Drug Rationale Recommendation Quality of evidence Strength of recommendation Diphenhydramine, meclizine Clearance reduced, risk of confusion Avoid, except in for the use of diphenhydramine for allergic reaction Moderate Strong Atropine,…
© Springer International Publishing Switzerland 2017John R. Burton, Andrew G. Lee and Jane F. Potter (eds.)Geriatrics for Specialists10.1007/978-3-319-31831-8_8 8. Screening Tools for Geriatric Assessment by Specialists John R. Burton1 and Jane F. Potter2 (1) The Johns Hopkins Bayview Medical Center,…
Fig. 6.1 Evaluation and management of those with multimorbidity [1] For older patients with multimorbidity and a new serious problem, as described above, short-, medium-, and long-term goals now may…
Organ/system Age-related physiologic change Consequences of aging, not disease General ↑ Body fat Altered drug distribution ↓ Total body water Endocrine Impaired glucose homeostasis ↑ glucose during stress ↑ ADH,…
Comprehensive Limited (one from each domain) CAGE screen for alcohol abuse Cardiac and pulmonary risk factors Frailty, 5-point phenotype assessment ADL IADL TUG Nutrition screen Hearing screen Medication review Charlson…
© Springer International Publishing Switzerland 2017John R. Burton, Andrew G. Lee and Jane F. Potter (eds.)Geriatrics for Specialists10.1007/978-3-319-31831-8_4 4. Psychiatric Disorders in Older Adults Kelly L. Dunn1 and Robert Roca2 (1) 1601 Airport Blvd., Suite 3, Melbourne, FL 32901, USA…
Fig. 3.1 Imaging from research has shown decrease in the volume of gray matter in patients with bipolar disorder in the right cudate, globus palidus, lateral ventricles, insula, and amygdale. White…
An adult >age 50 with Early-onset bipolar disorder = Older age bipolar disorder Early-onset depressive disorder with new-onset mania New-onset mania in individual with no prior mood illness (in the absence…
© Springer International Publishing AG 2017Susan W. Lehmann and Brent P. Forester (eds.)Bipolar Disorder in Older Age Patients10.1007/978-3-319-48912-4_11 11. Treatment Settings for Older Age Bipolar Disorder: Inpatient, Partial Hospitalization, Outpatient, Models of Integrated Care Colin Depp1 …
