Advertisement

The Elderly pp 11-27 | Cite as

Practical Problems

  • W. J. MacLennan
  • A. N. Shepherd
  • I. H. Stevenson
Part of the Treatment in Clinical Medicine book series (TC MEDICINE)

Abstract

On first meeting an elderly patient, a doctor often is faced with the dilemma of deciding which of the many disorders he identified should be treated. When Wilson et al. (1962) reviewed 200 patients admitted to a geriatric unit they found that each, on average, suffered from six different diseases. The number of these rose with patient age (Fig. 2.1). Disorders most frequently contributing to multiple pathology were cerebrovascular disease, pneumonia, urinary infection, ischaemic or hypertensive heart disease, dementia, chronic bronchitis, cataract, pressure sores, normochromic anaemia, renal failure, cancer, and prostatic enlargement (Fig. 2.2).

Keywords

Chronic Bronchitis Mental Impairment Remainder Function Hypertensive Heart Disease Prostatic Enlargement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Boxendale C, Gourlay M, Gibson IIJM (1978) A self-medication retraining programme. Br Med J 2: 1278–1279CrossRefGoogle Scholar
  2. Christopher LJ, Ballinger BR, Shepherd AMM, Ramsay A, Crooks J (1978) Drug prescribing patterns in the elderly: a cross sectional study of inpatients. Age Ageing 7: 74–82PubMedCrossRefGoogle Scholar
  3. Hall MRP (1973) Drug therapy in the elderly. Br Med J 3: 582–584PubMedCrossRefGoogle Scholar
  4. Hurwitz N (1969) Predisposing factors in adverse reactions to drugs. Br Med J 1: 536–540PubMedCrossRefGoogle Scholar
  5. Law R, Chalmers C (1976) Medicines and elderly people: a general practice survey. Br Med J 1: 565–566PubMedCrossRefGoogle Scholar
  6. Morrell DC (1979) Facts and issues in self care. In: Anderson JAD (ed) Self medication, MTP, Lancaster, pp 19–30Google Scholar
  7. Parkin DM, Henney CR, Quirk J, Crooks J (1976) Deviation from prescribed treatment after discharge from hospital. Br Med J 2: 686–688PubMedCrossRefGoogle Scholar
  8. Schwartz D, Wang M, Zeity L, Goss J (1962) Medication errors made by elderly, chronically ill patients. Am J Public Health 52: 2018–2029CrossRefGoogle Scholar
  9. Shulman K (1978) Suicide and parasuicide in old ages a review. Age Ageing 7: 201–209PubMedCrossRefGoogle Scholar
  10. Williamson J (1978) Prescribing problems in the elderly. Practitioner 220: 749–758PubMedGoogle Scholar
  11. Wilson LA, Lawson IR, Brass W (1962) Multiple disorders in the elderly. A clinical and statistical study. Lancet 2: 841–843PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • W. J. MacLennan
    • 1
  • A. N. Shepherd
    • 1
  • I. H. Stevenson
    • 2
  1. 1.University Department of MedicineNinewells Hospital and Medical SchoolDundeeScotland
  2. 2.Department of Pharmacology and Clinical PharmacologyNinewells Hospital and Medical SchoolDundeeScotland

Personalised recommendations