Annual Review of Gerontology and Geriatrics, Volume 6, 1986: by Carl Eisdorfer PhD MD PDF

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By Carl Eisdorfer PhD MD

ISBN-10: 0826130852

ISBN-13: 9780826130853

ISBN-10: 0826130887

ISBN-13: 9780826130884

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Additional info for Annual Review of Gerontology and Geriatrics, Volume 6, 1986: Geriatric Health Care

Example text

WETLE confusion in elderly patients. Clinical and Experimental Gerontology, 7, 5170. Chisholm, S. , Deniston, O. , Igrisan, R. , & Barbus, A. J. (1982). Prevalence of confusion in elderly hospitalized patients. Gerontological Nursing, 8, 87-96. Devaul, R. , & Jervey, F. L. (1981). Delirium: A neglected medical emergency. American Family Physician, 24, 152-159. ). (1980). Washington, DC: American Psychiatric Association. Engel, G. , & Romano, J. (1959). Delirium, a syndrome of cerebral insufficiency.

Other factors that have been associated with falling include debilitation, sensory deficits, and use of assistive ambulatory devices and drugs (Lund & Sheafor, 1985; Lynn, 1980). The drugs most commonly implicated in falling include sedatives, tranquilizers, diuretics, and hypotensive agents. This is particularly important because a 1977 Services Research Report indicated that these drugs were among the most commonly prescribed drugs for the elderly (Gioiella & Bevil, 1985). Noncompliance, especially in the self-administration of medications, is another important aspect to consider in geriatric care.

D. Thus, a variety of management strategies are useful for the acutely 20 S. E. LEVKOFF, R. BESDINE, T. WETLE confused patient, both during evaluation and after treatment of the underlying cause is begun. Supportive and symptomatic measures should be given as much attention as drug therapy. Only when all measures are employed in a coordinated and sensible way can success be anticipated in managing these most challenging and vulnerable hospital patients. CLINICAL AND POLICY IMPLICATIONS Although regarded by many as the most important cognitive disorder of the aged, acute confusion has been neglected as a focus of serious clinical and epidemiological inquiry.

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Annual Review of Gerontology and Geriatrics, Volume 6, 1986: Geriatric Health Care by Carl Eisdorfer PhD MD

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