Geriatrics

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By Judith C. Ahronheim, Zheng-Bo Huang, Vincent Yen, Christina Davitt, David Barile

This case-based method of geriatric drugs is appropriate for all wellbeing and fitness execs and trainees who supply deal with the aged, together with interns, citizens, geriatric fellows, physicians in perform, and nurse practitioners. Illustrated with greater than forty situations in accordance with the authors' event in medical perform, the examples variety from the fit aged to these with complex cognitive or actual impairments. Discussions are evidence-based with broad references, emphasizing differential analysis, abnormal shows in overdue lifestyles, age-appropriate scientific administration, interdisciplinary tools and care within the context of alternative future health care settings. The authors have distilled a wealth of useful and medical event during this region to provide a undemanding consultant to geriatric medication. this is often definitely the right examine consultant for certifying examinations and hugely compatible as a textbook for classes in geriatric medication and gerontology.

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2003). Contribution of informant and patient ratings to the accuracy of the mini-mental state examination in predicting probable Alzheimer’s disease. Journal of the American Geriatrics Society, 51, 813–18. , Mohanty, S. et al. (2003). Efficacy of cholinesterase inhibitors in the treatment of neuropsychiatric symptoms and functional impairment in Alzheimer disease. A meta-analysis. Journal of the American Medical Association, 289, 210–16. Case 5 Moderate dementia Mrs. N’s cognitive function continued its gradual decline over the next 2 years.

Three of his medications – oxycodone, the centrally acting muscle relaxant cyclobenzaprine (Flexeril), and the antocholinergic tolterodine (Detrol) – have the ability to worsen cognitive function and impair driving ability. This patient has had probable Alzheimer’s disease. Dementia, even in the early stages, is a risk factor for accidents. In addition to memory loss and confusion, dementia-related deficits that impair driving ability include visual spatial problems and impairments in visual tracking and attention, processing of visual cues and other information, executive function, and judgment.

Her hygiene has been deteriorating and her daughter says, “It’s a real struggle to get her to take her bath at night! ” On physical examination, the patient is thin, her posture is stooped, and she has poor hygiene. She walks with a cane but does not use it consistently. The nurse, who has recorded her weight as 120 pounds, reports the patient had difficulty standing on the office scale. The patient is alert and interactive, Case Studies in Geriatric Medicine, Judith C. Ahronheim et al. Published by Cambridge University Press.

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