More on Geriatrics
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Epilepsy in older adults
Given that that the average person has one chronic illness for each decade over age 50, one would expect that patients who develop seizures in late life would have associated medical and/or neurologic conditions. Cerebrovascular disease, hypertension, heart disease, diabetes mellitus, renal disease, and dementia all relate to epilepsy. Co-morbidities not only contribute to the causation and consequences of seizures, they also interfere with effective treatment and optimal functioning. Because seizures in older individuals can lead to serious consequences, safe and effective treatment is essential.
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Mental health promotion in older adults: Addressing treatment approaches and available screening tools
Twenty percent of the adult population over age 65 has a mental illness. As the population of older adults increases, the number of individuals with a mental health disorder will more than double to 15 million by 2030.
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Solitary crystalline papule on right index finger
A 73-year old woman presents with a six-month history of a slightly tender papule on the right index finger. She has a history of moderate distal osteoarthritis, but otherwise is in good health.
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Herb-drug interactions: Interactions between Kava and prescription medications
Older adults often add herbal medicines to medications prescribed by their physicians, yet do not always inform the physician. The drug metabolizing enzyme systems process all compounds foreign to the body including prescription drugs and herbal medications. Therefore use of both medicinals simultaneously has a potential for interactions of an adverse nature. This review, which will discuss kava, is one in a series covering the documented interactions between herbal medicines with proven efficacy and prescription drugs.
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Medication adherence and cognition
Medication adherence is increasingly being recognized as a significant issue in treating geriatric patients. Poor adherence has been shown to decrease the effects of prescribed medications or other treatments and to increase the likelihood of poor outcomes.
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