Contents
G. Michael Harper (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - November 23, 2023 Category: Geriatrics Source Type: research
Forthcoming Issues
LGBTQIA+ Health in Aging Adults (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - November 23, 2023 Category: Geriatrics Source Type: research
Federal and State Policy Issues Affecting Lesbian, Gay, Bisexual, Transgender, and Queer Older Adults
Anti-lesbian, gay, bisexual, transgender, and queer (LGBTQ) + discrimination is widespread, harming the health of LGBTQ + people and constituting a barrier to care. This contributes to higher rates of poverty among LGBTQ + people, especially among people of color, and lower insurance coverage rates. The Affordable Care Act ’s expansion of insurance access has reduced uninsurance rates among LGBT people and people living with human immunodeficienc virus (HIV). Systemic improvements in culturally responsive health care have occurred over the past decade, including increased collection and use of sexual orientation and gend...
Source: Clinics in Geriatric Medicine - November 18, 2023 Category: Geriatrics Authors: Sean R. Cahill Source Type: research
Postacute Care and Long-term Care for LGBTQ+ Older Adults
LGBTQ + older adults have a high likelihood of accessing nursing home care. This is due to several factors: limitations performing activities of daily living and instrumental activities of daily living, restricted support networks, social isolation, delay seeking assistance, limited economic resources, and dementia. Nursing home residents fear going in the closet, which can have adverse health effects. Cultivating an inclusive nursing home culture, including administration, staff, and residents, can help older LGBTQ + adults adjust and thrive in long-term care. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - November 9, 2023 Category: Geriatrics Authors: Jennifer L. Carnahan, Andrew C. Pickett Source Type: research
Psychosocial and Financial Issues Affecting LGBTQ+ Older Adults
Isolation, financial insecurity, incomplete advance care planning, and lack of safe/affordable/inclusive long-term care are challenges magnified in gender and sexual minorities. LGBTQIA+ older adults are disproportionately more likely to live alone and experience financial poverty and social isolation. LGBTQIA+ adults suffering from cognitive impairment are an especially defenseless population due to their lack of social connection and potential lack of financial resources and ad vance care planning. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - November 6, 2023 Category: Geriatrics Authors: Vinita Gidvani Shastri, Erica Joy Erney Source Type: research
Home-Based Care for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, or another diverse gender identity Older Adults
This article begins to outline some strategies and approaches to entering the home of LGBTQ+ older adults in inclusive and trauma-informed ways and encourages home-based care teams, organizations, and health systems to utilize existing resources created by the LGBTQ+ aging community to provide universal skills training for the workforce. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - November 2, 2023 Category: Geriatrics Authors: Mariah L. Robertson Source Type: research
Preventive and Sexual Health in LGBTQ+ Older Adults
Sexual health is an important but often overlooked health concern of LGBTQ + older adults. Multiple factors influence sexual health including intersecting identities; adverse life events; coping mechanisms; and psychological, social, and physical health domains. Thus, the use of a culturally competent and comprehensive person-centered approach to sexual health is warran ted. In this review, we discuss approaches to engaging LGBTQ + older adults to ensure they are able to achieve their sexual health priorities and prevent new human immunodeficiency virus infections. We also discuss doxycycline postexposure prophylaxis ...
