By Carl Eisdorfer PhD MD
Read Online or Download Annual Review of Gerontology and Geriatrics, Volume 6, 1986: Geriatric Health Care PDF
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A courageous e-book with a polemical argument at the paradoxes, struggles and benefits of aging.
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Extra resources for Annual Review of Gerontology and Geriatrics, Volume 6, 1986: Geriatric Health Care
Injury is a serious problem in the 40 T. FULMER, J. ASHLEY, C. REILLY elderly because it can result in acute hospitalization or prolonged hospitalization, loss of mobility, initiation of a progressive decline in health, and loss of confidence (Lund & Sheafor, 1985). Falls represent the most common injury in the elderly. Most studies indicate that falls correlate positively with age and occur more frequently in institutional settings than in community settings (Lund & Sheafor, 1985; Venglarik & Adams, 1985).
Nursing assessment is essential in determining patient tolerance to medications. It is especially important since very few drugs come with dosage recommendations for the geriatric patient (Simonson, 1984). Since therapeutic levels and toxic levels are so close in measurement, nurses should follow serum drug levels. Drug-induced problems are very common in the elderly. Sudden onset of change in behavior or other symptomatology such as skin rash, nausea, headache, and dizziness should be reported and followed (Gioiella & Bevil, 1985).
3. The beneficial effect on behavior is limited to the period during which delirium is present, and thus the neuroleptic should usually be stopped during hospitalization as delirium abates. The beta-blockers may be valuable in treating chronic confusional states. They are particularly useful in patients with outbursts of rage. 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.
Annual Review of Gerontology and Geriatrics, Volume 6, 1986: Geriatric Health Care by Carl Eisdorfer PhD MD