Patterns of Disease: The Challenge of Multiple Illnesses
Much of the illness seen in elderly patients is predictable and may be preventable. Indeed, common patterns of disease recur often enough to provide clinicians with the opportunity to prevent major disabilities. Unfortunately, there is a common feeling that the care of elderly persons is more frustrating than it is rewarding. Many professionals, when overwhelmed by seemingly hopeless circumstances, fail to appreciate how small interventions can make a major impact on the quality of life. Sometimes, elderly patients are seen with one disorder after another as part of an inexorable downhill course, reinforcing beliefs that little can be accomplished for these patients.. Most major illnesses, however, do not occur by accident, but result from preexistent conditions that contribute to a greater risk of developing further disease. By minimizing or eliminating antecedent risk factors, clinicians can prevent subsequent disease. Therefore, contrary to prevailing attitudes, a major goal of geriatric medicine is the anticipation of disease, and then accordingly, the prevention of disease.
KeywordsChronic Obstructive Pulmonary Disease Elderly Person Lumbar Spinal Stenosis Geriatric Medicine Temporal Arteritis
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- 1.Hodkinson HM. How elderly patients are different. In: Harrison RJ, Asscher AW, eds. An Outline of Geriatrics. Orlando, Fla: Academic Press Inc; 1975.Google Scholar
- 2.Besdine RW. Geriatric medicine: an overview. In: Eisdorfer C, ed. Annual Review of Gerontology and Geriatrics. New York, NY: Springer-Verlag NY Inc; 1980; 1: 140–145.Google Scholar
- 3.Cape R. Aging: Its Complex Management. New York, NY: Harper and Row Publishers Inc; 1978: 81–82.Google Scholar
- 5.Smith IM. Infections in the elderly. Hosp Pract Off. 1982; 17: 69–85.Google Scholar
- 8.Williamson J, Stokoe IH, Gray S, et al. Old people at home: their unreported needs. Lancet. 1964; 1: 1117 1120.Google Scholar
- 9.Kane RL, Solomon DH, Beck JC, et al. Geriatrics in the United States: Manpower Projections and Training Considerations. Santa Monica, Calif: Rand Corp; 1980.Google Scholar
- 11.Blum M. Thyroid function and disease in the elderly. Hosp Pract Off. 1981; 16: 105–116.Google Scholar
- 12.Conrad KA, Bressler R. Drug therapy for the elderly. St Louis, Mo: CV Mosby Co; 1982; 73.Google Scholar
- 13.Exton-Smith AN, Overstall PW. Geriatrics. Lancaster, England: MTP Press Ltd; 1979; 1984.Google Scholar
- 14.Epstein M. Effects of aging on the kidney. FASEB J. 1979; 38: 168–171.Google Scholar
- 15.Kane RL, Ouslander JG, Abrass IB, eds. Essentials of clinical geriatrics. New York: McGraw-Hill Book Company; 1984.Google Scholar