Failure to thrive in older people:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1997
|
| Schriftenreihe: | Clinics in geriatric medicine
13,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 613 -794 graph. Darst. |
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| 245 | 1 | 0 | |a Failure to thrive in older people |c Roy B. Verdery, guest ed. |
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| 490 | 1 | |a Clinics in geriatric medicine |v 13,4 | |
| 650 | 2 | |a Retard de croissance staturo-pondérale | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Failure to Thrive | |
| 650 | 4 | |a Frail Elderly | |
| 650 | 4 | |a Frail elderly | |
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| adam_text | I FAILURE TO THRIVE IN OLDER PEOPLE
CONTENTS
Preface ix
Roy B. Verdery
Failure to Thrive, Sacropenia and Functional Decline
in the Elderly 613
Ronenn Roubenoff and Tamara B. Harris
At this time, there are no commonly accepted definitions for either
the failure to thrive syndrome or for the newly described syn¬
drome of sarcopenia. This lack of a common definition makes it
difficult to contrast study results and understand the etiology of
these syndromes. This article reviews the current state of under¬
standing of these conditions and suggests potential mechanisms
that may be further investigated.
Neuropsychiatric Aspects of Failure to Thrive in Late Life 623
Ira R. Katz and Suzanne DiFilippo
Both depression and dementia can lead to failure to thrive (FTT).
Depression can lead to FTT by two routes: a direct path related to
decreased appetite as a symptom of depression; and an indirect
path related to the effect of depression in increasing disability.
Depression associated with FTT should usually be treated with
antidepressant medication. In Alzheimer s patients with FTT, the
thrust of treatment is the identification and treatment of the medi¬
cal and psychiatric comorbidities and the appropriate titration of
environmental supports.
Functional, Social, and Psychological Disability
as Causes of Loss of Weight and Independence
in Older Community Living People 639
Elizabeth W. Markson
This article reviews functional, social, and psychological disabili¬
ties that relate to weight loss and independence in older commu
CLINICS IN GERIATRIC MEDICINE
VOLUME 13 • NUMBER 4 • NOVEMBER 1997 V
nity residents and suggests possible ways in which these factors
may be alleviated. Although these disabilities clearly interact with
one another as causes of failure to thrive, this article is organized
into three major sections: functional disability, psychological and
social factors, and malnutrition. In depth geriatric assessment pro¬
vides directions to reverse or halt failure to thrive. Using case ma¬
terials, possible interventions are presented; these include dietary
changes, a carefully planned program of physical exercise, treat¬
ment for depression, and a combination of social and environmen¬
tal prescriptions designed to reduce social and emotional isola¬
tion. Appropriate social supports are also necessary, as is careful
attention to how caregiver stress may be reduced through suitable
interventions.
Chronic Inflammation in Older People: Recognition,
Consequences, and Potential Intervention 653
Stanley P. Ballou and Irving Kushner
In elderly individuals, some chronic inflammatory diseases appear
to occur with increased frequency, and recent evidence suggests
that some very common chronic, age related disoders may be prop¬
agated and perpetuated by inflammatory processes, perhaps giv¬
ing rise to the abnormal acute phase protein levels mat are seen
with increased frequency with aging. The consequences of chronic
inflammation in the elderly undoubtedly contribute to excessive
morbidity in this population. Treatment of chronic inflammation
in the elderly is often difficult, requiring utmost care and close
follow up by a knowledgeable and dedicated physician.
The Somatopause: Should Growth Hormone Deficiency
in Older People Be Treated? 671
Steven A. Lieberman and Andrew R. Hoffman
Secretion of growth hormone (GH) by the pituitary gland progres¬
sively declines beginning in early adult life, a phenomenon which
is termed the somatopause. The observation that many of the
changes which occur with advancing age are opposite to the phys¬
iologic effects of GH suggests that declining levels of GH and in¬
sulin like growth factor I (IGF I), the mediator of many of the ac¬
tions of GH, may be responsible for some of these changes. This
article reviews the current understanding of mechanisms under¬
lying the somatopause, the changes of aging which may result from
diminished activity of the GH—IGF I axis, the evidence which sug¬
gests that GH replacement therapy may reverse these changes,
and the risks of treating somatopause with GH replacement.
Vi CONTENTS
Testosterone and Frailty 685
J. E. Morley, F. E. Kaiser, R. Sih, R. Hajjar, and H.M. Perry
Although estrogen replacement therapy has become well estab¬
lished in the management of postmenopausal women, most phy¬
sicians pay much less attention to the testosterone status of their
older male patients. There is now increasing evidence that testos¬
terone deficiency—Low Testosterone Syndrome—occurs in older
men and is associated with decreased muscle strength and bone
density, as well as memory problems. This article reviews the ev¬
idence for the existence of Low Testosterone Syndrome, often char¬
acterized as the male menopause or viropause, and the emerging
evidence that testosterone therapy may ameliorate some of the
symptoms and signs of fraility in men beyond 50 years of age.
