Elderly care

With age (updated)


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

  1. Beta blockers: rebound excitation
  2. Elderly care: NSAID therapy
  3. Elderly care: control of hypertension
  4. Elderly care: drug therapy and risk of falls
  5. Elderly care: feeding tubes in dementia
  6. Elderly care: glycemic control
  7. Elderly care: insomnia
  8. Elderly care: pressure ulcers
  9. Elderly care: side effects of diuretics
  10. Orthostatic hypotension
  11. The "Timed Up and Go" test
  1. 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/PMC392423
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. RMSTRONG 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
  17. 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
  18. 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
  19. 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/PMC389101
  20. 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
  21. ZARZECZNY RYSZARD, NAWRAT-SZOłTYSIK AGNIESZKA, POLAK ANNA, MALISZEWSKI JAKUB, KIEłTYKA ADAM, MATYJA BEATA, DUDEK MAGDALENA, ZBOROWSKA JOANNA, WAJDMAN ADAM. Aging effect on the instrumented Timed-Up-and-Go test variables in nursing home women aged 80–93 years. Biogerontology [online] December, 18(4):651-663 [viewed 05 September 2019] Available from: doi:10.1007/s10522-017-9717-5