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Geriatric Clinical Practice

Clinic for Osteoporsis and Related Bone Disorders


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Readings for ACE Unit


Resident Rotations

Elective in Geriatrics


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Center of Excellence: Diversity in Health Education & Research

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The Institute on Aging

Readings for the ACE Unit Geriatrics Rotation by Topic

Delirium

Gleason O.C. Delirium. American Family Physician, Mar. 2003: 67(5):1027-34.

Inouye S.K., Bogardus S.T. Jr., Charpentier P.A., Leo-Summers L., Acampora D., Holford TR., Cooney LM Jr. A multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine. 340(9):669-76.

Inouye S.K., van Dyck C.H., Alessi C.A., Balkin S., Siegal A.P., Horwitz R.I. Clarifying confusion: the confusion assessment method. A new method for detection of delirium.[see comment].
Annals of Internal Medicine. 1990; 113(12)

Dementia

Karlawish J.H.T., Quill T., Meier D. A consensus-based approach to practicing palliative care for patients who lack decision-making capacity. Annals Intern Med 130:835-840, 1999.

Clarke, C.M. and J.H.T. Karlawish. Alzheimer’s Disease: Current Concepts and Emerging Diagnostic and Therapeutic Strategies. Annals of Internal Medicine 2003; 138(5): 400-410.

Knopman D.S., DeKosky S.T., Cummings, MD et al. Practice Prameter: Diagnosis of dementia (an eidence-based review). Neurology, May 2001: 56: 1143-1153.

Depression

Lebowitz B., Rearson J., et al. Diagnosis and Treatment of Depression in Late Life. JAMA, Oct. 1997, 278:14:1186-1190

NIH Consensus Conference: Diagnosis and Treatment of Depression in Late Life. JAMA, Aug. 1992; 268:8:1018-1024

Dizziness

Eaton D.A., Roland P.S. Dizziness in the older adult, Part 1. Evaluation and general treatment strategies. Geriatrics. 2003; 58(4):28-36.

Eaton D.A., Roland P.S. Dizziness in the older adult, Part 2. Treatments for causes of the four most common symptoms. Geriatrics. 2003; 58(4):46, 49-52.

Ethics/Decision Making

Karlawish J.H.T., Casarett D.A. Competency and decisionmaking capacity. In Sugarman J, ed. Twenty Common Problems. Ethics in Primary Care, 1st edition New York: McGraw-Hill Co. Chapter 18:225-237, 2000.

Karlawish J.H., Quill T., Meier D.E. A consensus-based approach to providing palliative care to patients who lack decision-making capacity. ACP-ASIM End-of-Life Care Consensus Panel. American College of Physicians-American Society of Internal Medicine. Annals of Internal Medicine. 1999; 130(10):835-40.

Falls/Gait

AGS/BGS Panel: Guideline for the Prevention of Falls in Older Persons. Journal of American Geriatrics Society. 2001:49:5:664-672

Tinetti, M. Preventing Falls in Elderly Persons. New England Journal of Medicine. 2003; 348: 42-49.

Nutrition/Feeding Tubes

Aronheim, J.C. Artificial Nutrition and Hydration in the Terminally Ill Patient. Clinics in Geriatrics. 2000; 12(2): 379-391.

Gillick, MD. Rethinking the Role of Tube Feeding in Patients with Advanced Dementia. New England Journal of Medicine, 2000, 342(3):206-210.

Finucane T., Christmas C., Travis K. Tube Feeding in Patients with Advanced Dementia: A Review of the Evidence. JAMA, October, 1999; 282(14):1365-1370.

Palliative Care

Morrison, R.S. and Meier, D. Palliative Care. New England Journal of Medicine. 2004; 350: 2582-2590.

Polypharmacy

Chutka D., J. Evans, et al: Drug Prescribing for Elderly Patients. Mayo Clinical Proceedings, July 1995, 70:685-693.

Pressure Ulcers

Thomas, D.R. Prevention and Treatment of Pressure Ulcers: What works? What doesn’t? Cleveland Clinic Journal of Medicine, August, 2001; 68:8:704-722

Sleep Evaluation & Management

Martin,J. Assessment and Treatment of Sleep Disturbances in Older Adults. Clinical Psychology Review, 2000, 20:6:783-805

Syncope

Linzer M., Yang E., Estes M; et al. Diagnosing Syncope Pt. 1: Value of History, Physical Examination and Electrocardiography. Annals of Internal Medicine, June, 1997, 126:12:989-996.

Linzer M., Yang E., Estes, M.; et al. Diagnosing Syncope Pt. 2: Unexplained Syncope. Annals of Internal Medicine, July, 1997, 127:1:76-86.

Urinary Tract Infection

Lutters M., Vogt N. What's the basis for treating infections your way? Quality assessment of review articles on the treatment of urinary and respiratory tract infections in older people. Journal of the American Geriatrics Society. 2000; 48(11):1454-61.

Wood C. Abrutyn E. Urinary Tract Infection in Older Adults. Clinics in Geriatric Medicine, May 1998, 14:2:267-283