Welcome to The Geriatric Patient. This website is dedicated to providing all of the latest news and articles regarding geriatrics and gerontology with a focus on geriatric medicine and healthcare.

What is Geriatrics

Geriatrics is best described as the the branch of medicine that focuses on health of elderly patients. It's focus is to prevent and treat disease and disability, as well as promote general health of seniors. There is no specific age at which a patient is prescribed geriatric treatments, as this is generally determined by the patients profile, and the symptoms that the patient suffers from. Some of the most common treatments are for immobility, incontinence and degradation of memory.

Current Trends in Geriatrics

One of the most important trends in geriatrics today is the continuing efforts to treat and prevent delirium in hospitalized elderly patients. Symptoms of this condition surface when the hospitalized elderly patient becomes disoriented and confused while hospitalized. The result is a degradation of health, and it can also lead to prolonged hospitalization and other health complications. Treatment of this disorder includes mental stimulation and keeping the patient oriented in reality.

Electronics Cigarettes And The Elderly

It is quite possible that the next use for the electronic cigarette is in Old Age Nursing Homes. Nursing Homes are teeming with eldely patients, many of whom are lifetime smokers. It seems that at least once a week a patient will manage to start a small fire while trying to sneak a smoke in the bathroom, linen closet or their room. It would appear that the FDA should give the green light to the electronic cigarette especially for places like Nursing and Old Age Homes. These elderly patients are in their twilight years and deserve comfort without putting those around them in jeopardy. How can it be wrong to provide the elderly with a way of satisfying their needs without putting other residents at risk.

The elderly are already addicted and don’t have many years left. It seems unlikely that their lifespan will be significantly impacted by using the electroninic cigarette. It seems that the right thing to do is to provide needed relief and prevent health hazards. With regard to second hand smoke, it is true that it can initiate some subtle changes in blood chemistry, but it is purely speculative to say that it causes heart attacks. There are too many other considerations including family history, hypertension, low physical activity, triglyceride levels, high cholesterol levels, and diet. In addition, electronic cigarettes eliminate second hand smoke altogether. Most negative statements about electronic cigarettes are incorrect.

With respect to smokers, there is compelling and substantial scientific research documenting the fact that consuming the ingredients in electronic cigarettes, such as propolyene glycol and nicotine, is considerably safer than inhaling burning tobacco which contains over 3000 toxic by products. The claim that electronic cigarettes are dangerous for non smokers is simply not credible. It is time we acknowledge the electronic cigarette cigarette for what it is: A safe alternative to smoking tobacco products.

Geriatric Plastic Surgery

The population in the U.S. continues to age. It is estimated that the number of people 65 and older will double in the next two decades. In fact, people who are 85 or older are the fastest growing population in our society. It is estimated that by 2025, nearly one in five people will be over 65 years of age. Because of this aging population, more and more older patients have a desire to get some form of plastic surgery. This subject has been discussed on many a plastic surgery forum. Although this was once inconceivable it has become routine today. Most of the very elderly patients have neck aging and eyelid issues. The eyelid problem is easy to understand due to the functional issues associated with visual field obstruction. The neck movement is also understandable psychologically as it can be emotionally disturbing to see that every day as it loosely moves if they move their head too quickly.

Elderly patients are no more likely to experience blepharoplasty complications after surgery than their younger counterparts are provided two key issues are carefully considered. First, it is imperative that they have good general health and be taking no medications that might endanger them if they stopped taking the meds. Fortunately, direct neck excision, lifts, and eyelid tucks can be accomplished using local anesthesia when supplemented with some sedation such that general anesthetic is not necessary in many elder patient cases. Secondly, the operation must be tailored and minimized to account for the patient’s age. The goal is to achieve results with safety as priority number one. For this reason, most plastic surgeons prefer a direct neck lift to a traditional facelift for patients over 80 years of age.

Elderly patients easily appreciate and understand the trade offs of more limited procedures and have very real expectations. They also certainly want a quick recovery. There is no reason to not offer plastic surgery to a growing elderly population. They simply prove that it is never too old to care what you look like. And if your health is good and there is something that bothers you that can be improved quickly and safely, why not?

Seniors And Depression

The are many challenges that the elderly may face, including medical problems and the death of a spouse, that can lead to depression, especially in those without a strong support system. But depression is not a necessary part of aging or normal. Many seniors are in fact satisfied with their lives in spite of the challenges of growing old. Depression not only takes a heavy toll on health but it also prevents older adults from enjoying life like they could and should be. But if you learn how to spot the signs of depression and find effective ways to help, you or your loved ones can remain vibrant and happy throughout the golden years. The causes of depression in the elderly usually involve some form of loss such as loss of someone you love, your lifelong career, your mobility, or your independence. The feelings of sadness and grieving over these losses is normal and can last for weeks or months. Losing all joy and hope, however, is not normal. It’s depression.

