Elderly Care, Common Issues

With age

Overview

Age brings in problems both common and uncommon. Can you help these patients?


  1. Asymptomatic bacteriuria in the elderly
  2. Drugs in the elderly and the risk of falls
  3. Feeding tubes in patients with dementia
  4. Glycemic control in the elderly
  5. Insomnia in the elderly
  6. Management of pressure ulcers in the elderly
  7. NSAIDs in the elderly
  8. Rebound excitation
  9. Side effects of diuretics in the elderly
  10. The TUG test
  11. Treatment goals for hypertension in the elderly
  1. ARMSTRONG C, JOINT NATIONAL COMMITTEE. JNC8 guidelines for the management of hypertension in adults. Am Fam Physician [online] 2014 Oct 1, 90(7):503-4 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/25369633
  2. BARRY E, GALVIN R, KEOGH C, HORGAN F, FAHEY T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis BMC Geriatr [online] 2014 Feb 1:14 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924230
  3. BHATTACHARYA S, MISHRA RK. Pressure ulcers: Current understanding and newer modalities of treatment Indian J Plast Surg [online] 2015 Jan-Apr, 48(1):4-16 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4413488
  4. BLUESTEIN D, JAVAHERI A. Pressure ulcers: prevention, evaluation, and management. Am Fam Physician [online] 2008 Nov 15, 78(10):1186-94 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/19035067
  5. DE JONG MR, VAN DER ELST M, HARTHOLT KA. Drug-related falls in older patients: implicated drugs, consequences, and possible prevention strategies Ther Adv Drug Saf [online] 2013 Aug, 4(4):147-154 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4125318
  6. DU YF, OU HY, BEVERLY EA, CHIU CJ. Achieving glycemic control in elderly patients with type 2 diabetes: a critical comparison of current options Clin Interv Aging [online] 2014 Nov 18:1963-1980 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241951
  7. Frank L. Lanza, MD, FACG, Francis K.L. Chan, MD, FRCP, FACG, Eamonn M.M. Quigley, MD, FACG and the Practice Parameters Committee of the American College of Gastroenterology. Prevention of NSAID-Related Ulcer Complications. [viewed 22 October 2016] Available from: http://gi.org/guideline/prevention-of-nsaid-related-ulcer-complications/
  8. GROSSMAN E, VERDECCHIA P, SHAMISS A, ANGELI F, REBOLDI G. Diuretic Treatment of Hypertension Diabetes Care [online] 2011 Apr 22, 34(Suppl 2):S313-S319 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3632199
  9. HUANG ES, LIU JY, MOFFET HH, JOHN PM, KARTER AJ. Glycemic control, complications, and death in older diabetic patients: the diabetes and aging study. Diabetes Care [online] 2011 Jun, 34(6):1329-36 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/21505211
  10. KELLY J, CHAMBER J. Inappropriate use of loop diuretics in elderly patients. Age Ageing [online] 2000 Nov, 29(6):489-93 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/11191239
  11. KIRKMAN MS, BRISCOE VJ, CLARK N, FLOREZ H, HAAS LB, HALTER JB, HUANG ES, KORYTKOWSKI MT, MUNSHI MN, ODEGARD PS, PRATLEY RE, SWIFT CS. Diabetes in older adults. Diabetes Care [online] 2012 Dec, 35(12):2650-64 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/23100048
  12. KRIPKE C. Dipeptidyl-peptidase-4 inhibitors for treatment of type 2 diabetes. Am Fam Physician [online] 2009 Mar 1, 79(5):372 [viewed 15 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/19275065
  13. LI I. Feeding tubes in patients with severe dementia. Am Fam Physician [online] 2002 Apr 15, 65(8):1605-10, 1515 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/11989637
  14. LIM LS, FINK HA, BLACKWELL T, TAYLOR BC, ENSRUD KE. Loop Diuretic Use And Rates Of Hip Bone Loss, And Risk Of Falls And Fractures In Older Women J Am Geriatr Soc [online] 2009 Apr 2, 57(5):855-862 [viewed 14 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721719
  15. MUSHTAQ S, CHOUDHARY R, SCANZELLO CR. Non-surgical treatment of osteoarthritis-related pain in the elderly Curr Rev Musculoskelet Med [online] 2011 Jun 24, 4(3):113-122 [viewed 22 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3261252
  16. NICOLLE LE, BRADLEY S, COLGAN R, RICE JC, SCHAEFFER A, HOOTON TM, INFECTIOUS DISEASES SOCIETY OF AMERICA, AMERICAN SOCIETY OF NEPHROLOGY, AMERICAN GERIATRIC SOCIETY. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis [online] 2005 Mar 1, 40(5):643-54 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/15714408
  17. RIZZO MR, BARBIERI M, BOCCARDI V, ANGELLOTTI E, MARFELLA R, PAOLISSO G. Dipeptidyl peptidase-4 inhibitors have protective effect on cognitive impairment in aged diabetic patients with mild cognitive impairment. J Gerontol A Biol Sci Med Sci [online] 2014 Sep, 69(9):1122-31 [viewed 15 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pubmed/24671867
  18. RODRIGUEZ JC, DZIERZEWSKI JM, ALESSI CA. Sleep Problems in the Elderly Med Clin North Am [online] 2014 Dec 30, 99(2):431-439 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4406253
  19. ROUTLEDGE PA, O'MAHONY MS, WOODHOUSE KW. Adverse drug reactions in elderly patients Br J Clin Pharmacol [online] 2004 Feb, 57(2):121-126 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884428
  20. SCHEIMAN JM. The use of proton pump inhibitors in treating and preventing NSAID-induced mucosal damage Arthritis Res Ther [online] 2013 Jul 24, 15(Suppl 3):S5 [viewed 22 October 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3891010
  21. SMITH SG. Dangers of NSAIDS in the Elderly Can Fam Physician [online] 1989 Mar:653-654 [viewed 05 September 2016] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2280786