Electrolyte and salt disturbances in older people: causes, management and implications

2008 ◽  
Vol 18 (2) ◽  
pp. 143-158 ◽  
Author(s):  
Roy L Soiza ◽  
Graeme E Hoyle ◽  
Melvin PW Chua
Keyword(s):  
Older People ◽  
Old Age ◽  
Older Patients ◽  
Morbidity And Mortality ◽  
Diagnosis And Treatment ◽  
Electrolyte Disorders ◽  
Electrolyte Disturbances ◽  
The Common

Salt and electrolyte disturbances are commonly encountered in older patients. A sound understanding of the underlying physiological and pathological mechanisms underpinning the predisposition of older people to the common electrolyte imbalances can help clinicians minimize their considerable associated morbidity and mortality. This review focuses on the more common and clinically relevant salt and electrolyte disorders of older people. The epidemiology, causes, symptoms, diagnosis and treatment of hyponatraemia, hypernatraemia, hyperkalaemia, hypokalaemia and calcium and phosphate imbalance in old age are covered from a clinician's perspective.

scholarly journals Psychotherapy and old age psychiatry

1999 ◽  
Vol 23 (3) ◽  
pp. 149-153 ◽  
Author(s):  
Jane Garner
Keyword(s):  
Older People ◽  
Old Age ◽  
Older Patients ◽  
Psychological Intervention ◽  
Clinical Implications ◽  
Emotional Life ◽  
The Future ◽  
Old Age Psychiatry

Aims and MethodsThis report was prepared as the basis for wider consultation within the Old Age Faculty and the College. Some literature and practice is reviewed and practical suggestions made for the future in this area.ResultsAlthough older patients are less likely to be refused for psychological intervention attitudes are slowly changing.Clinical implicationsThe clinical implications of this development include a greater consideration of the unique emotional life of each of our patients and an improved understanding of our reluctance to engage in psychotherapeutic work with older people.

Too old to sedate: How old is too old?

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 106-113
Author(s):  
Natalie Bradley
Keyword(s):  
Older People ◽  
General Anaesthesia ◽  
Old Age ◽  
Dental Care ◽  
Clinical Relevance ◽  
Older Patients ◽  
Dental Treatment ◽  
Anxiety Control ◽  
The Uk ◽  
Dental Work

The UK population is ageing with over a quarter of people predicted to be over 65 by 2040. People are retaining their teeth into old age, often having experienced complex restorative dental work over the years. The increasing complexity of dental treatment that older people require will create challenges for those who provide care for this population, including dental treatment under sedation or general anaesthesia. This article discusses the medical, dental and social considerations that need to be taken into account when planning dental care for older patients under sedation or general anaesthesia. CPD/Clinical Relevance: Dentists who provide sedation must be able to appropriately assess and manage their older patients safely if considering this method of pain and anxiety control for dental treatment.

scholarly journals Perception of Old Age in German Undergraduate Dental Students—A Comparison of Two Cohorts 10 Years Apart

2021 ◽  
Vol 18 (6) ◽  
pp. 3279
Author(s):  
Sophia Weber ◽  
Ina Nitschke ◽  
Sebastian Hahnel ◽  
Angelika Rauch
Keyword(s):  
Older People ◽  
Old Age ◽  
Older Patients ◽  
Dental Students ◽  
Psychological Problems ◽  
Dental Services ◽  
Men And Women ◽  
Individual Perception ◽  
Positive Experiences ◽  
T1 And T2

Previous studies revealed that students’ willingness to provide dental services for older patients is mainly influenced by their individual perception of elders rather than their knowledge about old age. The aim of this study was to estimate students’ perception of old and young age as well as their hopes and fears associated with old age and to compare two cohorts that participated in the study 10 years apart. Data were obtained from a questionnaire completed by two cohorts of undergraduate dental students from 2006 to 2008 (T1, n = 207) and 2016 to 2018 (T2, n = 135). Participants were asked to define the ages that they consider a man or woman to be old and young. Moreover, they had to specify their fears and hopes associated with old age. Reported thresholds for old age differed significantly between T1 and T2. In contrast to T1 students, T2 students defined a person to be old at a higher age and barely differentiated between the old ages of men and women. Furthermore, T2 students presented more fears related to aging than T1 students, e.g., psychological problems or loss of independence. The perception of age appears to be a multifactorial process and significantly changed between students of T1 and T2. Fears of dental students regarding old age should be addressed in, e.g., gerodontological curricula, to foster positive experiences in interaction with older people and highlight the important and rewarding aspects of gerodontology.

