Clinics in geriatric medicine
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Clin. Geriatr. Med. · Aug 2018
ReviewCommon Medication Management Approaches for Older Adults in the Emergency Department.
Adverse drug events (ADEs) can lead to emergency department (ED) visits and hospitalizations. Many ADEs are preventable. ⋯ High-risk medications should be reviewed and potential drug-drug interactions should be discussed and avoided when possible. Programs, such as medication therapy management, or transitional care nursing may be helpful in preventing drug-drug interactions and use of potentially inappropriate medications.
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Older adults frequently present to the emergency department (ED) with pain, which is often underrecognized and undertreated. There is high variability of pain management and prescribing practices by ED providers. This article focuses on treatment of older adults in the ED who present with pain and addresses special considerations for this population. Social supports and follow-up must be considered in discharge treatment recommendations.
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Clin. Geriatr. Med. · Feb 2018
ReviewFrailty Screening and Interventions: Considerations for Clinical Practice.
Frailty is recognized as a cornerstone of geriatric medicine. It increases the risk of geriatric syndromes and adverse health outcomes in older and vulnerable populations. ⋯ Despite this, interventions to improve frailty-related health outcomes developed to date include exercise, nutrition, multicomponent interventions, and individually tailored geriatric care models. Possible strategies to prevent frailty include lifestyle or behavioral interventions, proper nutrition, and increased activity levels and social engagement.
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Clin. Geriatr. Med. · May 2017
ReviewGeriatric Polypharmacy: Two Physicians' Personal Perspectives.
Being a clinical provider in today's health care environment has become complex with more levels of care to negotiate. Who is caught in the middle of this complexity? Senior citizens. ⋯ Numerous protocols and guidelines necessitate the initiation of drugs for given diagnoses and aggressive treatments. This article discusses geriatric polypharmacy from two practitioners' viewpoints: Zhe Chen, MD, discusses the point of view of a physician provider, and Anthony Buonanno, MD, discusses providers' roles in their own families.
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A psychological model of coping with the demands of aging is outlined. Chronic pain is conceptualized as a challenge to normal aging, because it threatens identity, risks affective disorder (depression), and interferes with action. The sparse evidence for psychological interventions is reviewed, and a case is made for the types of interventions that should be developed to address the specific presentation of geriatric pain management.