For those with persistent gait and upper limb deficits after stroke, it is difficult to obtain recovery of motor control and functional capability in response to standard care methods.
Dementia-related behavioural problems are common and debilitating. The assessment and management of these problems can be challenging.
The liver undergoes substantial changes in structure and function in old age. There are age-related changes in liver mass, blood flow, and hepatocyte and sinusoidal cell morphology.
Ascites is the accumulation of free fluid in the peritoneal cavity. In over 80% of cases, it is a result of cirrhosis.
Symptomatic muscle cramps in older adults can be extremely painful and seriously compromise health-related quality of life.
Osteoarthritis is a major cause of disability among older adults. Treatment of the symptoms involves multiple modalities, including exercise, physical measures such as braces or canes, analgesics, and sometimes surgery.
Orthostatic hypotension (OH), while not itself a disease, is an important physical finding in the setting of unexplained syncope or falls.
Lack of adherence is a major reason for the failure of medical therapies and is an especially important and sometimes underappreciated issue for the growing number of people with dementia.
MD, MS, CCFP, FCFP
I must congratulate Glaser and Rolita on covering an important and challenging area of medication practice in the March 2009 issue of Geriatrics & Aging.
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