Psychopharmacology

2020 ◽  
pp. 207-216
Author(s):  
Delia Bishara
Keyword(s):  
Older People ◽  
Older Patients ◽  
Expert Knowledge ◽  
Careful Consideration ◽  
Chronic Illnesses ◽  
Pharmacokinetic Parameters ◽  
Physiological Changes ◽  
Pharmacological Agents ◽  
The Common ◽  
And Gender

The use of pharmacological agents in older adults is one of the most complex aspects of patient care. Clinicians must display expert knowledge on and careful consideration of the various factors involved. Older people exhibit an unexpected or exaggerated response to drug therapy when compared to their younger counterparts of the same body weight and gender. Often this response is explained through pharmacokinetic or pharmacodynamic changes. Understanding the common physiological changes seen in ageing is helpful in anticipating the changes expected in pharmacokinetic parameters. The pharmacodynamic variations seen in older patients may also increase or decrease sensitivity to a drug independently of the pharmacokinetic changes. In addition, age is known to be associated with increased prevalence of multiple chronic illnesses frequently requiring the use of complex therapeutic regimens, thus increasing the risk for adverse drug reactions and drug interactions in older people.

Lymphoma in older patients: clinical and therapeutic characteristics

2015 ◽  
Vol 25 (1) ◽  
pp. 1-11
Author(s):  
C Benavente ◽  
C Serí ◽  
B Iñigo ◽  
R Martínez
Keyword(s):  
Clinical Trials ◽  
Older People ◽  
Optimal Strategy ◽  
Older Patients ◽  
Heterogeneous Group ◽  
Clinical Severity ◽  
Diagnosis And Treatment ◽  
Response To Treatment ◽  
Lymphoid Tissues ◽  
Younger Patients

SummaryNeoplasms of the lymphoid tissues represent a large, heterogeneous group of diseases that vary in clinical severity and response to treatment. The incidence of lymphoma in older patients is growing, yet guidelines on specifically how these patients should be treated are lacking. Moreover, older people are excluded from most of the clinical trials and management decisions are usually based on data obtained in younger patients. This review might consider the optimal strategy for lymphoma diagnosis and treatment in older patients.

Role of Rasayana in Geriatric Care - A Review

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Yagyik Mishra ◽  
Negalur Vijay ◽  
Thakor Krunal ◽  
Bhat Nagaraj ◽  
Shubhasri B.
Keyword(s):  
Older People ◽  
Old Age ◽  
Statistical Data ◽  
Geriatric Care ◽  
The Body ◽  
Psychological Improvement

The growth of any country or society depends on the number of youth dwelling in that country but according to recent statistical data we soon will have older people more than children and more people at extreme old age than ever before. The number of people aged 65 or older is projected to grow from an estimated 524 million in 2010 to nearly 1.5 billion in 2050. Geriatrics (Jarachikitsa) is the branch of medicine dealing exclusively with the problems of aging and the diseases of elderly. The term Rasayana (rejuvination) refers to nourishment or nutrition. Rasayana therapy act essentially on nutrition dynamics and rejuvenate the body on both physical and mental levels. The problems of health due to modernization can be solved by increasing resistance against diseases and psychological improvement by implementing Rasayana therapy. Aging (Jara) is one among the Swabhavika Vyadhis. Jara Chikitsa is one among the Astanga of Ayurveda which is specifically dedicated for geriatric care. As per estimation, India currently has around 75 million persons over 65 years. By proper administration of Rasayana therapy as preventive tool one can delay Jara Janita Vyadhis to occur. This paper highlights the role of Rasayana in geriatric care.

