Physician use of the phrase “due to old age” to address complaints of elderly symptoms in Japanese medical settings: The merits and drawbacks

2021 ◽  
pp. 147775092110366
Author(s):  
Atsushi Asai ◽  
Taketoshi Okita ◽  
Masashi Tanaka ◽  
Seiji Bito ◽  
Motoki Ohnishi
Keyword(s):  
Elderly Patient ◽  
Elderly Patients ◽  
Medical Care ◽  
Old Age ◽  
The Elderly ◽  
Modern Medicine ◽  
Medical Settings ◽  
Elderly Individuals ◽  
Pain And Suffering ◽  
Aging Phenomenon

In everyday medical settings in Japan, physicians occasionally tell an elderly patient that their symptoms are “due to old age,” and there is some concern that patient care might be negatively impacted as a result. That said, as this phrase can have multiple connotations and meanings, there are certain instances in which the use of this phrase may not necessarily be indicative of ageism, or prejudice against the elderly. One of the goals in medical care is to address pain and suffering that develops with age in elderly individuals, and whether or not aging is a disease is inconsequential. However, assuming that an individualized and thorough examination has been performed, there are some conditions that can be attributed only to age. Accordingly, physicians must acknowledge the merits and drawbacks of using the phrase “due to old age,” and exercise caution when using it. Both physicians and their elderly patients must share a common awareness of the incomplete and limited nature of modern medicine and its scope, and physicians must help their elderly patients accept and live with the aging phenomenon.

scholarly journals The Relationship between the Acute Confusing State and the Comorbidities of the Elderly Patient

2019 ◽  
Vol 70 (7) ◽  
pp. 2415-2419 ◽  
Author(s):  
Valeria Carmen Albu ◽  
Raluca Elena Sandu ◽  
Andreea Lili Barbulescu ◽  
Elena-Anca Tartea ◽  
Emilia Burada ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patient ◽  
Elderly Patients ◽  
Neurological Examination ◽  
The Elderly ◽  
Cardiovascular Pathology ◽  
Wide Range ◽  
Neurology Clinic ◽  
The Relationship ◽  
Hepatic Pathology

The aim of the study was to assess the correlations between the acute confusing syndrome and different comorbidities found in a group of 126 elderly patients with this diagnosis, who were admitted to the Neurology Clinic of the Neuropsychiatry Hospital of Craiova. The main syndromes highlighted at the neurological examination were confusing, pyramidal and vestibular syndromes. The acute confusing syndrome has a multifactorial etiology, due to the wide range of comorbidities encountered in elderly patients. In our study the most frequent comorbidities were cardiovascular pathology, diabetes mellitus, dyslipidemia, cerebrovascular renal, hepatic pathology.

scholarly journals Application of Traditional Medical Ideas to Geriatric Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-20 ◽  
Author(s):  
Takashi Seki ◽  
Shin Takayama ◽  
Masashi Watanabe ◽  
Noriko Tsuruoka ◽  
Tadao Matsunaga ◽  
...  
Keyword(s):  
Reference Lists ◽  
The Elderly ◽  
Modern Medicine ◽  
Geriatric Syndrome ◽  
Gait Disorder ◽  
Practical Application ◽  
Medical Treatments ◽  
Medical Settings ◽  
Therapeutic Measures ◽  
Ultrasound Scanner

Background. Japan is a superaging society, with the percentage of persons aged >65 years increasing year after year. Traditional medicine (TM) for elderly has been practiced worldwide for thousands of years. Treatment methods for aspiration pneumonia, gait disorder, glaucoma, and bowel symptoms have been developed. The ideas of acupuncture, moxibustion, and herbal medicine have been implemented in modern medical settings, and medical devices using heat transfer engineering and nanotechnology have been developed. An ultrasound scanner can be used for the evaluation of effects and indications for these therapeutic measures. Objectives. To review published literature and our studies that evaluated medical treatments for the elderly on the basis of ideas of TM. Search Methods. We searched Pubmed, Scopus, and reference lists of relevant clinical trials. Authors’ Conclusions. Many studies were found. But there are insufficient data on the effects of traditional medical therapies and further research is needed. TM therapies vary widely and studies of these therapies that ascertain practical application are essential for the utilization of ideas of TM in modern medicine. Moreover, to verify practical application, a quantitative evaluation index is necessary. Nonetheless, modalities using ideas of TM may be promising treatments for some diseases in the elderly.

