standing position was a significant predictor of all-cause mortality in older adults.

Kidney decline linked with cognitive decline

Kidney decline linked with cognitive decline By

Changes in renal functioning over time were associated with changes in global cognitive ability, verbal episodic memory and abstract reasoning.

First OTC drug approved for overactive bladder

First OTC drug approved for overactive bladder

The FDA has approved oxybutynin (Oxytrol, Merck) as the first over-the-counter treatment for women 18 and older with overactive bladder.

Treating sleep disorders in the geriatric population

Treating sleep disorders in the geriatric population By

As the U.S. population ages, clinicians can expect more geriatric patients seeking evaluation and treatment for sleep disorders.

Treating a paranoiac for dementia

Treating a paranoiac for dementia

What is the recommended treatment for patients diagnosed with dementia who are suffering with paranoia and/or hallucinations?

Increasing geriatric care needs prompt credentialing changes

Increasing geriatric care needs prompt credentialing changes

As the healthcare community changes to meet the needs of aging baby boomers, primary care jobs will be in demand.

Controlling geriatric hypertension

Controlling geriatric hypertension

Many older patients take many medications, making contraindications a concern when trying to control hypertension.

When to advise palliative care

When to advise palliative care

When do patients benefit most from palliative care consults?

Diarrhea in an elderly man in an assisted-living facility

Diarrhea in an elderly man in an assisted-living facility

What are the next steps after ruling out Clostridium difficile?

FDA approves oral RA drug

FDA approves oral RA drug By

Tofacitinib (Xeljanz) has been approved to treat rheumatoid arthritis.

Osteoarthritis and 
Rheumatoid ­Arthritis 2012: Pathophysiology, Diagnosis, 
and Treatment

Osteoarthritis and 
Rheumatoid ­Arthritis 2012: Pathophysiology, Diagnosis, 
and Treatment

This article highlights the differences in the pathophysiology and diagnostic criteria for OA and RA, and also describes current and potentially new treatment options for these conditions.

Relapse risk high after discontinuing Alzheimer treatment

Relapse risk high after discontinuing Alzheimer treatment

More attention to risk-benefit ratio of antipsychotics for patients with AD needed to inform federal nursing home regulations.

Address vascular risk factors to avoid LTC

Address vascular risk factors to avoid LTC By

Stroke and dementia are the major causes of long-term care dependence in old age.

Walking speed may predict cognitive impairment

Walking speed may predict cognitive impairment By

Walking speed in late life may be an early marker of the development of mild cognitive impairment, study shows.

Sources of comfort for those with dementia

Sources of comfort for those with dementia

A clinician shares gender-specific advice for comforting patients with dementia in moments of confusion.

Vitamin D for fall prevention

Vitamin D for fall prevention By

Clinicians should recommend vitamin D supplementation as well as exercise or physical therapy in community-dwelling adults aged 65 years or older who are at increased risk for falls.

Suspect post-polio syndrome in older patients with OSA

Suspect post-polio syndrome in older patients with OSA By

As the population ages remember that patients who are in their late 50s or older may have had polio as a child. Are you prepared to recognize post-polio syndrome symptoms?

USPSTF: Vitamin D, calcium supplements no benefit for older women

USPSTF: Vitamin D, calcium supplements no benefit for older women

The U.S. Preventive Services Task Force did not find sufficient evidence to support the use of vitamin D and calcium supplements to prevent cancer and osteoporotic fractures.

Risk for shingles recurrence low in elderly

Risk for shingles recurrence low in elderly

Immunocompetent older people who have had shingles recently have a relatively low short-term risk for developing the skin condition again, regardless of vaccination status, study data show.

Vitamin B12 deficiency in older adults

Should testing for vitamin B12 deficiency be part of a standard geriatric workup?

HAART meds: Implications for the older adult patient

HAART meds: Implications for the older adult patient

Patients infected with HIV are living longer, which means they have more age-related comorbidities that require other medications as well.

Omega-3 linked to reduced plasma amyloid

Omega-3 linked to reduced plasma amyloid

Researchers have found an inverse association between omega-3 fatty acids consumption and beta-amyloid proteins, which may reduce the risk for Alzheimer's disease.

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