Is Counseling Overlooked As an Appropriate Treatment for Depression in the Elderly?

2013 ◽  
Author(s):  
Stefanie M. Keen ◽  
Janet Y. Griffin ◽  
Savy Chea
Keyword(s):  
The Elderly ◽  
Appropriate Treatment

Lumbar Spondylolisthesis

2018 ◽  
Author(s):  
Mehul J. Desai ◽  
Puneet Sayal ◽  
Michael S. Leong
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Diagnostic Imaging ◽  
Treatment Plan ◽  
The Elderly ◽  
Interdisciplinary Treatment ◽  
Low Back ◽  
Resonance Imaging ◽  
Appropriate Treatment ◽  
Lumbar Spondylolisthesis

Lumbar spondylolisthesis typically presents as low back and/or lower extremity pain. Spondylolisthesis is most commonly observed in female patients and the elderly. Lumbar spondylolisthesis may result from congenital, isthmic, trauma-related, degenerative, and iatrogenic causes. Diagnostic imaging (radiographs, magnetic resonance imaging) and physical examination are needed to differentiate the categories of lumbar spondylolisthesis, which will assist in selecting the appropriate treatment. A customized interdisciplinary treatment plan tailored to the patient’s presentation and goals will produce clinical improvement. Surgical remediation is typically reserved for recalcitrant cases but can be effective.

Management of burns in the ICU

2016 ◽  
Author(s):  
Shahriar Shahrokhi ◽  
Marc G. Jeschke
Keyword(s):  
Total Body Surface Area ◽  
The Elderly ◽  
Similar Data ◽  
Burn Patients ◽  
Burn Care ◽  
Future Developments ◽  
Appropriate Treatment ◽  
Total Body ◽  
Critical Components ◽  
Current Standards

Outcomes of burn patients have significantly improved over the last two decades. A recent study in The Lancet showed that a burn size of over 60% total body surface area (TBSA) burned is now recognized as being associated with high risks; a decade ago similar risks resulted from a 40% TBSA burned. Similar data have been obtained in severely-burned adults and the elderly. This chapter discusses current standards, recent evidence, and future developments in burn care to improve outcomes of these patients. Critical components in the management of patients with burns are early adequate resuscitation, recognition and management of airway burns and appropriate treatment of the different stages of burn care—prehospital, early, and late management.

The Prevalence of TB/HIV Coinfection in Elderly in the Metropolitan Region of Belém-Pará, Brazil

2020 ◽  
pp. 84-91
Author(s):  
Viviane Ferraz Ferreira de Aguiar ◽  
Dayara de Nazaré Rosa de Carvalho ◽  
Dandara de Fátima Ribeiro Bendelaque ◽  
Rafael Everton Assunção Ribeiro da Costa ◽  
Jaqueline Dantas Neres Martins ◽  
...  
Keyword(s):  
Public Health ◽  
Mixed Race ◽  
The Elderly ◽  
Public Consultation ◽  
Metropolitan Region ◽  
Clinical Form ◽  
Hiv Coinfection ◽  
Appropriate Treatment ◽  
Historical Series ◽  
Cure Rates

Objectives: This study aims to investigate in secondary databases the prevalence of TB / HIV co-infection in the elderly in the metropolitan region of Belém-Pará, Brazil, in the 2001-2018 historical series. Methodology: This is an epidemiological, retrospective study with a quantitative approach. Data collection was carried out in the database of SINAN/TB (Notifiable Information System/ Tuberculosis) of the State Secretariat of Public Health (SESPA), using records of confirmed cases of tuberculosis in the elderly in the metropolitan region of Belém, between 2001 and 2018, available for public consultation. Results: 110 cases of co-infection were found in the elderly between 2001 and 2018 in the Metropolitan Region of Belém, with a predominance of males, aged between 60 and 69 years, mixed race and ignored/blank education. The clinical-epidemiological variables resulted in the prevalence of new cases and in the pulmonary clinical form, in addition to the absence of information in the extrapulmonary form. Conclusion: The elderly are more vulnerable to pulmonary tuberculosis and HIV infection, and the presence of co-infection in this population is extremely harmful and even fatal. Therefore, conducting early detection is essential for disease prevention, in addition to educational activities aimed at promoting information about the two pathologies, promoting self-responsibility for health, higher rates of appropriate treatment and better cure rates.

scholarly journals Obsessive-Compulsive Disorder in the Elderly

1998 ◽  
Vol 11 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Michael P. Philpot ◽  
Sube Banerjee
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Neuropsychological Assessment ◽  
Verbal Fluency ◽  
Late Life ◽  
The Elderly ◽  
Intellectual Impairment ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Appropriate Treatment ◽  
Spatial Tasks

Four cases of obsessive-compulsive disorder arising in late life in association with a presumed organic aetiology are described. Three of the four had brief episodes of OCD earlier in their lives. Neuropsychological assessment demonstrated impairments in verbal fluency and visuo-spatial tasks. No case exhibited global intellectual impairment. The two patients who complied with appropriate treatment became asymptomatic after 4–6 months.

scholarly journals Inflamed Right Inguinal Appendix in a Sixty-four-year-old Man: A Case Report and Review of the Literature

2021 ◽  
pp. 176-180
Author(s):  
Friday Emeakpor Ogbetere
Keyword(s):  
Inguinal Canal ◽  
Vermiform Appendix ◽  
The Elderly ◽  
Treatment Modalities ◽  
Amyand’S Hernia ◽  
Suture Repair ◽  
Septic Complications ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Appropriate Treatment

