Advance directives have existed for approximately 20 years; however, their forms and uses are presently expanding and evolving. Prior to labeling the demented person as having Alzheimer's disease or multi-infarct dementia, a thorough physical, historic, and laboratory evaluation is essential. More than 380 geriatrics professionals from all disciplines, including physicians, nurses, pharmacists, physician assistants, social workers, long-term care and managed care providers, and health care administrators participated in the 28 th Annual Clinical Update in Geriatric Medicine conference held at the Pittsburgh Marriott City Center Hotel, March 5-7. Sign in to set up alerts. End of life decisions (geriatric medicine) Long term care; Psychogeriatrics; Elder abuse; Latest from The BMJ. Volume 35, Issue 2, Pages 147-284 (May 2019) Download full issue. COVID-19 is a geriatric emergency. ; 2 VA SLC Geriatric Research, Education, and Clinical Center, Salt Lake City, Utah, USA. In addition, caregiver burden related to the care of the impaired elder and other external life events is a risk factor for elder abuse. Journal Impact. Menu. Sign in to set up alerts. Several recent studies have been conducted on acute myeloid leukemia in the elderly, and some therapeutic clues have emerged. The Dementia Guide Expert mobile app has been … Ranking: Clinical Neurology 116/199 Pathology 30/76. Antiviral therapy is available for influenza A and B; specific viral diagnosis, particularly with the use of rapid antigen detection, may be useful for clinical management. Edited by Susan M. Friedman. Among them are reduced protein binding, reduced biotransformation, diminished renal elimination, changes in receptor density or affinity, or both, diminished receptor adaptability, changes in the coupling between receptors and effector systems, impairment of responding organs resulting from the pathologic state, reduction in the reactivity of homeostatic mechanisms, and the aging process itself. As the official publication of the National Gerontological Nursing Association, the journal's peer-reviewed articles report the latest developments in the management of acute and chronic disorders. Due to the federal government's inaction, states have become the primary engine for combating abuse. Omnibus Budget Reconciliation Act of 1987 and Its Implications for the Medical Director, Implications of the Balanced Budget Act of 1997, The aged epidermal permeability barrier: basis for functional abnormalities, Renal Disease, Electrolyte Abnormalities, and Acid-Base Imbalance in the Elderly, Dementia Secondary to Metabolic and Nutritional Abnormalities, Abnormalities in Blood Pressure Homeostasis That Contribute to Falls in the Elderly, Core Data Elements Tracking Elder Sexual Abuse, Medical Implications of Elder Abuse and Neglect, Elder Abuse and Neglect in Long-Term Care, Forensic Markers in Elder Female Sexual Abuse Cases, Elder Abuse, Neglect, and Exploitation: Policy Issues, When Elders Lose their Cents: Financial Abuse of the Elderly, The Legal and Governmental Response to Domestic Elder Abuse, Environmental Factors Associated with Stair Accidents by the Elderly, Cerebrovascular accidents. Common clinical conditions associated with abnormal blood pressure homeostasis and falls in the elderly include postural hypotension, postprandial hypotension, carotid sinus hypersensitivity, and cardiac arrhythmias, all of which are exacerbated by hypertension. Frequency: 4 issues / year. Getting Your Journal Indexed Date: 08 th May, 2014. Published four times a year—in February, May, August, and November—each issue covers a single topic in geriatrics, including cardiovascular disease, common geriatric disorders (such as sarcopenia and frailty), dermatology, emergency care, oncology, patient care, psychiatry, and much more. Recent publications on the economic implications of palliative care are reviewed, which are only the "tip of the iceberg" of the potential costs and benefits. Each year, millions of elderly persons suffer as the result of abuse and neglect. The dramatic changes in the health care delivery process that have caused havoc and turmoil also are examined. Considerable effort has been made of late, primarily due to financial incentives, to integrate these two levels of care into a "seamless" continuum. With the steady increase in the elderly population, acute endocrinologic disorders have become more common. Published 05 December 2016. Published 05 December 2016. In response to the growing need for quality geriatric healthcare associated with the “graying of America,” UCLA has emerged as a leader in education and training in geriatric psychiatry and medicine. 2015 Impact Factor. News Voluntary euthanasia deaths in Quebec outstrip predictions by three to one. In each case, a sense of urgency to make the proper diagnosis and then institute appropriate therapy is critical. Search in this journal. Published four times a year—in February, May, August, and November—each issue covers a single topic in geriatrics, including cardiovascular … Prompt, remedial medical preparation followed by early surgical extirpation of the gallbladder (with common bile duct exploration where indicated) is the surgical treatment of choice. Acute and long-term care traditionally have been distinctly different health care services, separated by reimbursement mechanisms, types and numbers of providers, and overall approach to the management of chronic illness. Geriatrics (ISSN 2308-3417) is an international peer-reviewed scientific