Anaesthesia for the Elderly Patient (Oxford Anaesthsia Library)

2017 ◽  
Author(s):  
Chris Dodds ◽  
Chandra M. Kumar ◽  
Frédérique Servin
Keyword(s):  
Elderly Patient ◽  
Elderly Patients ◽  
Independent Living ◽  
Ethical Issues ◽  
Preoperative Assessment ◽  
The Elderly ◽  
Day Surgery ◽  
Gynaecological Surgery ◽  
Current State

This book provides a timely and authoritative synopsis of the current state of anaesthesia and the elderly patient at a time when the challenge of caring for the growing numbers of elderly patients is probably the greatest faced by healthcare across the globe. The book reviews important developments in the understanding of clinical practice serving the elderly. It describes the need for anaesthesia to deliver ‘best care’ to the elderly, with the aim to maintain their independent living. It then details the key features of ageing and the effect these have on physiology and pharmacology. Specific aspects of practice, including preoperative assessment; day surgery; emergency surgery; anaesthesia for orthopaedic, urological, and gynaecological surgery, as well as major abdominal surgery; neurosurgery; and critical care. Emphasis is placed on managing postoperative care and cognitive dysfunction (POCD), with additional discussion of ethical issues and the law pertaining to the elderly patient. A new chapter reviews the challenges of treating elderly patients in non-theatre environments.

scholarly journals Feasibility of balloon endoscope-assisted endoscopic retrograde cholangiopancreatography for the elderly

2020 ◽  
Vol 08 (09) ◽  
pp. E1202-E1211
Author(s):  
Ryunosuke Hakuta ◽  
Hirofumi Kogure ◽  
Yousuke Nakai ◽  
Tsuyoshi Hamada ◽  
Tatsuya Sato ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
The Elderly ◽  
Group Differences ◽  
Success Rates ◽  
Technical Success ◽  
Endoscopic Retrograde ◽  
Elderly Individuals ◽  
Technical Success Rate ◽  
Surgically Altered Anatomy

Abstract Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) for patients with surgically altered anatomy is challenging. Recently, balloon endoscopy has been shown to facilitate ERCP for this population with a high technical success rate, but adverse events (AEs) are not uncommon. Compared to non-elderly patients, elderly patients may be at higher risk of AEs due to underlying comorbidities. The current study aimed to evaluate the feasibility of balloon endoscope-assisted ERCP (BE-ERCP) for the elderly. Patients and methods We retrospectively identified patients who underwent BE-ERCP between January 2010 and September 2019. For patients who underwent multiple procedures during the study period, the first session was analyzed. Early AEs associated with BE-ERCP were compared between elderly (≥ 75 years) and non-elderly patients. Results A total of 1,363 BE-ERCP procedures were performed, and 568 patients (211 elderly and 357 non-elderly) were included for the analyses. Technical success rates were high in both the elderly and non-elderly groups (80 % vs. 80 %, respectively). The rates of early AEs were similar between the groups (12 % vs. 9.0 % in the elderly and non-elderly group, respectively; P = 0.31). The mltivariable-adjusted odds ratio for early AEs comparing elderly to non-elderly patients was 1.36 (95 % confidence interval, 0.74–2.51; P = 0.32). Specifically, we did not observe between-group differences in rates of gastrointestinal perforation (2.4 % vs. 2.8 % in elderly and non-elderly groups, respectively; P = 0.99) and aspiration pneumonia (1.9 % vs. 0.6 %, P = 0.20). Conclusions BE-ERCP is a feasible procedure for elderly individuals with surgically altered anatomy.

scholarly journals Performance Evaluation of Different d-Dimer Cutoffs in Bedridden Hospitalized Elderly Patients

2016 ◽  
Vol 23 (8) ◽  
pp. 998-1004 ◽  
Author(s):  
Nevine A. Kassim ◽  
Tamer M. Farid ◽  
Shaimaa Abdelmalik Pessar ◽  
Salma A. Shawkat
Keyword(s):  
Elderly Patients ◽  
The Elderly ◽  
Age Group ◽  
Elderly Individuals ◽  
Clinical Probability ◽  
Hospitalized Elderly ◽  
Comparable Performance ◽  
Hospitalized Elderly Patients ◽  
Reduced Mobility ◽  
D Dimer