The vermiform appendix has varied locations ranging from retrocaecal, pelvic, paracolic to pre-ileal and postileal. Inguinal appendix or Amyand’s hernia is an extremely rare occurrence with potentially fatal complications. Rarer still is the presence of an inflamed appendix in the inguinal canal in the elderly. Due to its rarity, the pathophysiology and risk factors of the condition are still unclear. Some theorize that it is secondary to a patent processus vaginalis or perhaps the presence of a fibrous band between the hernia sac and testes.  Reported herein is a 64-year-old man who presented with a painful irreducible right inguinal swelling. An incarcerated inguinal hernia with the hernia sac harbouring an inflamed vermiform appendix was discovered at surgery. Appendectomy and a primary suture repair of the hernia were carried out. The postoperative period was uneventful. Surgical management of inflamed inguinal appendix carries a risk of septic complications. It is pertinent that every surgeon performing a hernia repair must be aware of this condition and the appropriate treatment modalities.

scholarly journals Deficiency of vitamin B12 and development of Geriatric syndromes

2013 ◽  
pp. 42-45
Author(s):  
Jose Mauricio Ocampo
Keyword(s):  
Vitamin B12 ◽  
Protein Energy Malnutrition ◽  
Clinical Manifestations ◽  
Vitamin B12 Deficiency ◽  
Failure To Thrive ◽  
The Elderly ◽  
Geriatric Syndromes ◽  
Protein Energy ◽  
Appropriate Treatment ◽  
B12 Deficiency

Vitamin B12 deficiency or cyanocobalamin is a common condition in the elderly. It is repeatedly overlooked due to multiple clinical manifestations that can affect the blood, neurological, gastrointestinal, and cardiovascular systems, skin and mucous membranes. The various presentations of vitamin B12 deficiency are related to the development of geriatric syndromes like frailty, falls, cognitive impairment, and geriatric nutritional syndromes like protein-energy malnutrition and failure to thrive, in addition to enhancing aging anorexia and cachexia. Therefore, interventions must be developed to include their screening and diagnosis to make early and appropriate treatment to prevent its complications before they become irreversible.

scholarly journals Assessment of general well-being before and after treatment for morbidities among inmates of a destitute centre of north Karnataka: a pre and post evaluation study

2017 ◽  
Vol 4 (11) ◽  
pp. 4282
Author(s):  
Sachin Desai ◽  
Chandra S. Metgud
Keyword(s):  
Well Being ◽  
The Elderly ◽  
Evaluation Study ◽  
Female Inmates ◽  
Age Group ◽  
Post Evaluation ◽  
Appropriate Treatment ◽  
Before And After ◽  
Morbid Conditions

Background: The destitute centre was established in 1992, 14th August; situated in Karnataka with a built up area is 29 acres and has 33 males and 17 female inmates. The patients here can be classified as having psychiatric illness, destitute with general co morbid conditions and wandering tramps with normal mentation. The study was done to know the morbidity profile among the inmates of destitute centre and to assess the change in the quality of life before the morbidity assessment and after medication and treatment.Methods: It was a pre-post evaluation study done from August 2012 to December 2012. All of the 50 resident inmates of the destitute centre were evaluated before and after clinical examination and treatment with General Well Being Scale (GWBS).Results: Among the total inmates, 06 (12%) were in age group 20-29 years, 11 (22%) belonged to 30-39 years, 10 (20%) belonged to 40-49 years, 09 (18%) each belonged to 50-59 and 60-69 years age group respectively, 04 (8%) belonged to 70-79 years and 01 (2%) of the elderly belonged to age ≥80 years of age. 38 (76.0%) were males and 12 (24%) were females. Majority of the inmates i.e. 42 (84.0%) belonged to broken families, about 4(8.0%) elderly belonged to problem families. 18 (36.0%) consumed tobacco, about 07 (14.0%) were either smoking or consuming alcohol, about 02 (4.0%) had both alcohol and smoking habits.Conclusions: 74% of them had psychiatric comorbidities and these were likely to cause significant functional impairment. Appropriate treatment helped 5 (10%) individuals to be shifted to rehabilitation center.

Surgical Considerations in Older Adults With Cancer

2014 ◽  
Vol 32 (24) ◽  
pp. 2647-2653 ◽  
Author(s):  
Beatriz Korc-Grodzicki ◽  
Robert J. Downey ◽  
Armin Shahrokni ◽  
T. Peter Kingham ◽  
Snehal G. Patel ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Functional Decline ◽  
The Elderly ◽  
Treatment Decisions ◽  
Morbidity And Mortality ◽  
Limiting Factor ◽  
Patients With Cancer ◽  
Cognitive Limitations ◽  
Appropriate Treatment ◽  
Safe Performance

Purpose The aging of the population is a real concern for surgical oncologists, who are increasingly being asked to treat patients who would not have been considered for surgery in the past. In many cases, decisions are made with relatively little evidence, most of which was derived from trials in which older age was a limiting factor for recruitment. Methods This review focuses on risk assessment and perioperative management. It describes the relationship between age and outcomes for colon, lung, hepatobiliary, and head and neck cancer, which are predominantly diseases of the elderly and are a major cause of morbidity and mortality. Results Effective surgery requires safe performance as well as reasonable postoperative life expectancy and maintenance of quality of life. Treatment decisions for potentially vulnerable elderly patients should take into account data obtained from the evaluation of geriatric syndromes, such as frailty, functional and cognitive limitations, malnutrition, comorbidities, and polypharmacy, as well as social support. Postoperative care should include prevention and treatment of complications seen more frequently in the elderly, including postoperative delirium, functional decline, and the need for institutionalization. Conclusion Surgery remains the best modality for treatment of solid tumors, and chronologic age alone should not be a determinant for treatment decisions. With adequate perioperative risk stratification, functional assessment, and oncologic prognostication, elderly patients with cancer can do as well in terms of morbidity and mortality as their younger counterparts. If surgery is determined to be the appropriate treatment modality, patients should not be denied this option because of their age.

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