Attitudes, Ethics, and Legal Topics in Gerontology
[ 17 ] ATTITUDES, ETHICS, AND LEGAL TOPICS IN GERONTOLOGY PEARLS ❖ The shift in modern medicine from a paternalistic role toward giving the patient more responsibility in decision making…
GERIATRICS
Comparing and Contrasting the Theories of Aging
[ 2 ] COMPARING AND CONTRASTING THE THEORIES OF AGING PEARLS ❖ Hayflick and Moorhead conducted a landmark study that showed that in culture human fibroblasts have a limited life…
Special Evidence-Based Considerations in Geriatric Gynecologic Care: Pelvic Floor Disorders
Fig. 13.1 Effect of topical estrogen therapy : Both images are from 64-year old G2P2002 women who underwent 2 vaginal deliveries. (a) Patient discontinued estrogen therapy 5 years previously. (b)…
Vascular Surgery
Time Cumulative mortality risk % Symptomatic Asymptomatic 1 year 10 6.2 2 year 18.8 13.1 3 year 27.1 19.8 4 year 36.3 27.9 Data from Jalbert JJ, Nguyen LL, Gerhard-Herman…
Geriatric Orthopedic Surgery
Fig. 15.1 Careful surgical positioning of the elderly patient is essential. (a) A patient with an ankle fracture is positioned with padding and safety straps. (b) Ecchymotic skin is frequently…
Kidney Disease
Cause Common causes in older adults: Hypertension Diabetes mellitus Renal vascular disease Chronic urinary obstruction Systemic vasculitis Multiple myeloma Glomerulonephritis Nephrotic syndrome Multifactorial etiology (e.g., renal vascular disease with chronic…
Geriatric Trauma and Emergency General Surgery
Fifteen-variable trauma-specific frailty index Comorbidities Cancer history Yes (1) No (0) PCI (0.5) Coronary heart disease MI (1) CABG (0.75) Medication (0.25) None (0) Dementia Severe (1) Moderate (0.5) Mild…
Cardiothoracic Surgery
Fig. 10.1 (Left) The age-associated activation of inflammatory cells and decline in androgen hormones upset the balance between catabolic and anabolic stimuli, respectively, leading to a decline in muscle mass…
Medication Management
Drugs commonly implicated Drugs less commonly or rarely implicated Typical antipsychotic agents (e.g., chlorpromazine, promazine, haloperidol, trifluoperazine, sulpiride, flupentixol, pimozide, fluphenazine) Atypical antipsychotic agents (e.g., quetiapine, clozapine) Calcium channel agents…
Evaluation and Management of Older Adults with Multimorbidity and Cancer: A Geriatric Perspective on Oncology Care
Organ system Age-associated physiologic changes Implications Cardiovascular Decrease in maximal heart and ventricular compliance and increase in vascular stiffness Increase risk of heart failure during stress and increase risk of…