open access journal on geriatric medicine published quarterly online by MDPI.. Open Access —free for readers, with article processing charges (APC) paid by authors or their institutions. Its concise, comprehensive, and its editors and authors are respected experts. In the elderly population, rapid recognition is particularly important, because the patient may have delayed seeking medical care and may have uncommon illnesses complicating the ultimate course. For less acute cases, a variety of interventions aimed at decreasing the stress of caregiving or ameliorating other family stressors may be appropriate. Criminal and civil legal remedies exist to bring the abuser to justice, but the emotional trauma of financial exploitation lasts a long time. Geriatric care is defined as the medical care of older or elderly people. For this reason, clinicians must be particularly vigilant in their approach to the diagnosis and management of pulmonary complaints in this population. Other medical implications of abuse and neglect include higher health systems use in the form of frequent ER visits, higher hospitalization, and higher nursing home placement; most importantly, it is an independent predictor for higher mortality. Consumption of over-the-counter drugs is considerable among the aged. Search in this journal. The most cited articles published since 2018, extracted from. About. Electrolyte replacement therapies are best applied in a two-pronged fashion which involves bringing the patient out of immediate danger and then more gradually restoring abnormal parameters towards normal. Journal Abbreviation: CLINICS Journal ISSN: 1807-5932. May 2018 Geriatric Otolaryngology Karen M. Kost, MD, FRCSC, Editor. The ethical struggle professionals face when they suspect abuse may also impede assessment or intervention. 2012 Impact Factor List Date: 28 th April, 2014. Emergency abdominal surgery has a higher mortality than elective surgery and is best avoided. Body systems may begin … Further research is needed to understand the physiologic basis of abnormal blood pressure homeostasis, to explore the potential relationship between hypertension and falling, and to design new therapeutic approaches to this important cause of falls in the elderly. Dibandingkan dengan Faktor Dampak historis, Faktor Dampak 2019 dari Clinics in Geriatric Medicine turun 17.59 %.Kuartil Faktor Dampak Clinics in Geriatric Medicine adalah Q1. Methods for gathering relevant cost-benefit information are detailed, along with potential obstacles to implementation. Drug-nutrient and drug-drug interactions, programs to enhance patient compliance, and sociogenic factors should be taken into account in any well-designed dose regimen for the elderly. Factors that influence health care providers' decisions regarding whether to use physical restraints include organizational characteristics and systems of care, environmental characteristics, and specific clinical guidelines or protocols, as well as individual patient characteristics. The journal addresses a wide variety of topics in gerontology and geriatrics, including health economics, health services research, health outcomes, public health, medicine, biology, equity, social science, epidemiology, … More elderly persons than children will develop acute leukemia this year in the United States. Published four times a year—in February, May, August, and November—each issue covers a single topic in geriatrics, including cardiovascular disease, common geriatric disorders... Clinics in Geriatric Medicine provides the latest diagnostic and therapeutic information in the field of geriatrics. Renal failure is often present in this population but is poorly recognizable if serum creatinine determinations alone are utilized to assess renal function. Menu. Geriatric journal aims to publish Research, Review, Commentary, Short communication, Case Report, Letter to editor and editorials in the fields of Geriatric care management, Critical gerontology, Gerontology, Geriatric psychiatry, Psychological Gerontology, Elderly Care, Geriatric Giants, Geriatric Dentistry, Environmental Gerontology, Aging and Memory, Aging science, Geriatric … These are family doctors or internists with special training in the health needs of older adults. It, however, is not an inevitable outcome of illness and aging. Thrombocyte treatment improves outcome when it is given within 3 hours of onset of stroke to carefully selected patients. Each issue of Clinics in Geriatric Medicine reviews new diagnostic and management techniques for a single clinical problem--and makes them simple to apply. Clinics in Geriatric Medicine provides the latest diagnostic and therapeutic information in the field of geriatrics. What data exist support the following conclusions: (1) older women are at risk for self-medicating with prescription drugs and alcohol and have more risk for drug-drug and drug-alcohol interactions, (2) women are more likely to be prescribed psychotropics, (3) older women are at greater risk for prescription drug abuse by a physician or physicians than other age groups, (4) alcohol and drug abuse are likely to increase as younger women drinkers and drug users age, and this younger cohort will use more illicit drugs, and (5) the incidence of substance abuse remains underreported and underdiagnosed. Trends in Geriatric Healthcare is an international, peer reviewed, open access journal that publish novel research focuses on health care of elderly people. 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