More on Geriatrics
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Do antiaging approaches promote longevity?
The desire for a pharmaceutical intervention to halt or delay the effects of aging has produced a thriving antiaging industry ready to address the demand. Some of the products provided by this industry may be useful, but many are not, and others may carry the risk of serious harm. How can you help your patients age gracefully with less disease? Exercise, good nutrition, and stress reduction are interventions backed by evidence, but what is the evidence behind hormonal treatments and dietary supplements?
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The cat's "MEOW": A new mnemonic for diagnosis and management of falls in the elderly
I am sick and tired of trying to categorize fall risk factors as intrinsic or extrinsic, situational or predisposing, or host, activity, or environmental. It's just too much for me to remember. All primary care providers need a logical approach every time we are called to evaluate one of our elderly patients who fell in the hospital, nursing home, assisted living, or in her own home. In short, we need an easy-to-remember, clinically relevant approach to falls.
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Sexual dysfunction in the older woman: Individualizing the approach
Complex medical and psychiatric illness should be considered in evaluation and management, as well as age-related anatomic and hormonal changes.
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Late-life mania: Assessment and treatment of late-life manic symptoms
Manic symptoms, such as increased activity and speech, distractibility, impulsivity, and grandiosity, in older patients may be indicative of primary bipolar disorder (BP); but they also may be secondary to medical problems or medication side effects.
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Compiling a complete medical history
It is critical to obtain a coherent medical history, yet older patients are often vexing historians, presenting unique challenges. The roots of these challenges are complex, and must be understood to be effectively managed. A complete history is essential in the construction of a differential diagnosis, and avoiding drug-drug interactions.
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