Common Skin Cancers in Older Adults Approach to Diagnosis and Management
Skin cancers are the most common malignancies to affect older adults. The most common skin cancers, basal and squamous cell carcinoma, can usually be cured with surgery. Although less common, melanoma can be deadly when not caught in its earliest stages. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 5, 2023 Category: Geriatrics Authors: Martha Laurin Council, David M. Sheinbein Source Type: research
Diagnosis and Management of Bullous Disease
Bullous diseases are a group of dermatoses primarily characterized by the presence of vesicles (0.1 –0.9 cm) or bullae (>1 cm). There are various categories of bullous disease: allergic, autoimmune, infectious, mechanical, and metabolic. These diseases affect individuals in all decades of life, but older adults, age 65 and older, are particularly susceptible to bullous diseases of all etiologies. The incidence of these disorders is expected to increase given the advancing age of the general population. In this comprehensive review, we will outline the common bullous diseases affecting older individuals and provide an app...
Source: Clinics in Geriatric Medicine - October 5, 2023 Category: Geriatrics Authors: Amanda A. Onalaja-Underwood, Maria Yadira Hurley, Olayemi Sokumbi Source Type: research
Bacterial Skin and Soft Tissue Infections in Older Adults
This article focuses on bacterial infections that commonly affect geriatric patients. The elderly population is at a higher risk of contracting bacterial infections due to weakened immune systems and comorbidities. The article explores the cause, pathogenesis, clinical manifestations, and treatment options of these infections. Additionally, antibiotic resistance is a growing concern in the treatment of bacterial infections. The article highlights the importance of preventing these infections through proper hygiene and wound care. This article aims to provide an understanding of bacterial infections in geriatric patients an...
Source: Clinics in Geriatric Medicine - October 5, 2023 Category: Geriatrics Authors: Eamonn Maher, Anya Anokhin Source Type: research
Geriatric Emergency Care
CLINICS IN GERIATRIC MEDICINE (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 4, 2023 Category: Geriatrics Authors: Maura Kennedy, Shan W. Liu Source Type: research
Copyright
ELSEVIER (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 4, 2023 Category: Geriatrics Source Type: research
Contributors
G. MICHAEL HARPER, MD, AGSF, CMD (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 4, 2023 Category: Geriatrics Source Type: research
Contents
G. Michael Harper (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 4, 2023 Category: Geriatrics Source Type: research
Forthcoming Issues
Geriatric Dermatology Update (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - October 4, 2023 Category: Geriatrics Source Type: research
Aging Skin and Wound Healing
Responsible for many essential functions of life, human skin is made up of many components, each of which undergoes significant functional changes with aging and photodamage. Wound healing was previously thought to be defective in the elderly given the higher presence of chronic wounds and the longer time required for re-epithelialization of acute wounds. However, these notions have been challenged in recent research, which has shown that wound healing in the elderly is delayed but not defective. Poor healing of chronic wounds in older populations is more often attributable to comorbid conditions rather than age alone. (So...
Source: Clinics in Geriatric Medicine - August 23, 2023 Category: Geriatrics Authors: Michael Kremer, Nicole Burkemper Source Type: research
Optimizing the Care of Persons Living with Dementia in the Emergency Department
Emergency department (ED) care for persons living with dementia (PLWD) involves the identification of dementia or cognitive impairment, ED care which is sensitive to the specific needs of PLWD, effective communication with PLWD, their care partners, and outpatient clinicians who the patient and care-partner know and trust, and care-transitions from the emergency department to other health care settings. The recommendations in this article made based on wide-ranging heterogeneous studies of various interventions which have been studied primarily in single-site studies. Future research should work to incorporate promising fi...
Source: Clinics in Geriatric Medicine - August 12, 2023 Category: Geriatrics Authors: Scott M. Dresden Source Type: research
Dr Nascher Would Be Pleased
Clinicians have not always recognized that caring for older adults requires specialized knowledge and skills. Although the term “geriatrics” first appeared in print well over 100 years ago, it took most of the twentieth century for Geriatric Medicine to gain a foothold as a distinct medical specialty. Dr Ignatz Leo Nascher, an Austrian American pharmacist and physician, coined the term in a 1909 article published in the New York Medical Journal.1 He realized that old age, which he called senility, “is a distinct period of life” and that older people require a unique approach to care just as children do. (Source: Cl...
Source: Clinics in Geriatric Medicine - July 27, 2023 Category: Geriatrics Authors: G. Michael Harper Tags: Foreword Source Type: research
Emergency Department Pain Management in the Older Adult
Pain assessment and management in older adults is complex and requires evaluation and consideration of the type of pain, the acuity of the condition, comorbidities, and medications. Many older adults do not receive appropriate therapy for painful conditions in the emergency department (ED). This brief review article is focused on pharmacologic agents, drug –drug interactions, drug–disease interactions, and approaches in the management of painful conditions seen in older adults in the emergency department. Recommendations for specific painful conditions such as fragility fractures are discussed. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - July 7, 2023 Category: Geriatrics Authors: Natalie M. Elder, Sean F. Heavey, Katren R. Tyler Source Type: research
Older Adult Falls in Emergency Medicine, 2023 Update
Of 4 older adults, 1 will fall each year in the United States. Based on 2020 data from the Centers of Disease Control, about 36 million older adults fall each year, resulting in 32,000 deaths. Emergency departments see about 3 million older adults for fall-related injuries with falls having the ability to cause serious injury such as catastrophic head injuries and hip fractures. One-third of older fall patients discharged from the ED experience one of these outcomes at 3 months. (Source: Clinics in Geriatric Medicine)
Source: Clinics in Geriatric Medicine - July 5, 2023 Category: Geriatrics Authors: Kalpana N. Shankar, Angel Li Source Type: research
Best Practices in End of Life and Palliative Care in the Emergency Department
Three-quarters of patients over the age of 65 visit the emergency department (ED) in the last six months of their lives. Approximately 20% of hospice residents have ED visits. These patients must decide whether to receive emergency care that prioritizes life support, which may not achieve their desired outcomes and might even be futile. The patients in these end-of-life stages could benefit from early palliative care or hospice consultation before they present to the ED. Furthermore, early integration of palliative care at the time of ED visits is important in establishing the goals of the entire treatment. (Source: Clinic...
Source: Clinics in Geriatric Medicine - July 5, 2023 Category: Geriatrics Authors: Thidathit Prachanukool, Naomi George, Jason Bowman, Kaori Ito, Kei Ouchi Source Type: research
Geriatric Emergency Medicine: The Need Has Never Been Greater
The Clinics in Geriatric Medicine first published an issue on geriatric emergency medicine a decade ago. Since that original issue in 2013, the field of geriatric emergency medicine has grown tremendously,1 as has the need for expertise and training in geriatric emergency care.2 With the aging of the population, we have seen a significant increase in emergency department (ED) visits by older adults, including growing numbers of ED visits for geriatric-specific conditions, such as falls.3,4 Since the publication of the most recent geriatric emergency medicine issue of Clinics in Geriatric Medicine in 2018, we experienced a ...
Source: Clinics in Geriatric Medicine - July 2, 2023 Category: Geriatrics Authors: Maura Kennedy, Shan W. Liu Tags: Preface Source Type: research
