Abstract
Older patients are a challenging but satisfying part of most family physicians’ practices. Optimal care of geriatric patients occurs when the precepts of continuity of care, the team approach to the management of illness, the importance of the family, and the biopsychosocial model are followed. Because of the prevalence of chronic disease in the elderly, cure may be elusive, but appropriate care always improves the quality of the older adult’s life. Some common problems of the elderly are reviewed in this chapter. More complete discussions may be found in textbooks of geriatric medicine.1,2
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References
Hazzard WR, Bierman EL, Blass JP, Ettinger WH, Halter JB, editors. Principles of geriatric medicine. 3rd ed. New York: McGraw-Hill, 1994.
Kane RL, Ouslander JG, Abrass IB. Essentials of clinical geriatrics. 3rd ed. New York: McGraw-Hill, 1994.
Tinetti ME. Falls. In: Hazzard WR, Bierman EL, Blass JP, Ettinger WH, Halter JB, editors. Principles of geriatric medicine. 3rd ed. New York: McGraw-Hill, 1994:1313–20.
King MB, Tinetti ME. Falls in community-dwelling older persons. J Am Geriatr Soc 1995;43:1146–54.
Hornbrook MC, Stevens VJ, Wingfield DJ, et al. Preventing falls among community-dwelling older persons: results from a randomized trial. Gerontologist 1994;34:16–23.
Vetter NJ, Lewis PA, Ford D. Can health visitors prevent fractures in elderly people? BMJ 1992;304:888–90.
Province MA, Hadley EC, Hornbrook MC, et al. The effects of exercise on falls in elderly patients: a pre-planned metaanalysis of the FICSIT trials. JAMA 1995;273:1341–7.
Tinetti ME, Baker DI, McAvay G, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1994;331:821–7.
Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34:119–26.
US Department of Health and Human Services. Clinical practice guideline: urinary incontinence in adults. Rockville, MD: DHHS, 1992:38–65. AHCPR Publ. No. 92–0038.
Michocki RJ, Lamy PP, Hooper FJ, Richardson JP Drug prescribing for the elderly. Arch Fam Med 1993;2:441–4.
Ray WA, Griffin MR, Schaffner W, et al. Psychotropic drug use and the risk of hip fracture. N Engl J Med 1987;316:363–9.
Vestal R. Clinical Pharmacology. In: Hazzard WR, Andres R, Bierman EL, Blass JP, editors. Principles of geriatric medicine and gerontology. 2nd ed. New York: McGraw-Hill, 1990:201–11.
Acute Pain Management Guideline Panel. Acute pain management: operative or medical procedures and trauma; clinical practice guideline. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services, 1992. AHCPR Publ. No. 92–0032.
American Pain Society. Principles of analgesic use in the management of acute pain and cancer pain. 3rd ed. Skokie, IL: American Pain Society, 1992.
World Health Organization. Cancer pain and palliative care: report of a WHO expert committee. Geneva: WHO, 1990:1–75. World Health Organization Technical Report Series 804.
Bistrian BR, Blackburn GL, Vitale J, et al. Prevalence of malnutrition in general medical patients. JAMA 1976;235:1567–70.
White JV, Dwyer JT, Posner BM, Ham RJ, Lipschitz DA, Wellman NS. Nutrition Screening Initiative; development and implementation of the public awareness checklist and screening tools. J Am Diet Assoc 1992;92:163–7.
Richardson JP. Health maintenance for the elderly. In: Taylor RB, editor. The manual of family practice. Boston: Little, Brown, 1997;24–7.
United States Preventive Services Task Force. Guide to clinical preventive services. 2nd ed. Baltimore: Williams & Wil-kins, 1996.
Kemper P, Murtaugh CM. Lifetime use of nursing home care. N Engl J Med 1991;324:595–600.
Richardson JP. Outpatient evaluation for nursing home admission. In: Yoshikawa TT, Cobbs EL, Brummel-Smith K, editors. Ambulatory geriatric care. 2nd ed. St. Louis: Mosby-Year Book, in press.
Brandeis GH, Morris JN, Nash DJ, Lipsitz LA. The epidemiology and natural history of pressure ulcers in elderly nursing home residents. JAMA 1990;264:2905–9.
Reuler JB, Cooney TG. The pressure sore: pathophysiology and principles of management. Ann Intern Med 1981;94: 661–6.
Longe RL. Current concepts in clinical therapeutics: pressure sores. Clin Pharm 1986;5:669–81.
Sather MR, Weber CE Jr, George J. Pressure sores in the spinal cord injury patient. Drug Intell Clin Pharm 1977;11: 154–69.
Berlowitz DR, Wilking SVB. Risk factors for pressure sores: a comparison of cross-sectional and cohort-derived data. J Am Geriatr Soc 1989;37:1043–50.
Allman RM, LaPrade CA, Noel LB, et al. Pressure sores among hospitalized patients. Ann Intern Med 1986;105:337–42.
Pinchcofsky-Devin GD, Kaminski MV Jr. Correlation of pressure sores and nutritional status. J Am Geriatr Soc 1986;34: 435–40.
Guralnik JM, Harris TB, White LR, Cornoni-Huntley JC. Occurrence and predictors of pressure sores in the National Health and Nutrition Examination Survey follow-up. J Am Geriatr Soc 1989;36:807–12.
Knight AL. Medical management of pressure sores. J Fam Pract 1988;27:95–100.
National Pressure Ulcer Advisory Panel. Pressure ulcers prevalence, cost and risk assessment: consensus development conference statement. Decubitus 1989;2(2):24–8.
Richardson JP, Knight AL. The prevention of tetanus in the elderly. Arch Intern Med 1991;151:1712–17.
Seiler WO, Stahelin HB. Decubitus ulcers: treatment through five therapeutic principles. Geriatrics 1985;40:30–44.
Pressure Ulcer Guideline Panel. Pressure ulcer treatment. Am Fam Phys 1995;51:1207–22.
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Richardson, J.P., Knight, A.L. (1998). Common Problems of the Elderly. In: Taylor, R.B., David, A.K., Johnson, T.A., Phillips, D.M., Scherger, J.E. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2947-4_24
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DOI: https://doi.org/10.1007/978-1-4757-2947-4_24
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