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We are looking for a second fellowship-trained Geriatrician to join our amazing rural Upstate New York community.
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Issue
For the year 2010, the percentage distribution of the population in the United States over 85 years is projected to be 1.85% and for the year 2025 it is 2.03%.1 A small percentage, but not insignificant numbers. Hence, geriatricians and primary care providers may need to recalibrate normals in managing the old-old (over age 85 yr).
To start, before writing a prescription, physicians must consider multiple factors, particularly in treating patients in this age group. A good general rule is start with a much lower dosage than usual.2 Perhaps the best maxim to consider is to think of what Vinc
Digestive Disease Week 2009
Chicago, IL
May 30-June 4, 2009
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American Academy of Neurology 61st Annual Meeting
Seattle, WA
April 25-May 2, 2009
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Elderly Patients Present with More Advanced Appendicitis
Chicago, IL—It is common for elderly patients with acute appendicitis to be suffering from more advanced disease when they seek medical attention, but the factors responsible for their delayed presentation have not been thoroughly investigated. As a result of their delayed presentation, these patie
I am pleased that this issue of Clinical Geriatrics contains an article regarding the developmentally disabled elderly.1 I first became personally interested in the special needs of this population over 20 years ago when I noted that persons with developmental disability were often being admitted to long-term care facilities for reasons that at the time I did not understand. Urinary incontinence, mild congestive heart failure, a need to take multiple medications throughout the day, among other reasons, seemed manageable to me with proper support and medical guidance, and should not have result
Healthy behaviors such as smoking cessation, adherence to a healthful diet, and regular physical activity are important for overall health status and quality of life in older adults. These modifiable healthy behaviors have all been associated with the prevention of chronic diseases (eg, heart disease, cancer, stroke, diabetes),1 all of which are leading causes of morbidity and mortality in older adults and impact quality of life.2 In addition to the individual impact of having chronic illnesses, the economic burden for society is significant in that 95% of all healthcare expenditures are for m
Introduction
Many adults with intellectual and other developmental disabilities (IDD) are achieving life expectancies commensurate with the general population. Although they are survivors, they often have complex physical and mental health needs that have not been previously identified or treated. Geriatrics healthcare professionals may have received little formal training in their care, and may experience difficulty in distinguishing normal from atypical aging trajectories in this population.1 The following is an overview of healthcare issues related to the aging adult with IDD.
Introduction
Anemia in older persons is common and is often incorrectly attributed to the ravages of normal aging. Hemoglobin levels should not vary due to age in elderly patients who are free of disease with bone marrow that is not stressed. Whether anemia is a marker or mediator of disease is not always clear, but even in centenarians it is usually a signal of pathology and is associated with increased morbidity and mortality.1,2 A simple evaluation will identify the majority of causes and facilitate appropriate treatment.
Epidemiology
The World Health Organizati
Case Presentations
Patient #1
A 79-year-old Caucasian male was referred to hospice because of encephalopathy after a witnessed generalized tonic-clonic seizure at home. He had been in his usual state of health until the day of admission when he experienced at least one witnessed seizure. He was brought unconscious to the hospital Emergency Department and never fully woke up.
His past medical history was significant for colon cancer, hypertension, and hyperlipidemia. His outpatient medications were capecitabine, atenolol, simvastatin, and lisinopril. His social his
Case Presentation
Mr. X is a 62-year-old divorced male who presented for psychiatric evaluation with concerns regarding flying in an airplane and “claustrophobia.” His worries began approximately 4 months prior to evaluation when he had a scheduled plane trip with a friend. He noted significant anxiety leading up to the flight, which he identified as a fear of losing control. He knew these thoughts were irrational but was afraid he would become anxious while in the enclosed area of the plane cabin and have no escape. As a result of his fear, Mr. X canceled the flight and his vac
Clinical Geriatrics Blogs
Coming in Future Issues of Clinical Geriatrics
Series: Diabetes in the Elderly
Series: Cancer in Older Adults
First Report® Conference Coverage: American Academy of Neurology, American Diabetes Association, 2010 Digestive Disease Week
Assessment and Classification of Pain in the Elderly Patient
Pharmacologic Management of Pain in Older Patients
Miscellaneous Pain Syndromes in Older Adults
Nonhernia Causes of Inguinal Pain in the Elderly
