Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common in late life. For those who experience distress or develop psychological symptoms, Cognitive-behavioral therapy offers an ideal treatment modality. The emphasis in cognitive-behavioral therapy on the acquisition of coping skills provides older adults with concrete strategies for dealing with areas of problematic adjustment. (more…)

Abuse of drugs and alcohol is not uncommon among the elderly. The high rate of prescribed medication use, increased physiological sensitivity to drug effects, and the danger of interaction effects of multiple medications and/or alcohol place older adults at high risk for deliberate or accidental misuse of drugs or alcohol. In addition, some older adults turn to alcohol to help cope with stressful life events, thus increasing the risk of addiction or toxic interactions. (more…)

Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psychological problems of older adults is encouraging. Cognitive-Behavioral Interventions has been shown to reduce symptoms of depression, anxiety, and somatic complaints (e.g., chronic pain elderly, insomnia) in multiple controlled studies. However, research also has indicated that there may be multiple variables to consider in determining whether Cognitive-Behavioral Interventions is the best approach to use with a specific patient and a specific problem. For example, differential effectiveness of Cognitive-Behavioral Interventions compared to other forms of psychotherapy is less certain. (more…)

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The proportion of elderly at any age without any chronic conditions is small, and disease can trigger a cascade of events resulting in functional deficits and disability. An increase in the number of activities with which an elder has difficulty increases linearly with comorbidity, that is, coexistent medical conditions that further complicate not only the genesis of a functional deficit but also its treatment. For example, rehabilitation for a stroke for an individual who also has painful, degenerative changes in the foot and a low tolerance for stressful activity secondary to angina with exertion would present a particular rehabilitation challenge. Yet, this example encapsulates geriatric rehabilitation specialist’s emphasis on care and function, not cure and disease. (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…)

There is strong consensus among geriatricians and gerontologists that frailty is a clinical state of increased vulnerability and decreased ability to maintain homeostasis that is age-related problems and centrally characterized by declines in functional reserves across multiple physiologic systems. This vulnerability is age-related and also related to, but distinct from, disability and elderly disease states. (more…)

Rheumatoid Arthritis affects approximately 1% of the world’s population. Rheumatoid Arthritis
is a chronic, multisystem, autoimmune, and inflammatory disorder that involves peripheral joints in a symmetric distribution. The potential of the synovial inflammation to cause cartilage damage and bone erosions and subsequent changes in joint integrity is the feature of the disease. (more…)

There are two basic considerations on how to prevent accidents and injuries in elderly. First of all, we should make our surroundings safe by removing or altering objects that are hazardous. And secondly, we should learn how to handle ourselves so as to reduce the likelihood of injury. (more…)

In many instances, the symptoms listed below are the result of relatively minor disorders as elderly. However, they can also represent the early signs of serious chronic disease in older adults, and they should be investigated promptly by your doctor. (more…)

Of all parts of the body, the foot seems to be the most common site for chronic and irritating disorders. Corns, bunions, painful joints, nail abnormalities, and other minor problems abound, par¬ticularly in later years. Many of the difficulties are related to poor care of the feet and thus can be minimized. The nail should be trimmed with nearly square corners and not too close, and this should be done at regular intervals. Minor infections should be treated immediately, especially in persons with diabetes or poor circulation where the consequences can be serious. (more…)