OBJECTIVES To compare risk of fatal injury in elderly road users (drivers, passengers, pedestrians) with that of younger age groups and to assess the contribution of elderly road users to the number of reported fatalities in the population. DESIGN Fatality age was categorized as 21 to 29, 30 to 39, 40 to 49, 50 to 59, 60 to 69, or 70 and older, and road user was categorized as driver, passeng...

As the population ages, the health care system must to adapt to the needs of the older population. Hospitalization risks are particularly significant in the frail geriatric patients, with costly and morbid consequences. Appropriate preoperative assessment can identify sources of increased risk and enable the surgical team to manage this risk, through "prehabilitation," intraoperative modificati...

A decline in muscle mass and function, and in the mass and integrity of the skeletal system, are well-known consequences of aging. These changes impinge on the functional performance required for independent living and contribute to frailty and fracture risk. Resistance exercise has been shown to be an effective mode to circumvent age-related changes in the muscular system, although the benefit...

795 Introduction The recent publication of revised guidelines for the management of persistent pain in the older adult (American Geriatrics Society [AGS], 2009) has posed a dilemma for clinicians. In essence, these revised guidelines now down‐ play the use of nonsteroidal anti‐inflammatory drugs (NSAIDs) relative to prior year’s recom‐ mendations. Whereas NSAIDs have traditional‐ ly occupied a ...

©2016 American Association of Critical-Care Nurses doi: http://dx.doi.org/10.4037/ajcc2016625 Teri M. Kozik is a nurse researcher and George S. Charos is an electrophysiologist and director of Cardiology at St. Joseph’s Medical Center, Stockton, California. Salah S. Al-Zaiti is an assistant professor at the Department of Acute and Tertiary Care Nursing, University of Pittsburgh, Pennsylvania. M...

1. Evaluate symptoms to accurately classify a patient with urinary incontinence (UI). 2. Apply an understanding of the pathophysiology and risk factors for UI to patient care. 3. Evaluate the most recent clinical evidence for pharmacologic and nonpharmacologic treatment of UI. 4. Design a patient-specific treatment plan to achieve optimal outcomes in an elderly patient with UI. 5. Assess for re...

Champions, who support, market, and promote programs, are a vital part of successful program adoption, implementation, and maintenance. Enhance®Fitness (EF) is an evidence-based, community-delivered group exercise program for older adults. Using semistructured phone interviews with 20 participants, 17 instructors, and 15 staff, we explored the roles of champions in adopting, implementing, and m...

As the population continues to age, aortic stenosis remains as the most prevalent valvular disease in Western countries. The number of elderly patients with aortic stenosis continues to pose both a diagnostic and therapeutic challenge. Despite new advances such as transcatheter aortic valvular replacement (TAVR), there is still much patient-provider decision making that needs to take place give...

As the number of drivers with cognitive impairment increases, family physicians are more likely to become involved in decisions about cessation of driving privileges in older patients. Physicians who care for cognitively impaired older adults should routinely ask about driving status. In patients who continue to drive, physicians should assess pertinent cognitive domains, determine the severity...

Falls are the commonest cause of trauma in older adults and are of particular concern in hospital settings (Ojo et al., 2009). Osteoporotic fractures occurring as a consequence of falls are a leading cause of morbidity and mortality in this population (Stubbs et al., 2009). Older adult psychiatric long-stay patients are at elevated risk of osteoporosis, with one recent study confirming this lin...