A new medical Internet system in healthcare: innovation of Telegeriatrics and healthcare demands of older patients of different age groups (Preprint)

2020 ◽  
Author(s):  
Yu Gong ◽  
Jianyuan Zhou
Keyword(s):  
Cardiovascular Diseases ◽  
General Practitioners ◽  
Older Patients ◽  
Metabolic Diseases ◽  
Treatment Plan ◽  
Age Groups ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
World Health ◽  
New Model

BACKGROUND Healthcare for older patients is a worldwide challenge for public health system. A new medical Internet system in healthcare which is a new model of telegeriatrics system has been established. The key innovation is the new telegeriatrics system was conducted jointly by general practitioners in the Community Health Service Center and specialists in university teaching hospital. Unlike the typical telemedicine that has been practiced in other countries, the new model provides a solution for the key issues in telemedicine where a doctor is unable to conduct a direct physical examination and the associated potential diagnostic error. OBJECTIVE This study is to introduce the operation mechanism of the new Telegeriatrics system and analyze healthcare demands of older patients in different age groups applying the new Telegeriatrics system. METHODS 472 older patients (aged≥60) were enrolled and divided into the young older group (aged 60 to 74), the old older group (aged 75 to 89) and the very old group (aged≥90) according to the age stratification of World Health Organization. Proportion of the top 10 diseases of older patients of different age groups was analyzed. RESULTS The process of older patients’ diagnosis and treatment made by specialist and general practitioners formed a closed loop. It ensures the timeliness and effectiveness of diagnosis and treatment of older patients. The treatment effect can be observed by general practitioners and specialist can adjust the treatment plan in time. In this study, it was found that older patients in different age groups have different healthcare demands. Coronary heart disease and type 2 diabetes mellitus were found to be the main diseases of the older patients and the young older patients as well as the old older patients applying Telegeriatrics. CONCLUSIONS The new telegeriatrics system can provide convenient and efficient healthcare services for older patients and overcome the disadvantage of currently used models of telegeriatrics. Older patients in different age groups have different medical care demands. Cardiovascular diseases and metabolic diseases have become the main diseases of the elderly applying the new Telegeriatrics system. Healthcare policy makers should invest more medical resources to the prevention of cardiovascular diseases and metabolic diseases in the elderly.

The ‘loneliness pandemic’: implications for gerontological nursing

2021 ◽  
Vol 30 (11) ◽  
pp. 652-655
Author(s):  
Carlos Laranjeira
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
Chronic Diseases ◽  
Old Age ◽  
Social Isolation ◽  
Social Relationships ◽  
Vulnerable Groups ◽  
Negative Consequences ◽  
Gerontological Nursing

The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.

scholarly journals The media image of Chinese older people: From stigmatic stereotype to diverse self-representation

2021 ◽  
pp. 205943642110125
Author(s):  
Kun Li
Keyword(s):  
Older Adults ◽  
Older People ◽  
Old Age ◽  
Media Studies ◽  
Positive Attitude ◽  
Media Image ◽  
Past Life ◽  
The Media ◽  
Leisure And Recreation ◽  
Chinese Older People

From the perspective of communication and media studies, this article explores a comparison between the image of older adults presented on media and online self-representation facilitated by the use of smartphones. The qualitative textual analysis was conducted with a sample (228 posts, from 1 January to 31 December,2019) selected from a representative WeChat Public Account targeting at older adults in China. The results demonstrate that leisure and recreation is the most frequently mentioned topic (58%) with memories of past life receiving the least references (3%). The striking features of popular posts among older people include a highly emotional tone, bright colours and multimedia. Sentiment analyses shows 68.42%, 13.16% and 18.42% of positive, neutral and negative emotions, respectively. A generally positive attitude of self-representation is in a sharp contrast with the stigmatic media image of older adults. The article concludes that the visibility of Chinese older people may help to reduce the stigma surrounding old age in China.

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