Skin Disease and Neurological Conditions of the Elderly
AbstractPurpose of ReviewSummarize and review the body of literature associating neurological diseases of the elderly with cutaneous disease.Recent FindingsA growing body of evidence supports a close association between Parkinson ’s disease and seborrheic dermatitis or rosacea, as well as a higher risk of melanoma. Development of bullous pemphigoid has also been found to be at higher incidence in those with multiple sclerosis. In some cases, skin disease may suggest early diagnosis of a developing neurologic condition, whi le in others, presence of a neurologic condition should prompt careful evaluation for cutaneous dis...
Source: Current Geriatrics Reports - October 3, 2018 Category: Geriatrics Source Type: research
Management of Complex Proximal Humerus Fractures: What Is the Role of Open Reduction and Internal Fixation?
AbstractPurpose of ReviewProximal humerus fractures are challenging injuries to treat and will become more common with an aging population. The purpose of this paper is to review the recent literature regarding the role of open reduction and internal fixation for this injury.Recent FindingsComplex proximal humerus fractures present a significant challenge in the elderly. The introduction of locked plating has improved surgical management of these injuries; however, complications including avascular necrosis, primary screw cutout, and secondary screw cutout remain obstacles. Newer technologies aim to combat these issues, wi...
Source: Current Geriatrics Reports - October 2, 2018 Category: Geriatrics Source Type: research
Vaccinations for Older Adults
AbstractPurpose of ReviewVaccinations are a preventative health priority for older adults. The purpose of this paper is to review recent publications on this topic and to provide updates on current research involving recommended vaccines.Recent FindingsIn the USA, older adults receive vaccinations at less than optimal rates. Vaccine-preventable illnesses, particularly influenza and pneumococcal disease, continue to cause high morbidity and mortality in this population. A recently introduced herpes zoster vaccine has increased efficacy against varicella-zoster virus reactivation and its sequelae.SummaryOlder adults can bene...
Source: Current Geriatrics Reports - October 1, 2018 Category: Geriatrics Source Type: research
Distinguishing Comorbidity, Disability, and Frailty
AbstractPurpose of ReviewOver half of the older adults in the USA have multimorbidity, defined broadly as the presence of two or more chronic diseases in an individual. Multimorbidity has significant overlap with disability and frailty. In this review, we broadly review the concepts of multimorbidity, disability, and frailty, as well as their interrelationships, and ability to predict future adverse health outcomes in older adults.Recent FindingsDepending on the study, the prevalence of individuals with all three of multimorbidity, disability, and frailty ranges from 2 to 20%. Multimorbidity and patterns of multimorbidity ...
Source: Current Geriatrics Reports - September 19, 2018 Category: Geriatrics Source Type: research
Minimally Invasive Osteosynthes of Periprosthetic Fractures in the Lower Extremity
AbstractPurpose of ReviewPeriprosthetic fractures (PPF) of the lower extremity are increasing as the population ages, as the number of joint replacement increases, and patients remain active. The management of PPFs is challenging because of implant and cement obstruction within the bone, poor bone quality, and limited availability of bone stock for screw purchase. Historically, they have been associated with high rates of nonunion, infection, and fixation failure. Minimally invasive osteosynthesis (MIO) has reduced complications and improved union rates compared to conventional open plating of fractures. This paper reviews...
Source: Current Geriatrics Reports - September 18, 2018 Category: Geriatrics Source Type: research
Multilevel Risk Factors Associated with Obesity in Older Latinos Ages 65 Years and Over
AbstractPurpose of ReviewThe purpose of this paper was to review multiple levels of risk factors related to obesity among older Latino adults aged 65 years and over.Recent FindingsObesity disproportionately affects Latino older adults. Multiple obesity-related risk factors among Latino older adults have been identified through qualitative and quantitative research. Risk factors at each of the levels of the socio-ecological model include biological predispositions, lifestyle and behaviors, social support from family members, access to recreational facilities, and public policies that support tailored and effective prevent...
Source: Current Geriatrics Reports - September 17, 2018 Category: Geriatrics Source Type: research
Infestations in the Geriatric Patient
This article seeks to review the common infestations plaguing the geriatric population including scabies, lice, and bed bugs as incidence is on the rise in this growing population. These infestations can be debilitating, embarrassing, and burdensome to patients. We discuss classic clinical presentations, diagnostic features, first-line treatment, and management of each.Recent FindingsA special focus is included on scabies infestations as its incidence is rapidly increasing, and unique considerations are given to the geriatric population regarding management and treatment. Furthermore, increased reports of post-scabetic pru...
Source: Current Geriatrics Reports - September 13, 2018 Category: Geriatrics Source Type: research
Stasis Dermatitis: Differentiation from Other Common Causes of Lower Leg Inflammation and Management Strategies
AbstractPurpose of ReviewStasis dermatitis is an inflammatory dermatosis of the lower extremities that most commonly occurs in elderly patients with underlying chronic venous insufficiency. In this article, we review the pathogenesis, clinical presentation, diagnostic approach, differential diagnosis, and management strategies of stasis dermatitis.Recent FindingsStasis dermatitis can be confused with a variety of cutaneous disorders, including cellulitis, allergic contact dermatitis, pigmented purpuric dermatoses, and lymphedema; therefore, dermatology consultation of patients with lower extremity rash can help improve out...
Source: Current Geriatrics Reports - September 10, 2018 Category: Geriatrics Source Type: research
