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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Sexual dysfunction in the older woman: Individualizing the approach
Complex medical and psychiatric illness should be considered in evaluation and management, as well as age-related anatomic and hormonal changes.
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Late-life mania: Assessment and treatment of late-life manic symptoms
Manic symptoms, such as increased activity and speech, distractibility, impulsivity, and grandiosity, in older patients may be indicative of primary bipolar disorder (BP); but they also may be secondary to medical problems or medication side effects.
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Compiling a complete medical history
It is critical to obtain a coherent medical history, yet older patients are often vexing historians, presenting unique challenges. The roots of these challenges are complex, and must be understood to be effectively managed. A complete history is essential in the construction of a differential diagnosis, and avoiding drug-drug interactions.
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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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