Abstract
The ageing demographic in developing countries provides an unprecedented challenge for practitioners of Intensive Care Medicine (ICM). Over 10 years ago Callahan stated: “The future goal of medicine in the care of the aged should be that of improving the quality of their lives, not seeking ways to extend their lives. In its long standing ambition to forestall death, medicine has, in the care of the aged, reached its last frontier” [1].
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References
Callahan D (1988) Aging and the ends of medicine. Ann New York Acad Sciences 530:125–132
Quinlan N (2008) “Older” or “elderly”? Are medical journals sensitive to the wishes of older people? J Am Geriat Soc 56:1983
World Health Organization definition of an older or elderly person. [Online] Available from: http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html. [Accessed 10th March 2008]
Roebuck J (1979) When does “Old age begin?”: The evolution of the English definition. J Social History 12:416–428
Nemmers T (2005) The influence of ageism and ageist stereotypes on the elderly. J Physical Occupational Ther Geriatrics 22:11–20
McDonald P (2008) The multigenerational workforce. Internal Auditor 65:60–67
Kalache A (1999) Active ageing makes the difference. Curr Opin Psychiatr 12:449–450
Bowling A (2007) Honour your father and mother: Ageism in medicine. Brit J Gen Pract 57(538):347–348
Piercy K (2007) Characteristics of strong commitments to intergenerational family care of older adults. J Gerontol 62B:S381–387
American Geriatrics Society Core Writing Group of the Task Force on the Future of Geriatric Medicine (2005) Caring for older Americans: the future of geriatric medicine. J Am Geriatr Soc 53:S245–S256
Sawhney R, Sehl M, Naeim A (2005) Physiologic aspects of aging: impact on cancer management and decision making, part 1. Cancer J 11:449–460
Ritz P (2000) Physiology of aging with respect to gastrointestinal, circulatory and immune system changes and their significance for energy and protein metabolism. Eur J Clin Nutrition 54:S21–S25
Prendergast H, Jurivich D, Edison M et al (2008) Preparing the front line for the increase in the aging population: geriatric curriculum development for an Emergency Medicine Residency Program. J Emerg Med (epub)
Westmoreland G, Counsell S, Sennour Y et al (2009) Improving medical student attitudes toward older patients through a “council of elders” and reflective writing experience. J Am Geriatr Soc 57:315–320
Cohen E (2001) The complex nature of ageism: What is it? Who does it? Who perceives it? Gerontologist 41:576–577
John S, Koelmeyer T (2001) The forensic pathology of nonagenarians and centenarians. Do they die of old age? Am J Forensic Med Pathol 22:150–154
Boumendil A, Somme D, Garrouste-Orgeas M, Guidet B (2007) Should elderly patients be admitted to the intensive care unit? Intensive Care Med 33:1252–1262
Schwartz W, Seidler A (1997) Typology of disease in old age — Consequences for preventive concepts. Z Gerontol Geriatr 30:10–17
Shannon M, Lehman C (1996) Protecting the skin of the elderly patient in the intensive care unit. Crit Care Nursing Clinics North Am 8:17–28
Angus D, Barnato A, Linde-Zwirble W et al (2004) Use of intensive care at the end of life in the United States: an epidemiologic study. Crit Care Med 32:638–643
Levin P, Sprung C (2006) Intensive care triage — The hardest rationing decision of them all. Crit Care Med 34:1250–1251
de Rooij S, Abu-Hanna A, Levi M, de Jonge W (2007) Identification of high-risk subgroups in very elderly intensive care unit patients. Crit Care 11:R33
Escher M, Perneger T, Chevrolet J (2004) National questionnaire survey on what influences doctors’ decisions about admission to intensive care. BMJ 329:425
Sprung C, Woodcock T, Sjokvist P, et al. (2008) reasons, considerations, difficulties and documentation of end-of-life decisions in European intensive care units: The ETHICUS Study. Intensive Care Med 34:271–277
Hubbard R, Lyons R, Woodhouse K et al (2003) Absence of ageism in access to critical care: a cross-sectional study. Age Ageing 32:382–397
Original data from the Australian and New Zealand Intensive Care Society (ANZICS) Database (2002)
Hennessy D, Juzwishin K, Yergens D et al (2005) Outcomes of elderly survivors of intensive care. Chest 127:1764–1774
Evans R (1983) Health care technology and the inevitability of resource allocation and rationing decisions, Part I. JAMA 249:2208–2219
Tsuchiya A, Dolan P, Shaw R (2003) Measuring people’s preferences regarding ageism in health: some methodological issues and some fresh evidence. Soc Sci Med 57:687–696
Lloyd C, Nietert P, Silvestri G (2004) Intensive care decision making in the seriously ill and elderly. Crit Care Med 32:649–654
Goold S (1996) Allocating health care: cost-utility analysis, informed democratic decision making, or the veil of ignorance? J Health Polit Policy Law 21:69–98
Shalowitz D, Garrett-Mayer E, Wendler D (2006) The accuracy of surrogate decision makers: a systematic review. Arch Intern Med 166:493–497
Jacobson T (2006) Overcoming “ageism” bias in the treatment of hypercholesterolaemia: a review of safety issues with statins in the elderly. Drug Safety 29:421–448
Iversen A, Jensen J, Scharling H, Schnohr P (2009) Hypercholesterolaemia and risk of coronary heart disease in the elderly: impact of age. The Copenhagen City Heart Study. Eur J Intern Med 20:139–144
Jolobe O (2008) Intensity of anticoagulation in octogenerians with nonvalvular atrial fibrillation. JAGS 56:1967–1968
Wong D, Lurie F, Wong L (2008) The effects of clopidogrel on elderly traumatic brain injured patients. J Trauma 65:1303–1308
Kirsch M, Vrabec G, Marley R et al (2004) Preinjury warfarin and geriatric orthopedic trauma patients: a case-matched study. J Trauma 57:1230–1233
Asher W (1972) Chapter 10 The dangers of going to bed. In: Talking sense. Pitman Medical, London, pp 119–123
Morris P, Herridge M (2007) Early intensive care unit mobility: future directions. Crit Care Clinics 23:97–110
Caplan G, Meller A, Squires B et al (2006) Advance care planning and hospital in the nursing home. Age Ageing 35:581–585
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Foot, C., Fisher, M. (2009). Intensive Care in the Elderly. In: Gullo, A., Lumb, P.D., Besso, J., Williams, G.F. (eds) Intensive and Critical Care Medicine. Springer, Milano. https://doi.org/10.1007/978-88-470-1436-7_37
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DOI: https://doi.org/10.1007/978-88-470-1436-7_37
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