Immunological Aspects of Aging and Malnutrition:
Consequences and Intervention with
Nutritional Immunomodulators 697
Mark D. Heuser and William H. Adler
As knowledge of molecular and cellular mechanisms of develop¬
ment and aging is elucidated, the need to understand the relation¬
ships among tissues, organ systems, health habits, nutrition, physi¬
cal activity, and environmental factors on successful aging becomes
more explicit. Progress in our understanding of how the immune
system functions and responds with other factors, such as aging
and nutrition, is spawning significant inroads to achieving a suc¬
cessful old age.
Involuntary Weight Loss in Elderly Outpatients:
Recognition, Etiologies, and Treatment 717
Jeffrey I.Wallace and Robert S. Schwartz
Weight loss appears to occur frequently in older adults and has
been associated with increased morbidity and mortality. However,
the significance of weight loss per se and the optimal clinical ap¬
proach to older outpatients who are losing weight is not completely
understood. This article reviews the existing literature on weight
loss in older people and outlines a basic approach for the clinician
faced with the common, but often difficult, diagnostic and man¬
agement issues presented by an elderly patient with weight loss.
Assessing and Treating Weight Loss in Nursing
Home Patients 737
Anne R. Fabiny and Douglas P. Kiel
Any physician who cares for nursing home residents has been con¬
fronted with the problem of unintentional weight loss. This can be
CONTENTS vii
a particularly vexing problem when the person with weight loss I
has multiple medical diagnoses, takes many medications, and has I
some degree of cognitive impairment. Questions raised in such I
cases include the following: what are normal weights for the old;
is some degree of weight loss part of normal aging; what are the
causes of weight loss in nursing home residents; and what are the
most effective means of reversing the loss.
Evaluating and Treating Nutritional Problems
in Older Patients 753
Dennis Sullivan and David Lipschitz
Up to 65% of elderly hospitalized patients are protein energy un¬
dernourished at admission or acquire nutritional deficits while hos¬
pitalized. For the elderly patient who requires nutritional support
therapy, a strategy of intervention should be carefully formulated
based on the results of a clinical assessment. While receiving nu¬
tritional support, the patient should be monitored carefully for
complications and changing metabolic requirements. Modifica¬
tions to the original regimen should be made to meet the patient s
needs as necessary.
Clinical Evaluation of Failure to Thrive in Older People 769
Roy B. Verdery
The purpose of this article is to outline a clinical approach to pa¬
tients with failure to thrive in old age. The article starts with a
hypothetical clinical case presentation epitomizing the problem
seen in an outpatient clinic by geriatricians. This case is then used
as a basis to discuss salient features of failure to thrive which may
be different from patient to patient. The focus is on using standard
outpatient evaluation methods to identify common problems caus¬
ing failure to thrive.
Cumulative Index 1997 779
Subscription Information Inside back cover
Viii CONTENTS
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| series | Clinics in geriatric medicine |
| series2 | Clinics in geriatric medicine |
| spelling | Failure to thrive in older people Roy B. Verdery, guest ed. Philadelphia [u.a.] Saunders 1997 X S., S. 613 -794 graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in geriatric medicine 13,4 Retard de croissance staturo-pondérale Aged Failure to Thrive Frail Elderly Frail elderly Older people Older people Failure to thrive (Syndrome) Kachexie (DE-588)4234273-9 gnd rswk-swf Alterskrankheit (DE-588)4132293-9 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Alterskrankheit (DE-588)4132293-9 s Kachexie (DE-588)4234273-9 s DE-604 Verdery, Roy B. Sonstige oth Clinics in geriatric medicine 13,4 (DE-604)BV000019839 13,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007904810&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Failure to thrive in older people Clinics in geriatric medicine Retard de croissance staturo-pondérale Aged Failure to Thrive Frail Elderly Frail elderly Older people Older people Failure to thrive (Syndrome) Kachexie (DE-588)4234273-9 gnd Alterskrankheit (DE-588)4132293-9 gnd |
| subject_GND | (DE-588)4234273-9 (DE-588)4132293-9 (DE-588)4143413-4 |
| title | Failure to thrive in older people |
| title_auth | Failure to thrive in older people |
| title_exact_search | Failure to thrive in older people |
| title_full | Failure to thrive in older people Roy B. Verdery, guest ed. |
| title_fullStr | Failure to thrive in older people Roy B. Verdery, guest ed. |
| title_full_unstemmed | Failure to thrive in older people Roy B. Verdery, guest ed. |
| title_short | Failure to thrive in older people |
| title_sort | failure to thrive in older people |
| topic | Retard de croissance staturo-pondérale Aged Failure to Thrive Frail Elderly Frail elderly Older people Older people Failure to thrive (Syndrome) Kachexie (DE-588)4234273-9 gnd Alterskrankheit (DE-588)4132293-9 gnd |
| topic_facet | Retard de croissance staturo-pondérale Aged Failure to Thrive Frail Elderly Frail elderly Older people Older people Failure to thrive (Syndrome) Kachexie Alterskrankheit Aufsatzsammlung |
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