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Care of the Elderly

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Family Medicine

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Abstract

Although it is widely recognized that the elderly have needs quite different from those of younger adults, it is at times difficult to define “elderly.” Baron von Bismarck declared that age 65 would be the arbitrary time of retirement and eligibility for social services in Germany, and that definition has persisted until recent years. Most geriatricians now begin their discussion of the “elderly” at age 75 years.1

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References

  1. Cape RDT, Coe RM, Rossman I. Fundamentals of geriatric medicine. New York: Raven Press, 1983.

    Google Scholar 

  2. U.S. Department of Commerce, Bureau of Census. Current population reports, series P-25 922. October 1982.

    Google Scholar 

  3. Kennie DC. Good health care for the aged. JAMA 1983; 249: 770–3.

    Article  PubMed  CAS  Google Scholar 

  4. Reichel W. Clinical aspects of aging. Baltimore: Williams & Wilkins, 1983.

    Google Scholar 

  5. Beck JC, Scheibel AB, Benson DF, Spar JE, Rubenstein LZ. Dementia in the elderly: the silent epidemic (clinical conference). Ann Intern Med 1982; 97: 231–41.

    Article  PubMed  CAS  Google Scholar 

  6. Cummings JL, Benson DF. Dementia: a clinical approach. Boston: Butterworth, 1983.

    Google Scholar 

  7. Katzman R. The prevalence and malignancy of Alzheimers disease: a major killer. Arch Neurol 1976; 33: 217.

    Article  PubMed  CAS  Google Scholar 

  8. Blass JP. NIH diagnostic criteria for Alzheimers disease. J Am Geriatr Soc 1985; 33: 1.

    PubMed  CAS  Google Scholar 

  9. Jenkyn LR, Walsh DB, Culver CM, Reeves AG. Clinical signs in diffuse cerebral dysfunction. J Neurol Neurosurg Psychiatry 1977; 40: 956–66.

    Article  PubMed  CAS  Google Scholar 

  10. Cummings JL, Benson DF. Dementia of the Alzheimer type: an inventory of diagnostic clinical features. J Am Geriatr Soc 1986; 34: 12–9.

    PubMed  CAS  Google Scholar 

  11. Garcia CA, Reding MJ, Blass JP. Overdiagnosis of dementia. J Am Geriatr Soc 1981; 24: 407–10.

    Google Scholar 

  12. McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimers disease: report of the NINCDS-ADRDA work group under the auspices of the Department of Health and Human Services task force on Alzheimers disease. Neurology 1984; 34: 939–44.

    Article  PubMed  CAS  Google Scholar 

  13. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433–41.

    PubMed  CAS  Google Scholar 

  14. Folstein MF, Folstein SE, McHugh PR. Mini-mental State: a prac-tical method for grading the cognitive State of patients for the clinician. J Psychiatr Res 1975; 12: 189–98.

    Article  PubMed  CAS  Google Scholar 

  15. Isaacs B, Akhtar AJ. The set test: a rapid test of mental function in old people. Age Ageing 1972; 1: 222–6.

    Article  PubMed  CAS  Google Scholar 

  16. Becker PM, Feussner JR, Mulrow CD, Williams BC, Vokaty KA. The role of lumbar puncture in the evaluation of dementia. J Am Geriatr Soc 1985; 33: 392–6.

    PubMed  CAS  Google Scholar 

  17. Mohs RC, Davis BM, Greenwald BS, Mathe AA, Johns CA, Hor-vath TB. Clinical studies of the cholinergic deficit in Alzheimer’s disease. II. Psychopharmacologic studies. J Am Geriatr Soc 1985; 33: 749–57.

    PubMed  CAS  Google Scholar 

  18. Mace NL, Rabins PV. The thirty-six hour day. Baltimore: Univer-sity Park Press, 1981.

    Google Scholar 

  19. Winograd CH, Jarvik LF. Physician management of the demented patient. J Am Geriatr Soc 1986; 34: 295–308.

    PubMed  CAS  Google Scholar 

  20. Risse SC, Barnes R. Pharmacologic treatment of agitation associated with dementia. J Am Geriatr Soc 1986; 34: 368–76.

    PubMed  CAS  Google Scholar 

  21. Glosser G, Wexler D, Balmelli M. Physicians’ and families’ perspectives on the medical management of dementia. J Am Geriatr Soc 1985; 33: 383–91.

    PubMed  CAS  Google Scholar 

  22. Mann LM. Community support for families caring for members with Alzheimer’s disease. Home Health Nurse 1985; 3: 8–10.

    CAS  Google Scholar 

  23. Teusink JP, Mahler S. Helping families cope with Alzheimer’s disease. Hosp Commun Psychiatry 1984; 35: 152–6.

    CAS  Google Scholar 

  24. Berman S, Rappaport MB. Social work and Alzheimer’s disease: psychosocial management in the absence of medical care. Soc Work Health Care 1984; 10: 53–70.

