More on Geriatrics
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Assessing falls in older adults
Falls account for significant morbidity and mortality in the older adult population. A comprehensive fall evaluation is proposed, particularly for use in recurrent fallers, those who seek medical attention for a fall, and those with a gait and/or balance disorder. Interventions utilize a multifactorial model, although balance exercise may be the most critical component.
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Solitary crystalline papule on right index finger
A 73-year old woman presents with a six-month history of a slightly tender papule on the right index finger. She has a history of moderate distal osteoarthritis, but otherwise is in good health.
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Herb-drug interactions: Interactions between Kava and prescription medications
Older adults often add herbal medicines to medications prescribed by their physicians, yet do not always inform the physician. The drug metabolizing enzyme systems process all compounds foreign to the body including prescription drugs and herbal medications. Therefore use of both medicinals simultaneously has a potential for interactions of an adverse nature. This review, which will discuss kava, is one in a series covering the documented interactions between herbal medicines with proven efficacy and prescription drugs.
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Medication adherence and cognition
Medication adherence is increasingly being recognized as a significant issue in treating geriatric patients. Poor adherence has been shown to decrease the effects of prescribed medications or other treatments and to increase the likelihood of poor outcomes.
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Preventing falls in older patients: Assessment and intervention
Recognizing risk factors and ameliorating underlying disease and mobility problems are crucial to preventing falls and maintaining your patients' safety and independence.
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