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Prevention of Falls in Older Patients - American Family Physician

Jul 1, 2005 - Falls are one of the most common geriatric syndromes threatening the independence of older persons. Between 30 and 40 percent of community-dwelling adults older than 65 years fall each year, and the rates are higher for nursing home residents. Falls are associated with increased ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p81.html

Falls in the Elderly - American Family Physician

Apr 1, 2000 - Falls are the leading cause of injury-related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years. The mortality rate for falls increases dramatically with age in both sexes and in all racial and ethnic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2159.html

Secondary Prevention of Coronary Heart Disease in Elderly Patients - American Family ...

Jun 15, 2005 - Coronary heart disease remains a leading cause of mortality in the United States, with 84 percent of persons 65 years or older dying from this disease. Secondary preventive measures, including lifestyle modification and pharmacotherapy, are important for elderly patients because of the ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2289.html

Depression in Later Life: A Diagnostic and Therapeutic Challenge - American Family ...

May 15, 2004 - Depression in elderly persons is widespread, often undiagnosed, and usually untreated. The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Because there is no ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2375.html

Pneumonia in Older Residents of Long-Term Care Facilities - American Family Physician

Oct 15, 2004 - Compared with community-dwelling persons, residents in long-term care facilities have more functional disabilities and underlying medical illnesses and are at increased risk of acquiring infectious diseases. Pneumonia is the leading cause of morbidity and mortality in this group. Risk ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1015/p1495.html

Complex Care: Treating an Older Patient with Multiple Comorbidities - Curbside ...

Mar 1, 2014 - Although there are guidelines for management of single chronic illnesses, the evidence base for management of multiple comorbidities is lacking. The American Geriatrics Society described a clinical approach to managing patients with multiple comorbidities in 2012.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/0301/p392.html

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? Yes: ...

Jun 1, 2014 - Being able to anticipate and mitigate the potentially adverse outcomes of hospitalization in these patients should be reason enough to screen for cognitive impairment in the primary care setting.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p861.html

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? No: ...

Jun 1, 2014 - Dementia screening should not be exempt from the requirement that it first be shown to improve outcomes before being implemented in practice.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p864.html

Dementia - Clinical Evidence Handbook - American Family Physician

Jan 15, 2014 - What are the effects of treatments on cognitive, behavioral, and psychological symptoms of dementia (Alzheimer disease, Lewy body dementia, or vascular dementia)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2014/0115/p117.html

Exercise Effective for Depression in Older Patients - POEMs - American Family Physician

Dec 15, 2013 - An organized exercise program for older patients, which may include strength training, endurance training, or both, may be helpful for some patients with symptoms of depression. The results will not be striking, but exercise is an option for patients willing to participate.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1215/od2.html

Prevention of Herpes Zoster in Older Adults - Cochrane for Clinicians - American Family...

Nov 1, 2013 - The herpes zoster (shingles) vaccine has demonstrated effectiveness in preventing shingles in older adults. Vaccination benefit was greater in persons 60 to 69 years of age than in those 70 years and older. Local injection site reactions were common.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1101/p578.html

Evaluating and Treating Unintentional Weight Loss in the Elderly - American Family ...

Feb 15, 2002 - Elderly patients with unintentional weight loss are at higher risk for infection, depression and death. The leading causes of involuntary weight loss are depression (especially in residents of long-term care facilities), cancer (lung and gastrointestinal malignancies), cardiac disorders...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p640.html

Frailty as a Terminal Illness - Editorials - American Family Physician

Sep 15, 2013 - Debility not otherwise specified (NOS) has surpassed lung cancer as the most common diagnosis in hospices. In August 2013, the Centers for Medicare and Medicaid Services issued a rule that debility NOS and adult failure to thrive can no longer be listed as principal hospice diagnoses, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0915/p363.html

Ambulatory Devices for Chronic Gait Disorders in the Elderly - American Family Physician

Apr 15, 2003 - Gait disorders in the elderly are common and in most cases cannot be treated medically or surgically. Therefore, treatment often relies on ambulatory devices such as canes, crutches, and walkers. Before selecting a device, the patient should be evaluated to define whether one or both ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1717.html

Caring for Older Patients Who Have Significant Hearing Loss - Curbside Consultation - ...

Mar 1, 2013 - This scenario illustrates issues related to end-of-life care and placement in a long-term care facility for older individuals with significant hearing loss. An analysis of data from the 1999 to 2006 cycles of the National Health and Nutrition Examination Survey, and statistics from the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0301/p360.html

Seizure Disorders in the Elderly - American Family Physician

Jan 15, 2003 - Seizure disorders become increasingly common after the age of 60 years and can have a significant impact on functional status. The goal of antiepileptic drug therapy is to control seizures but preserve quality of life. If possible, seizure control should be achieved with one agent given...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p325.html

Appropriate Use of Polypharmacy for Older Patients - Cochrane for Clinicians - American...

Apr 1, 2013 - Multidisciplinary interventions that address polypharmacy decrease inappropriate prescribing and medication-related problems in patients 65 years and older, but it is not clear if they reduce hospital admissions or improve quality of life. Most interventions studied were led by ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0401/p483.html

Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: ...

Apr 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2013/0415/od3.html

Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults - ...

Apr 15, 2013 - Case Study: A 22-year-old primigravid woman at 20 weeks' gestation presents to your office with her boyfriend for a routine obstetric examination. She has had an uneventful pregnancy. She states that things are okay at home, even though she was laid off from her job just before finding ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2013/0415/p577.html

Primary Insomnia in Older Persons - Clinical Evidence Handbook - American Family Physician

Feb 15, 2013 - What are the effects of nondrug and drug treatments for primary insomnia in older persons (those 60 years and older)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0215/p280.html

Prevention of Falls in Community-Dwelling Older Adults: Recommendation Statement - U.S....

Dec 15, 2012 - The U.S. Preventive Services Task Force (USPSTF) recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults 65 years or older who are at increased risk of falls.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2012/1215/od3.html

Putting Prevention into Practice - Dec 15, 2012 - American Family Physician

Dec 15, 2012 - Case study: A 73-year-old woman comes to your office for routine follow-up for hypertension. She lives alone in an apartment and walks slowly, requiring the use of a cane. She is otherwise healthy and alert. Her most recent eye examination was three years ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2012/1215/p1135.html

Appropriate Use of Psychotropic Drugs in Nursing Homes - American Family Physician

Mar 1, 2000 - The Omnibus Budget Reconciliation Act (OBRA) of 1987 limited the use of psychotropic medications in residents of long-term care facilities. Updates of OBRA guidelines have liberalized some dosing restrictions, but documentation of necessity and periodic trials of medication withdrawal ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1437.html

Promoting and Prescribing Exercise in the Elderly - American Family Physician

Feb 1, 2002 - Regular exercise provides a myriad of health benefits in older adults, including improvements in blood pressure, diabetes, lipid profile, osteoarthritis, osteoporosis, and neurocognitive function. Regular physical activity is also associated with decreased mortality and age-related ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0201/p419.html

Alcoholism in the Elderly - American Family Physician

Mar 15, 2000 - Alcohol abuse and alcoholism are common but underrecognized problems among older adults. One third of older alcoholic persons develop a problem with alcohol in later life, while the other two thirds grow older with the medical and psychosocial sequelae of early-onset alcoholism. The ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1710.html

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