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…)
Cognitive-behavioral interventions approaches to managing the distress associated with physical/somatic complaints problems sho ...
Abuse of drugs and alcohol is not uncommon among the elderly. The high rate of prescribed medication use, increased physiologic ...
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about t ...
Depression is the most common mental health problem in the elderly. While the incidence in community-dwelling older adults is n ...
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common ...
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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…)
The overarching goal of physical therapy rehabilitation is to return the individual to as close to the premorbid level of funct ...
There are numerous basic Activities of Daily Living instruments that seek to quantify basic physical functions and obtain a numeric ...
Beneficiaries of the Medicare program have three rehabilitation-related benefits established by federal statute: physical thera ...
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common ...
There are a number of issues that must be considered in geriatric pain assessment. The major issues that merit attention are pr ...
Obsessive-compulsive disorder (OCD) is a common neuropsychiatric condition that is frequently unrecognized and untreated, resulting in significant personal suffering and functional impairment. This article reviews the current state of knowledge of OCD epidemiology, clinical features and natural history, differential Obsessive-compulsive disorder diagnosis, and Obsessive Compulsive Disorders treatment options, focusing on how Obsessive Compulsive affects elderly. (more…)
Only about 5–12% of people attending specialty Obsessive Compulsive Disorders OCD clinics are 60 years or older. However, OCD i ...
Because there are no placebo-controlled treatment studies of Obsessive Compulsive Disorders in elderly, Obsessive Compulsive Di ...
Compulsive hoarding disorder consists of three components: acquiring a large number of possessions, storing of items and not di ...
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about t ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Cancer occurrence rates in a period of time for a given population is expressed in various ways. The incidence rate is a direct measure of the probability of developing cancer and is usually expressed per year. Incidence rates may be crude (all ages) or age specific. Since cancer is very age dependent, age specific rates are usually more informative. Cancer in elderly is more prevalent compare to cancer in younger age. When comparing population groups with different age distributions (such as the United States vs. China), the incidence rate should be age adjusted by multiplying each age-specific rate by the percent of individuals in a population with the same ages and then summing these to produce a single value. For etiological studies, incidence rates tend to be more informative than mortality rates, as they identify all diagnosed cases. (more…)
Cancer is the second leading cause of mortality after heart disease and the leading cause of death among women ages 40 to 79 and me ...
Animal studies support a cancer-promoting role for fat, and in humans, epidemiological data strongly suggest that dietary fat i ...
Obsessive-compulsive disorder (OCD) is a common neuropsychiatric condition that is frequently unrecognized and untreated, resul ...
The largest single risk factor for developing cancer is age. The incidence of cancer increases exponentially with age, although ...
Potential benefits of T treatment in older men must be weighed against risks of adverse effects. In young hypogonadal men, physiolo ...
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…)
Using the right medications can help in the treating of acute and chronic back pain. There are good drugs which physicians pres ...
The principal reversible dementias are metabolic. Hypothyroidism and exposure to industrial or environmental toxins should be c ...
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common ...
Unfortunately, many dementias are partially or completely biologically irreversible. However, as mentioned previously, it is im ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
The accurate diagnosis of endocrine dysfunction in the elderly requires a high index of suspicion. Signs and symptoms of hormone deficiency or excess may be absent. When such signs and symptoms are present, coexisting malnutrition or chronic disease may often make their interpretation difficult. (more…)
Altered cellular metabolism and intracellular and intercellular signaling with advancing age result in widespread changes in endocr ...
Altered cellular metabolism and intracellular and intercellular signaling with advancing age result in widespread changes in endocr ...
Many clinical features of hypothyroidism are commonly found in the elderly, despite negligible changes in plasma thyroid hormone le ...
The systemic benefits of exogenous Growth Hormone therapy in the healthy elderly remain unclear and controversial. Studies have ...
As you probably know, sex hormone in women is declining with age. Men also experiencing the same, even though the declining rat ...
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…)
There are several dominant theories as to the underlying causes of physiologic vulnerability and compromised homeostasis of frail ...
Altered cellular metabolism and intracellular and intercellular signaling with advancing age result in widespread changes in endocr ...
Altered cellular metabolism and intracellular and intercellular signaling with advancing age result in widespread changes in endocr ...
Involuntary weight loss is the result of many chronic progressive diseases, often leading to diminished lean body mass, frailty, su ...
Pharmacodynamics describes the course of action of a drugs and aging at the effector organ level, in terms of duration and magnitud ...
Pharmacodynamics describes the course of action of a drugs and aging at the effector organ level, in terms of duration and magnitude of action, and amplitude of and time to reach the peak action, for both therapeutic and adverse actions. Alterations in the number and affinity of drug receptors, postreceptor signaling processes, biochemical responses, homeostatic mechanisms, and body composition, in addition to higher likelihood of polypharmacy and concurrent pathological processes in older age, make elders more susceptible to adverse drug reactions, drug–drug interactions, or decreased/ increased sensitivity to some drug action. (more…)
There are several important changes in pharmacokinetics metabolism associated with aging that predispose the elderly to increas ...
Complications of Adverse Drug Reactions may include hospitalization, increased hospital stays and health care expenditures, morbidi ...
Something you and your doctor should appreciate is that getting older influences the way you react to drugs. Elderly patients are t ...
Addiction is more than frequent drug use. Recent scientific research provides strong evidence that drugs not only interfere w ...
Aside from the fibromyalgia antidepressants, very few drug classes have evidence for efficacy in the treatment of fibromyalgia fati ...
Australia’s health policy is funded and delivered by several levels of government and is supported by private health insurance arrangements. In place are systems for the delivery of health, income support, and housing and community services to support aging people. Medicare, the national health insurance scheme, is funded and administered by the Australian (commonwealth) government and provides coverage for a range of primary care services, including visits to medical practitioners. (more…)
New Zealand also initiated an Older Peoples Health Strategy with the following eight objectives: • Older people, their families ...
Adult Day Care Services Programs are day programs for adults care community groups that provide services outside during the day ...
Several efforts, both public and private, are helping assisted living become more affordable by lowering the cost of constructing a ...
Developers have built and marketed assisted living primarily for middle- to upper-income older persons—those able to pay $2,000 a m ...
As the United States people age, the focus on the number of looked for services will have to line up with the quality of the ca ...
New Zealand also initiated an Older Peoples Health Strategy with the following eight objectives:
• Older people, their families, and whanau (Maori expression for extended family) are able to make well-informed choices about options for healthy living, health care for elderly, and/or disability support needs. (more…)
Australia’s health policy is funded and delivered by several levels of government and is supported by private health insurance arra ...
To meet the needs of older people most countries have moved toward community-based care as a means of providing adequate and co ...
First and foremost, many of the services supported by the Aging Network would not exist without network funding and advocacy. Witho ...
Adult Day Care Services Programs are day programs for adults care community groups that provide services outside during the day ...
In some states, the Aging Network and the services it supports remain invisible or are low priority in the eyes of legislators an ...