A rapid and accurate diagnosis of venous thromboembolism (VTE) in the elderly individuals represents a dilemma due to nonspecific clinical presentation, confusing laboratory results, and the hazards of radiological examination in this age-group. d-Dimer test is used mainly in combination with non-high clinical pretest probability (PTP) to exclude VTE. d-Dimer testing retains its sensitivity, however, its specificity decreases in the elderly individuals. Raising the cutoff level improves the specificity of the d-dimer test without compromising its sensitivity. The current study aimed to explore the reliability of higher d-dimer cutoff values for the diagnosis of asymptomatic VTE in a population of bedridden hospitalized elderly patients with non-high clinical PTP. This retrospective study included 252 bedridden hospitalized elderly patients (>65 years) who were admitted to the Ain shams University Specialized Hospital with non-high clinical probability and developed later reduced mobility; all underwent quantitation of d-dimer and Doppler examination. Considering the whole population (>65 years), the age-adjusted cutoff achieved the best performance in comparison with the conventional and receiver operating characteristic (ROC)–derived cutoffs. When stratified according to age, the age-adjusted cutoff showed the best performance in the age-group 65-70 and comparable performance with the ROC-derived cutoff in the age-group 71-80, however, its sensitivity compromised in those older than 80 years. In conclusion, it is recommended to use age-adjusted cutoff value of d-dimer together with the clinical probability score in elderly individuals (65-80 years).

Decision-Making in Old Age: Cautiousness and Rigidity

1981 ◽  
Vol 13 (2) ◽  
pp. 89-98 ◽  
Author(s):  
Richard E. Calhoun ◽  
Sam L. Hutchison
Keyword(s):  
Decision Making ◽  
Old Age ◽  
The Elderly ◽  
Elderly Individual ◽  
Elderly Individuals ◽  
Two Factors ◽  
Behavioral Rigidity ◽  
Elderly Participant ◽  
Risky Decisions

The purpose of the present study was to test the findings of Botwinick's work on cautiousness and decision-making in old age [1, 2], along with an examination of two factors not previously studied: rigidity and certainty of decision outcome. Sixty-four elderly participants of both sexes participated in filling out the Choice Dilemmas Questionnaire (CDQ) after having been classified as high or low on Schaie's Test of Behavioral Rigidity [3]. In general, Botwinick's conclusions were supported: 1. when given the opportunity to avoid making decisions on the CDQ, the elderly did so, even under conditions of no risk at all concerning the outcome of the decision; 2. elderly individuals appeared to become more conservative and cautious in their decisions when the outcome was directed at the lives of young individuals than when older individual's lifestyles were of concern. This latter phenomenon, however, was not seen when the elderly participant was required to make a decision and could not elect to abstain. In addition, rigidity was found to be related to risky decisions made by the elderly individual.

scholarly journals The lack of professionalism and ethics in the treatment of an elderly patient / Nedostatak profesionalizma i etike u tretmanu starijeg pacijenta

2015 ◽  
Vol 2 (2) ◽  
pp. 33
Author(s):  
Tatjana Ivanković Zrnić
Keyword(s):  
Health Care ◽  
Elderly Patient ◽  
Elderly Patients ◽  
Medical Staff ◽  
Older Patients ◽  
Birth Rate ◽  
The Elderly ◽  
Pubmed Central ◽  
Personalized Care ◽  
Prolonged Life Expectancy

An apparent decline in the birth rate that accompanies the aging population with prolonged life expectancy requires greater investment in the health care of the elderly. It is necessary to identify the conditions that naturally carries the older times, expect a slower recovery in comparison to young people, but do not exclude recovery in treatment.In practice we often encounter indifference and neglect of an elderly patient by the medical staff, the assumption is that this is justified by insufficiently motivated patient.Searching PubMed, PubMed Central, Google Scholar and HINARI, we analyzed how this topic is present in nivioma protects the health and recognizing the importance of personalized care for older patients in the world.The results of many studies indicate that there is a neglect of elderly patients, resulting in poor outcome of care.Requires additional training of staff working with elderly patients to improving attitudes and extreme improve the treatment of these patients.Negative attitudes towards older patients contribute to business dissatisfaction medical staff.

