You are here

Kırılgan Yaşlı ve İkincil Koruyucu Hekimlik

THE FRAIL ELDERLY AND SECONDARY PREVENTIVE MEDICINE

Journal Name:

Publication Year:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Elderly people, especially those prone to have serious health problems are particularly important for preventive health services. Frail elderly people predominantly constitute the target population of secondary and tertiary preventive medicine. This review aims to contribute to the proper approach to frequently encountered health problems in the frail elderly.
Abstract (Original Language): 
Yaşlı, özellikle önemli sağlık riskleri olan yaşlı, koruyucu hekimlikte ayrı bir önem taşır. Kırılgan yaşlı olarak tanımlayabileceğimiz bu grup, işlevsel açıdan ikincil ve üçüncül koruyucu hekimlik kapsamında ele alınır. Bu yazı, güncel bilgiler ışığında kırılgan yaşlıda sık görülen sağlık sorunlarında benimsenecek yaklaşıma katkıda bulunmayı amaçlamaktadır
128-134

REFERENCES

References: 

1. Abrams WB, Beers MH, Berkow R. Prevention of frailty. Merck Manual of Geriatrics. 2.baskı.Merck&Co.Inc.1995.http://www.merck.com/mrksha- red/mm_geriatrics/sec1/ch5.jsp adresinden 12.07.2004'de erişilmiştir.
2. Aliberti E. Predictive value of the instrument among older recipients of managed care. J Am Ger Soc 1997; 45: 614-7.
3. Hamerman D. Toward an understanding of frailty. Ann Intern Med 1999; 130(11): 945-50.
4. Cohen HJ, Pieper CF, Harris T, Rao KM, Currie MS. The association of plasma IL-6 levels with functional disability in community-dwelling elderly. J Gerontol A Biol Sci Med Sci 1997; 52 (M201): 1-8.
5. Dentino AN, Pieper CF, Rao KM ve ark. Association of interleukin-6 and other biologic variables with depression in older people living in the commu¬nity. J Am Geriatr Soc 1999; 47: 6-11.
6. Sternberg EM. Neural-immun interactions in health and disease. J Clin Invest 1997; 100: 2641-17.
7. Bonnefoy M, Coulon L, Bienveu J, Boisson RC, Rys L. Implication of cytokines in the aggravation of malnutrition and hypercatabolism in elderly patients with severe pressure sores. Age Ageing 1995; 24: 37-42.
8. Holden RJ, Pakula IS. The role of tumor necrosis factor-alpha in the pathogenesis of anorexia and bulimia nervosa, cancer cachexia and obesity. Med Hypoteses 1996; 47: 423-38.
9. Ridker PM, Glynn RJ, Hennekens CH. C-raective protein adds to the predictive value of total and HDL cholesterol in determining risk of first myocardial infarction. Circulation 1998; 97: 2007-11.
10. Loucks EB. Social isolation may lead to poor health behaviors. AHA Scien¬tific sessions 2003. http://www.medscape.com/viewprogram/2770 adresinden 10.12.2003'de erişilmiştir.
11. Avlund K, Lund R, Holstein BE, Due P, Sakari-Rantala R, Heikkinen
RL. The Impact of structural and functional characteristics of social relations as determinants of functional decline. J Gerontol B Psych Sci Socl Sci 2004;
59: 44-51.
12. Clark F, Azen SP., Carlson M ve ark. Embedding health-promoting chan¬ges into the daily lives of independent-living older adults: Long-term follow-up of occupational therapy intervention. J Gerontol B Psych Sci Socl Sci
2001; 56: 60-3.
13. Fried LP. Frailty. Principles of Geriatric Medicine and Gerontology'de. Ed. Hazzard WR, Bierman EL, Blass JP, Ettinger WH Jr, Halter JB. 3. baskı. New York, McGraw Hill, 1994; 1149-55.
14. Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre JA, Ka¬ne RL. Efectiveness of a geriatric evaluation unit: a randomized clinical tri¬al. N Engl J Med 1984; 311: 1664-70.
15. Colenda CC, Sherman FT. Managed Medicare: An overview for the pri¬mary care physician. Geriatrics January 1998; 53(1): 57-63.
16. Llewellyn-Jones RH. Multifaceted shared care intervention for late life dep¬ression in residental care: Randomised controlled trial. BMJ 1999; 319: 676¬82.
17. Kerse NM. Improving the health behaviours of elderly people: Randomised controlled trial of a general practice education programme. BMJ 1999; 319:
683-7.
18. Finucane TE. Overview and critique of the new AGS guideline for manage¬ment of persistent pain in older adults. http://www.medscape.com/ viewartic-le/437463 adresinden 17.07.2002'de erişilmiştir.