Untreated depression poses serious risks for older adults, including a higher mortality rate, prescription drug and alcohol abuse, illness, and even suicide. Depression can be caused by many medical conditions, medications, and even certain physiological changes of aging can cause depression or compound the problem. Medical conditions that commonly trigger depression include, diabetes, cancer, multiple sclerosis, Alzheimer's, stroke, Parkinson's disease, and heart attack or disease. Medications that can induce depression include, arthritis medication, cancer drugs, tranquilizers, heart disease medication, high blood pressure drugs, hormones, painkillers, and steroids. Treatment options for the elderly include maintaining a healthy diet, exercising, enjoying jokes and stories, learning a new skill, taking care of a pet, volunteering your time, participating in activities you enjoy, connecting with others, getting out in to the world, and last but not least seeking professional help. While support and self care can help depressed seniors, professional help should also be pursued.

Studies have found that therapy, such as provided by maryland psychologist, works just as well as medication in relieving mild to moderate depression. And unlike antidepressants, therapy also addresses the underlying causes of the depression. Supportive counseling includes religious and peer counseling. It can help ease loneliness and the hopelessness of depression. Psychotherapy helps people process difficult emotions, heal from losses, and work through stressful life changes. People can be helped to develop better coping skills, to deal with problems in healthy ways, and to change negative thinking patterns through cognitive behavioral therapy (CBT). Support groups for depression, illness, or bereavement connect people with others who are going through the same challenges. They are a safe place to share experiences, advice, and encouragement.

One should never assume that a loss of mental acquity is just a normal sign of old age. It could be a sign of dementia or depression, both of which are common in the elderly. But since dementia and depression have many similar symptoms, including low motivation, sluggish speech and movements, and memory problems, it can be difficult to tell the two apart. However, there are some differences that can help you distinguish between the two. Whether the cognitive decline is caused by depression or dementia, prompt diagnosis and treatment are key. If it’s depression, energy, concentration, and memory will bounce back with treatment. Treatment for dementia will also improve the quality of life. And in some types of dementia, symptoms can be slowed, halted, or even reversed. The good news is that with treatment and support, depressed seniors can feel better. No one, regardless of age, has to live with depression.

The Benefits Of Using A Vaporizer

There are many benefits to using a volcano vaporizer, as it is one of the best vaporizers in the world. It is built incredibly well, only takes around 5 minutes to heat up and is incredible easy to use. But to understand what they are, one must first understand what a vaporizer is. A vaporizer is a device used to release the therapeutic compounds from compounds contained in herbs or active ingredients of plant material. Vaporizing is a much healthier than smoking. A vaporizer heats the material so that the active compounds contained in the plant melt and phase into an aromatic vapor, rather than burning the herb, which produces numerous harmful by products. Ideally, this vapor contains reduced noxious gases and virtually no particulate matter. Vaporizers are generally classified as one of two types based on which method the substance is heated, either by conduction or convection. During conduction heating, the substance is placed on a metal plate that is then heated to release the active constituents. With convection heating, the heating elemement never touches the substance itself. Rather, hot air is passed through the filter which is heated rapidly thus allowing the release of the active constituents. The direct contact between hot metal and the herbs can cause them to burn.

A herbal vaporizer is a device that will heat herb material to a temperature (well below the herb's combustion temperature) which allows it to release its essence without burning it. Obviously, this keeps by products of combustion and harmful carcinogens out of you lungs and creates little or no smoke. So why, then, aren't more people using vaporizers? The, the bottom line is that they are a newer technology that has not been "proven" in a laboratory or by the FDA. However they works extremely well in extracting the pure oils and ingredients found in all herbs.

The Vapor Genie is a herbal vaporizer that has a inert ceramic, high temperature, filter which prevents the flame from coming into contact the herbal blend. The filter then mixes flame, which provides heat for vaproization, with cool air. The filter, does not contain metal, will not contaminate your vapor, and is 100% inert. The filter never needs replacement and will not deteriorate or burn.

Hydrocephalus Surgical Treatment

Hydrocephalus is a disturbance of cerebrospinal fluid (CSF) circulation. Hydrocephalus occurs when the delicate balance of CSF production and absorption is disrupted, and it builds up in the brain. The build-up of CSF usually causes the brain to swell thus the pressure increases in skull which results in nerve damage. However it should be noted that hydrocephalus treatment is available to help people with hydrocephalus, including children, live happy, productive, and fulfilling lives.

