scholarly journals Correction to: COVID-19 and the elderly patients: insights into pathogenesis and clinical decision-making

2020 ◽  
Vol 32 (9) ◽  
pp. 1909-1909
Author(s):  
Fabio Perrotta ◽  
Graziamaria Corbi ◽  
Grazia Mazzeo ◽  
Matilde Boccia ◽  
Luigi Aronne ◽  
...  
Keyword(s):  
Decision Making ◽  
Elderly Patients ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
The Elderly

scholarly journals COVID-19 and the elderly: insights into pathogenesis and clinical decision-making

2020 ◽  
Vol 32 (8) ◽  
pp. 1599-1608 ◽  
Author(s):  
Fabio Perrotta ◽  
Graziamaria Corbi ◽  
Grazia Mazzeo ◽  
Matilde Boccia ◽  
Luigi Aronne ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
The Elderly

The Elderly Psychiatric Patient with Positive Syphilis Serology: The Problem of Neurosyphilis

1998 ◽  
Vol 28 (3) ◽  
pp. 333-339 ◽  
Author(s):  
Ishwer L. Bharwani ◽  
Charles O. Hershey
Keyword(s):  
Elderly Patients ◽  
Clinical Decision Making ◽  
Relevant Literature ◽  
Clinical Decision ◽  
The Elderly ◽  
Illustrative Case ◽  
Positive Serology ◽  
Important Indicator ◽  
Syphilis Serology ◽  
Latent Syphilis

Objective: Older patients have a high prevalence of neurological and psychiatric disorders. They also have a baseline prevalence of late latent syphilis or positive syphilis serology. Thus the clinical question arises as to whether a neuropsychiatric disorder in a geriatric patient is neurosyphilis or if the positive serology is incidental. Method: An illustrative case example is used to illustrate this dilemma. The relevant literature is reviewed. Results: The cerebrospinal fluid (CSF) protein is an important indicator of inflammatory activity in the central nervous system and is used as a clinical guide in the diagnosis. Elderly patients have higher values of normal CSF protein than younger patients. Conclusions: Given the importance of CSF protein in the diagnosis of neurosyphilis, physicians must include this knowledge, that elderly patients have higher CSF protein values, in their clinical decision making in the differentiation between neurosyphilis and late latent syphilis in the elderly patient.

Validity of conjoint analysis to study clinical decision making in elderly patients with aortic stenosis

2004 ◽  
Vol 57 (8) ◽  
pp. 815-823 ◽  
Author(s):  
B.J. Bouma ◽  
J.H.P. van der Meulen ◽  
R.B.A. van den Brink ◽  
A. Smidts ◽  
E.C. Cheriex ◽  
...  
Keyword(s):  
Decision Making ◽  
Aortic Stenosis ◽  
Elderly Patients ◽  
Conjoint Analysis ◽  
Clinical Decision Making ◽  
Clinical Decision

scholarly journals Downgrade of cardiac defibrillator devices to pacemakers in elderly heart failure patients: clinical considerations and the importance of shared decision-making

2021 ◽  
Vol 29 (5) ◽  
pp. 243-252
Author(s):  
H. F. Groenveld ◽  
J. E. Coster ◽  
D. J. van Veldhuisen ◽  
M. Rienstra ◽  
Y. Blaauw ◽  
...  
Keyword(s):  
Heart Failure ◽  
Decision Making ◽  
Elderly Patients ◽  
Shared Decision Making ◽  
Large Scale ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Short Review ◽  
Implantable Cardioverter Defibrillators ◽  
Shared Decision

AbstractImplantable cardioverter defibrillators are implanted on a large scale in patients with heart failure (HF) for the prevention of sudden cardiac death. There are different scenarios in which defibrillator therapy is no longer desired or indicated, and this is occurring increasingly in elderly patients. Usually device therapy is continued until the device has reached battery depletion. At that time, the decision needs to be made to either replace it or to downgrade to a pacing-only device. This decision is dependent on many factors, including the vitality of the patient and his/her preferences, but may also be influenced by changes in recommendations in guidelines. In the last few years, there has been an increased awareness that discussions around these decisions are important and useful. Advanced care planning and shared decision-making have become important and are increasingly recognised as such. In this short review we describe six elderly patients with HF, in whose cases we discussed these issues, and we aim to provide some scientific and ethical rationale for clinical decision-making in this context. Current guidelines advocate the discussion of end-of-life options at the time of device implantation, and physicians should realise that their choices influence patients’ options in this critical phase of their illness.

Clinical Decision Making and Oral Motor Treatments

ASHA Leader ◽  
2005 ◽  
Vol 10 (8) ◽  
pp. 8-35 ◽  
Author(s):  
Heather M. Clark
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Oral Motor
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