    Article  PubMed  CAS  Google Scholar 

  25. Colerick EJ, George LK. Predictors of institutionalization among caregivers of patients with Alzheimer’s disease. J Am Geriatr Soc 1986; 34: 493–8.

    PubMed  CAS  Google Scholar 

  26. Kahan J, Kemp B, Staples FR, Brummel-Smith K. Decreasing the bürden in families caring for a relative with a dementing illness. J Am Geriatr Soc 1985; 33: 664–70.

    PubMed  CAS  Google Scholar 

  27. Sands D, Suzuki T. Adult day care for Alzheimer’s patients and their families. Gerontologist 1983; 23: 21–3.

    Article  PubMed  CAS  Google Scholar 

  28. Frame PS. A critical review of adult health maintenance. 1. Prevention of atherosclerotic disease. J Fam Pract 1986;22:341–6. 2. Prevention of infectious diseases. 22:417–22. 3. Prevention of cancer. 22:511–20. 4. Prevention of metabolic, behavioral and miscel-laneous conditions. 23: 29–39.

    Google Scholar 

  29. Canadian Task Force on the Periodic Health Examination. The

    Google Scholar 

  30. periodic health examination. 2. 1985 update. Can Med Assoc J 1986; 134: 724–7.

    Google Scholar 

  31. Canadian Task Force on the Periodic Health Examination. Task force report: the periodic health examination. Can Med Assoc J 1979; 121: 1193–1254.

    Google Scholar 

  32. American Cancer Society. ACS report on the cancer-related health check-up. CA 1980; 30: 194–240.

    Google Scholar 

  33. Breslow L, Somers A. The lifetime health monitoring program: a practical approach to preventive medicine. N Engl J Med 1977; 296: 601–8.

    Article  PubMed  CAS  Google Scholar 

  34. Hedley R, Ebrahim, S, Sheldon M. Opportunities for anticipatory care with the elderly. J Fam Pract 1986; 22: 141–5.

    PubMed  CAS  Google Scholar 

  35. Morrison JD. Geriatric preventive health maintenance. J Am Geriatr Soc 1980; 28: 133–5.

    PubMed  CAS  Google Scholar 

  36. Pitt B. Psychogeriatrics: an introduction to the psychiatry of old age. Edinburgh: Churchill Livingstone, 1982.

    Google Scholar 

  37. Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 1967; 6: 278–97.

    Article  PubMed  CAS  Google Scholar 

  38. Zung WK. A self-rating depression scale. Arch Gen Psychiatry 1965; 12: 63–70.

    Article  PubMed  CAS  Google Scholar 

  39. Beck AT, Ward CH, Mendelson M, et al. An inventory for mea-suring depression. Arch Gen Psychiatry 1961; 4: 53–63.

    Article  Google Scholar 

  40. Refleff LS. The CES-D scale: a self-rating depression scale for research in the general population. Appl Psychol Measure 1977; 1: 385.

    Article  Google Scholar 

  41. Weiss IK, Nagel CL, Aronson MK. Applicability of depression scales to the old old person. J Am Geriatr Soc 1986; 34: 215–8.

    PubMed  CAS  Google Scholar 

  42. Yesavage JA, Brink TL, Rose TL, et al. Development and Validation of a geriatric depression Screening scale: a preliminary report. J Psychiatr Res 1983; 17: 37–49.

    Article  CAS  Google Scholar 

  43. Blazer DG, Bachar JR, Manton KG. Suicide in late life: review and commentary. J Am Geriatr Soc 1986; 34: 519–25.

    PubMed  CAS  Google Scholar 

  44. Borson S, Raskind M. Antidepressant-resistant depression in the elderly. J Am Geriatr Soc 1986; 34: 245–9.

    PubMed  CAS  Google Scholar 

  45. Goff DC, Jenike MA. Treatment-resistent depression in the elderly. J Am Geriatr Soc 1986; 34: 63–70.

    PubMed  CAS  Google Scholar 

  46. Lakshmanan M, Mion LC, Frengley JD. Effective low dose tricy-clic antidepressant treatment for depressed geriatric rehabilitation patients: a double blind study. J Am Geriatr Soc 1986; 34: 421–6.

    PubMed  CAS  Google Scholar 

  47. Salzman C. Clinical geriatric psychopharmacology. New York: McGraw-Hill, 1984.

    Google Scholar 

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Authors
  1. Jane L. Murray
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Editors and Affiliations

  1. Department of Family Medicine, Oregon Health Sciences University, 97201, Portland, Oregon, USA

    Robert B. Taylor M.D. (Professor and Chairman) (Professor and Chairman)

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© 1988 Springer Science+Business Media New York

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Murray, J.L. (1988). Care of the Elderly. In: Taylor, R.B. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-1998-7_31

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  • DOI: https://doi.org/10.1007/978-1-4757-1998-7_31

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2000-6

  • Online ISBN: 978-1-4757-1998-7

  • eBook Packages: Springer Book Archive

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