The most common form of the disease is called Normal Pressure Hydrocephalus (NPH). As with most forms of hydrocephalus, NPH can usually be successfully treated with a surgical shunt. Shunts are used to draw excess cerebrospinal fluid away from the brain and into another area of the body where it can be absorbed. This procedure can be performed on children and is effective in treating hydrocephalus. However a shunt is a lifetime commitment, and it may need to be replaced every now and then. Generally, patients with an implanted shunt system are not restricted in their daily activities except those which require great physical exertion.

When you wake up after shunt surgery, expect to feel weak and tired. This is natural as your body starts to heal. Nurses will be there to help you, and they will want you to get up and start moving as soon as possible after the surgery to help encourage the recovery process. As you get better, you will be allowed to do more things like eating solid foods and getting up to use the bathroom. You will be discharged from the hospital as soon as your neurosurgeon feels you are ready, usually in a day or two after surgery. When you get home from the hospital you will still need to rest. While recuperating you should try to build up your strength which can take a few weeks. The neurosurgeon who operated on you will be happy let you know when it is okay to return to all of your usual activities.

Advantages Of Using Korean Red Ginseng

Korean Red Ginseng, which is also known as Asian Ginseng, is an herb that has been traditionally used in Asia for thousands of years. It is one of the most popular herbs in the world, and is used by an estimated six million people in the United States. Previous studies have supported its traditional uses by showing its ability to control blood sugar snd stimulate immune function. Results of other studies suggest it may improve mental and physical performance, enhance sexual function and contribute to cancer prevention.

There numerous ways to take the Ginseng. One method is to go on the Internet and look for Korean Red Ginseng Extract Pill Gold, which is a concentrated form of pure Korean Red Ginseng. The manufacturer usually selects an appropriate, standard quality 6 year old fresh ginseng roots. They then wash, steam, dry, and and finally concentrate the six year old aged ginseng extracts into a pill . The Red Ginseng pill gold contains approximately 40% Red Ginseng extract, rice flour, starch, glutenuous rice flour, approximately 1.5% red ginseng powder, crystallised cellulose, and home bred honey.

Another method of taking Korean Red Ginseng is by drinking Korean Red Ginseng Energy Drink. The Korean Red Ginseng is usually steamed in a special brew to increase its potency and efficacy, and then is processed and dried. Most manufacturers insist that there Korean Ginseng Roots are NutraGroup Certified to be all natural and chemical free. Ginseng is a common ingredient in many of the most popular energy drinks.

Deep Vein Thrombosis Prevention

Symptomatic VTE risk is higher for post surgical orthopedic patients compared with the general population and remains elevated for at least 2 months following surgery. The recommended approach to minimize the risk of complications is to prevent pulmonary embolism (PE) and deep vein thrombosis (DVT) via thromboprophylaxis in patients undergoing orthopedic surgery.

Strategies employed for deep vein thrombosis prevention surgical patients vary in ease of use, risk of bleeding, and efficacy. For example, in patients undergoing major orthopedic surgery, the standard of care, as reflected in current guidelines, is to use anticoagulant prophylaxis following hip or knee replacement.Mechanical thromboprophylaxis devices are an appropriate option in patients at high risk of bleeding complications and can be used as an adjunct to anti coagulation.

Coagulation involves a set of complex protease reactions involving different proteins. The final result of these reactions is to convert the soluble protien fibrinogen to insoluble strands of fibrin. Then the platelets together with the fibrin strand together to form a stable blood clot. Clinicians are now searching for better anticoagulants that require less routine monitoring, may be administered orally, and are highly effective in reducing the risk of VTE, with a low rate of bleeding events and a higher rate of patient acceptance.

Travel Nursing And Geriatrics

Exactly what is a Trave Nurse? Well, a Travel Nurse is a licensed nurse who takes short term positions around the country, usually to fill in for nurses who have left for whatever reason and a replacement has not yet been found. The travel nurse can be of great benefit to the geriatric patient who is need of temporary help for whatever reason. Travel Nurses are typically of the highest caliber and normally have more than enough experience to care for the elderly patient.

Travel Nurses come in all different varieties. A Geriatric Nurse is a registered nurse who specializes in Gerontology. The Traveling Geriatric Nurse provides all forms of healthcare for elderly patients. As a high proportion of the population is becoming older, traveling nursing is becoming increasingly more important to an ever increasing numbers of patients. They provide healthcare to residents in long care living facilities, educate, support and build relationships with the families, and generally promote good health.

A Traveling Gerontological Nurse Practitioner (GNP) holds a Master’s Degree or higher from a Gerontological Nurse Practitioner program. Along with theory and an examination, there is also a minimum number of supervised clinical hours (usually 500) that must be included in the program. The Commission on the Collegiate of Nursing Education (CCNE) and the National League for Nursing Accrediting Commission (NLNAC) provide the accreditation for these courses.