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Carotid sinus hypersensitivity ( more than 3-second pause or a decrease in systolic blood pressure = 50 mm Hg during carotid sinus massage) predominantly affects elderly patients, although the prevalence in the general population has not been precisely defined. In elderly patients with recurrent syncope, carotid sinus hypersensitivity has been reported in up to 35% of cases. Permanent pacing in patients with carotid sinus syndrome (carotid sinus hypersensitivity associated with syncope) is indicated. Observational and randomized studies have shown that recurrent symptoms are significantly reduced after permanent pacemaker implantation in patients with carotid sinus syndrome. (more…)

Only about 5–12% of people attending specialty Obsessive Compulsive Disorders OCD clinics are 60 years or older. However, OCD is rarely diagnosed in general outpatient settings in the elderly, as noted in a study of the Kaiser Health Maintenance Organization in which only 29 cases per 100 000 patients were reported. OCD seldom begins in late life, and most elderly people with this disorder who present for treatment have had symptoms for decades. A study of consecutively evaluated outpatients found only 1% of those in an OCD clinic had the onset of the disorder after age 50. (more…)

There are a number of issues that must be considered in geriatric pain assessment. The major issues that merit attention are presence of comorbidities, mental status, depression in late life, limitations in ADLs, medications, and the importance of family and other support systems (see Depression; Social Networks, Support, and Integration). (more…)

Depression is not a monolithic disorder. Rather, it presents in a variety of syndromes that may vary in severity, length, and association of depression with other symptoms. A number of ongoing controversies attend identification and differential diagnosis of depression in late life. This section considers three such issues: common clinical syndromes and diagnoses, major versus minor depressive syndromes, and the question of whether late-life depression is qualitatively different from depressive syndromes at younger ages. (more…)

The majority of older adults who suffer from depression experience lower-level symptoms that do not meet diagnostic criteria for major depressive disorder. The DSM recognizes several well-defined disorders that are considered minor depressive states. Dysthymia is defined as presence of one of the two defining symptoms plus at least two other symptoms of depression continuously for a period of at least 2 years. This chronic, low-level depression typically manifests relatively early in life and is in fact less prevalent in older than in younger persons. (more…)

Social cognitions involve thoughts about others and thoughts about the self in relationship to others. When we consider cognitive aging theory from this point of view, it leads us away from traditional research methods and theoretical perspectives that have focused on basic information processing and how it is tied to physiological decline. This body of research has been largely experimental and often has taken place in situations designed to remove the effects of the social context. In contrast, research on social cognition and aging typically is designed to consider how social context affects the thinking of adults. (more…)

There are differences on what exactly contribute to quality of life on a personal level from person to person. Although many older people in good health condition have the increase of physical problems that affect them and their businesses. Although these disorders are more common with age, including Alzheimer, dementia, arthritis, hypertension, heart disease, stroke, depression, kidneys problem; lung disease, cancer and men’s prostate disease. (more…)

Some researches on relation between exercise and body human health results indicate that in addition to increasing muscle capacity, physical activity can help improve strength, balance, joint mobility, flexibility, agility, the speed with which one walks and physical coordination as a whole. In addition, physical activity has effects favorably on metabolism, blood pressure regulation, and prevention of an excessive increase in weight. (more…)

It has been proven over the years that strength training exercises have been used by athletes and sports enthusiasts to improve their overall performance. This can hold true for anyone, regardless of their fitness level or age. Strength training can be a tremendous benefit to help improve overall health, wellness, strength, and build up your body to fight disease. (more…)