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 physiologic ...
Cognitive-behavioral interventions approaches to managing the distress associated with physical/somatic complaints problems sho ...
Depression is the most common mental health problem in the elderly. While the incidence in community-dwelling older adults is n ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Multiple losses are common as people age, including deaths of spouse, family, and friends. A less obvious form of loss involves ...
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about twice the rate of younger adults. The types of anxiety disorders most common among the older population include generalized anxiety, mixed anxious-depressive syndrome symptoms, and phobias (often characterized by exaggerations of rational concerns). More rare are late-life onset of obsessive compulsive disorders (OCD) and panic disorders. (more…)
Abuse of drugs and alcohol is not uncommon among the elderly. The high rate of prescribed medication use, increased physiologic ...
Cognitive-behavioral interventions approaches to managing the distress associated with physical/somatic complaints problems sho ...
Depression is the most common mental health problem in the elderly. While the incidence in community-dwelling older adults is n ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Because there are no placebo-controlled treatment studies of Obsessive Compulsive Disorders in elderly, Obsessive Compulsive Di ...
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 ...
Given the widespread use of technology in most occupations, one important issue concerns how the influx of technology will affect jobs for older workers and employment opportunities and the productivity for them. This issue is particularly important for today’s cohort of older workers, as they have not had the same exposure to technology that younger people have had. However, despite cohort differences, technology will continue to be a pertinent issue for future generations of older adults, as technology is dynamic and continuing to develop at an unprecedented rate. (more…)
Common beliefs about older workers include beliefs that they are physically unable to do their job; have a high rate of absenteeism ...
The economic status of older adults in the United States today is greatly improved, and there is much diversity of circumstance ...
Adults have two principal jobs in life - earning a living and raising a family — and much of life's satisfaction comes from doing t ...
Older Person Care • Older persons should benefit from family and community based care and protection in accordance with e ...
Elder maltreatment and abuse of the elderly is found in almost all countries of the world. According to the World Health Organi ...
Beneficiaries of the Medicare program have three rehabilitation-related benefits established by federal statute: physical therapy rehabilitation, occupational therapy, and speech-language therapy (speech-language pathology). All therapists, who must be graduates of accredited programs, must pass a national examination and be licensed, certified, or registered in their respective professions within the state in which the services are furnished. Medicare covers services that are necessary and likely to result in improvement in a reasonable period of time. Medicare does not currently regard prevention services provided by therapists as falling under therapy benefits and will not cover services intended to maintain a current level of function. (more…)
The overarching goal of physical therapy rehabilitation is to return the individual to as close to the premorbid level of funct ...
Australia’s health policy is funded and delivered by several levels of government and is supported by private health insurance arra ...
Adult Day Care Services Programs are day programs for adults care community groups that provide services outside during the day ...
New Zealand also initiated an Older Peoples Health Strategy with the following eight objectives: • Older people, their families ...
The proportion of elderly at any age without any chronic conditions is small, and disease can trigger a cascade of events res ...
Fibromyalgia and myofascial pain (MP) are among the most common musculoskeletal disorders from which older adults suffer. These disorders represent opposite ends of the pain spectrum with the discrete character of myofascial pain at one extreme and the widespread symptoms of fibromyalgia at the other. Myofascial pain may be acute or chronic, and is associated with taut muscle bands and hypersensitive areas called trigger points. Fibromyalgia fatigue syndrome includes symptoms of fibromyalgia sleep disruption, fatigue, (more…)
Early studies of fibromyalgia patients failed to consistently show abnormalities in the fibromyalgia peripheral neuropathy and tiss ...
Altered activity of the hypothalamic–pituitary–adrenal axis (HPA), and abnormal levels of adrenocortical trophic hormone (ACTH) and ...
Mounting evidence points to fibromyalgia as a heritable disorder. This evidence includes familial aggregation of fibromyalgia as we ...
Aside from the fibromyalgia antidepressants, very few drug classes have evidence for efficacy in the treatment of fibromyalgia fati ...
Antidepressants are among the most widely studied medications for the treatment of fibromyalgia. The analgesic effect of antidepres ...
Aging is associated with progressive fibrosis of the sinoatrial node and AV conduction system, resulting in bradycardia, which may be further exacerbated by disease and medications, resulting in symptoms requiring permanent pacemaker implantation. More than 80% of pacemaker recipients in the United States are older than 65 years, and the median age is 75 years. As the population ages, it is anticipated that the number of older persons requiring permanent cardiac pacemakers, as well as the associated costs, will continue to rise. (more…)
Pacemaker therapy is indicated in patients with symptomatic bradycardia (syncope, presyncope, dyspnea, and exercise intolerance) co ...
Neurocardiogenic Vasovagal syncope is more common in younger patients but also should be considered in elderly patients with unexpl ...
Carotid sinus hypersensitivity ( more than 3-second pause or a decrease in systolic blood pressure = 50 mm Hg during carotid sinus ...
There are intrinsic changes in the cardiac pacemaker cells and the cardiac conduction system associated with aging, which increase ...
Supraventricular Tachyarrhythmia The principles of drug and non-drug management of supraventricular tachyarrhythmia (SVT) are si ...
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 ...
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There are several important changes in pharmacokinetics metabolism associated with aging that predispose the elderly to increased risk of druginduced side effects including cardiac arrhythmia.
First, advanced age is accompanied by a decrease in overall body weight, total body water, lean body mass, and intravascular volume, resulting in a greater volume of distribution (V d ), which is defined by the drug dose divided by drug plasma concentration (V d = dose/concentration). The reduced distribution volume will, therefore, lead to a higher drug concentration after a given dose in the elderly compared to the younger population. (more…)
Pharmacodynamics describes the course of action of a drugs and aging at the effector organ level, in terms of duration and magnitud ...
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 ...
The accurate diagnosis of endocrine dysfunction in the elderly requires a high index of suspicion. Signs and symptoms of hormone de ...
There are intrinsic changes in the cardiac pacemaker cells and the cardiac conduction system associated with aging, which increase ...