Source: Clinics in Geriatric Medicine - November 1, 2023 Category: Geriatrics Authors: Maile Young Karris, Megan Lau, Jill Blumenthal Source Type: research
Mental Health for LGBTQIA+ Older Adults
This article provides an overview of the minority stress and allostatic load models and how they can lead to worse physical and mental health outcomes. The article also describes unique epidemiologic and psychosocial contex t for various aspects of mental health among LGBTQIA+ older adults. Within each section are suggestions for health care providers when addressing these mental health issues and caring for LGBTQIA+ older adults in all settings. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 28, 2023 Category: Geriatrics Authors: Rohin A. Aggarwal, Cynthia D. Fields, Maria H. van Zuilen Source Type: research
Cosmetic Dermatology Concerns in Older Adults
It is important to understand that each layer of facial tissue, from the underlying facial skeleton to the overlying skin, undergoes significant changes during the aging process. Bony support is lost along the mandible and maxilla and the orbital aperture widens. Superficial and deep fat pads undergo volume loss and migration and the overlying skin begins to reveal signs of both intrinsic aging with skin laxity and fine rhytids as well as extrinsic aging in the form of coarse, deeper rhytids and dyspigmentation. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 21, 2023 Category: Geriatrics Authors: Sheetal K. Sethupathi, Mackenzie Poole, Kavita Darji, Jennifer Fehlman Source Type: research
Diagnosing and Managing Venous Stasis Disease and Leg Ulcers
This article will discuss clinical clues to help guide patient workup and will review basic clinical evaluation and management of common leg ulcers. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 20, 2023 Category: Geriatrics Authors: Sofia Chaudhry, Kathryn Lee Source Type: research
Diagnosis and Management of Common Inflammatory Skin Diseases in Older Adults
This article discusses these inflammatory dermatoses that affect the geriatric population and common therapeutic options. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 20, 2023 Category: Geriatrics Authors: Monica Hessler-Waning, Gillian Heinecke Source Type: research
Cutaneous Fungal Infections in Older Adults
This article discusses 3 groups of pathogens: dermatophytes, Candida species, and Pityrosporum species, all of which cause a host of conditions that can be debilitating for older adults. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 20, 2023 Category: Geriatrics Authors: Saniya Shaikh, Aditya Nellore Source Type: research
Can You Please Take a Look at This Rash with Me?
“Can you please take a look at this rash with me?” “Do you have a minute to eyeball a skin lesion?” These are two requests I often get from geriatrics fellows when I’m precepting in their primary care clinic. Sometimes they may be seeking conformation that a painful eruption of fluid-fille d blisters distributed on the skin over a single unilateral dermatome is the rash from herpes zoster. Other times the lesion or rash is more mysterious, and it may require the opinion of a clinician with dermatologic expertise. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 20, 2023 Category: Geriatrics Authors: G. Michael Harper Tags: Foreword Source Type: research
Paraneoplastic Dermatoses and Cutaneous Metastases
Paraneoplastic syndromes include a variety of cutaneous presentations that have an associated internal malignancy. Some syndromes have a strong correlation to specific internal malignancies, whereas others are associated with a multitude of tumors. There are many cutaneous manifestations that suggest hematologic disorders, which will be reviewed in detail. Cutaneous metastases are commonly from breast and lung cancers and can present as nodules, vascular lesions, eczematous dermatitis, or inflammatory lesions. The most common histologic presentation of cutaneous metastasis is that of a dermal-based or subcutaneous-based no...
Source: Clinics in Geriatric Medicine - October 13, 2023 Category: Geriatrics Authors: Andrea Murina, Ashley Allen Source Type: research
Diagnostic Methods and Management Strategies of Herpes Simplex and Herpes Zoster Infections
Herpesviruses are medium-sized double-stranded DNA viruses. Of more than 80 herpesviruses identified, only 9 human herpesviruses have been found to cause infection in humans. These include herpes simplex viruses 1 and 2 (HSV-1 and HSV-2), varicella-zoster virus (VZV), human cyto-megalovirus (HCMV), Epstein –Barr virus (EBV), and human herpesvirus (HHV-6A, HHV-6B, HHV-7, HHV-8). HSV-1, HSV-2, and VZV can be problematic given their characteristic neurotropism which is the ability to invade via fusion of its plasma membrane and reside within neural tissue. HSV and VZV primarily infect mucocutaneous sur faces and remain late...
Source: Clinics in Geriatric Medicine - October 7, 2023 Category: Geriatrics Authors: Sino Mehrmal, Rafael Mojica, Aibing Mary Guo, Tricia A. Missall Source Type: research