scholarly journals The Relationship Between the Fear of COVID-19 in the Elderly Aged 65 Years and Over and Their Levels of Adaptation to the “New Normal”: A Cross-Sectional Study

2021 ◽  
pp. 003022282110543
Author(s):  
Sibel Şentürk ◽  
Alev Yıldırım Keskin ◽  
Şule Sarızayim
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Psychological Support ◽  
Sectional Study ◽  
Cross Sectional ◽  
New Normal ◽  
Elderly Individuals ◽  
The Relationship

This study was carried out to determine the relationship between the fear of COVID-19 in the elderly aged 65 years and over and their levels of adaptation to the “new normal.” This descriptive cross-sectional study was completed with 623 elderly individuals. It was determined that the individuals who adapted well to the “new normal” had high levels of adaptation to old age, while their levels of fear of COVID-19 were slightly above average ( p < 0.01). Elderly individuals have tried to adapt to the “new normal” while also experiencing fear of COVID-19. In order to minimize the fear experienced by the elderly during COVID-19, adequate support and psychological support should be provided.

scholarly journals Chronic obstructive pulmonary disease in patients with coronary heart disease of elderly age groups

2020 ◽  
pp. 19-19
Author(s):  
G.P. Voinarovska ◽  
E.O. Asanov
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Elderly Patients ◽  
Old Age ◽  
Age Groups ◽  
The Elderly ◽  
Chronic Obstructive ◽  
Bronchial Obstruction ◽  
Obstructive Pulmonary Disease

Background. Among the combinations of comorbid conditions, a special role belongs to the combination of coronary heart disease (CHD) and chronic obstructive pulmonary disease (COPD). Because COPD is often associated with CHD, most authors believe that there is a direct link between COPD, progression of bronchial obstruction, and pathological conditions of the cardiovascular system, including mortality from myocardial infarction. In elderly patients, according to some researchers, the link between COPD and CHD is most pronounced. Objective. To establish the frequency of COPD in patients with CHD in older age groups. Materials and methods. The studies are based on the results of a comprehensive survey of 635 patients with CHD aged 60-89 years, who were observed for a long time of the State Institution “Chebotarev Institute of Gerontology of the National Academy of Medical Sciences of Ukraine”. Results and discussion. The share of patients with CHD in whom COPD was detected in the group of elderly people is 19.4 %. This is much more than the average population. The frequency of COPD in patients with CHD decreases significantly with further aging. The prevalence of COPD among elderly patients is much lower than among elderly patients. This can most likely be explained by the fact that a significant proportion of patients with CHD with COPD do not live to old age. The analysis revealed that in elderly patients there is bronchial obstruction of more severe stages. This is due to the fact that CHD patients with COPD who live to old age have worsening bronchial patency due to the longer duration of the disease. It has been established that the majority of patients with CHD with COPD, both elderly and senile, are male. This can be explained by the negative effects of smoking. Conclusions. The incidence of COPD in patients with CHD in the elderly is much higher than in the population. At the same time, the incidence of COPD among patients with CHD in the elderly is much lower than among the elderly. In patients of advanced age bronchial obstruction is more expressed.

A Psychological Approach to Attitudes toward Blind Persons

1987 ◽  
Vol 81 (7) ◽  
pp. 323-325 ◽  
Author(s):  
R. Vickers
Keyword(s):  
Elderly Patient ◽  
Elderly Patients ◽  
Visually Impaired ◽  
Vision Loss ◽  
Well Being ◽  
The Elderly ◽  
Self Esteem ◽  
Psychological Approach ◽  
Blind Persons ◽  
Visually Impaired Persons

In a paper prepared for presentation at Goldwater Memorial Hospital in the spring of 1986, the author discusses vision loss in elderly patients. The paper further addresses the effects of stereotyping on treatment for elderly visually impaired persons and stresses self-esteem and responsibility as two integral factors in the emotional and physical well-being of the elderly patient.

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