19.
Aka
n P, Erdinçler D, Tezcan V, Beğer T. Yaşlıda ilaç kullanımı. Turkish Journal of Geriatrics 1999; 2(1): 33-8.
20. Williams CM. Using Medications Appropriately in Older Adults. Am Fam
Physician 2002; 66: 1917-24.
21. Triller MT, Clause SL, Domarew C. Analysis of medication management activities for home-dwelling patients. Am J Health-syst Pharm 2002; 59(23):
2356-9.
22. Arslan fi, Atalay A, Gökçe-Kutsal Y. Yaşlılarda ilaç tüketimi. Turkish Jour¬nal of Geriatrics 2000; 3(2):56.
23. Fouts M, Hanlon J, Pieper C, Perfetto E, Feinberg J. Identification of el¬derly nursing facility residents at high risk for drug-related problems. Consult
Pharm 1997; 12: 1103-11.
24. Griebling TL. Axis III. Urinary incontinence in older adults. Program and abstracts of the American Association for Geriatric Psychiatry 15th Annual Meeting. February 24-27, 2002. Orlando, Florida.
25. Couture JA, Valiquette L. Urinary incontinence. Ann Pharmacother 2000;
34: 646-55.
26. Bross MF, Tryon AF. Preventive care of the older adult (> 65 years) Family Medicine'da. Ed: Rudy DR, Kurowski K. Giza, Egypt, Williams-Wilkins.
Middle East Edition 1998; 741-50.
27. Kamal A, Brocklehurst JC. Special features of ilnesses in old age. Geriatric Medicine'da. Ed. Carruthers GB, Netherlands,Wolfe Medical Publications
1983; 13.
28. Steinweg KK. The Changing Approach to Falls in the Elderly. Am Fam Phy 1997; 56 (7): 1815-23.
29.
Karata
ş GK, Maral I. Ankara Gölbaşı ilçesinde geriyatrik popülasyonda 6 aylık dönemde düşme sıklığı ve düşme için risk faktörleri. Geriatri 2001; 4
(4): 152-8.
30. Ray WA, Thapa PB, Gideon P. Benzodiazepins and the risk of falls in nur¬sing home residents. J Am Geriatr Soc 2000; 48: 682-5.
31. Oliver D, Hopper A, Seed P. Do hospital fall prevention programs work? A systematic review. J Am Geriatr Soc 2000; 48: 1679-89.
32. Tinetti M. Performance-oriented assesment of mobility problems in elderly patients. J Am Ger Soc 1986; 34: 119-26.
33. Fuller GF. Falls in the Elderly. Am Fam Physician 2000; 61: 2159-68.
34. Schneider LS. Estrogen and Dementia: Insights From the Women's Health
Initiative Memory Study. JAMA 2004; 291: 3005-7.
35. Guttman R, Altman RD, Nielsen NH. Alzheimer Disease: Report of the
Council on Scientific Affairs. Arch Fam Med 1999; 8(4): 347-53.
36. Santacruz KS, Swagery D. Early diagnosis of dementia. Am Fam Phy2001;
63: 703-13.
37. Ertan T, Eker E, Güngen C ve ark. The standardized mini menthal state examination for illiterate Turkish adult population. International symphosium on neurophysiological and neuropsychological assesmant of menthal and behavioral disorders. Aug 28-30,1999. Bursa- Turkey.
38. Miller MD. Recognizing and Treating Depression in the Elderly http://www.medscape.com/viewarticle/431387 adresinden 03.11.2004'de erişilmiştir.
39. McDonald. Depression in the Elderly: An Internist's Disease. Program and abstracts of the American College of Physicians.American Society of Internal
Medicine Annual Session 2001; March 29-April 1, 2001. Atlanta, Georgia. MTP 043.
40. Penninx BW, Geerling SW, Deeg DJ, van Eijk JT, van Tilburg W, Beek-
man AT. Minor and major depression and the risk of death in older persons.
Arch Gen Psych 1999; 56: 889-95.
41. Covinsky KE, Kanana E, Chin MH, Palmer RM, Fortinsky RH, Lan-
defeld CS. Depressive symptoms and 3-year mortality in older hospitalized depressed patients. Ann Intern Med 1999; 130: 563-9.
42. Hachinski VC, Lassen NA, Marshall J. Multi-infarct dementia: A cause of mental deterioration in the elderly. Lancet 1984; 2: 207.
43. Elkin E, Tracie SH, Watkins JT. National Institute of Mental Health treat¬ment of depression collaborative research program: General effectiveness of
treatments. Arch Gen Psychiatry 1989; 46: 971-82.
44. Swantek SS. Gender Differences in Geriatric Psychiatry. American As¬sociation for Geriatric Psychiatry 15th annual meeting (disclosures) February
24-27, 2002. Orlando-Florida.
45. Abrams WB, Beers MH, Berkow R. Recommended clinical preventive ser¬vices. http://www.merck.com/mrkshared/mm_geriatrics/tables/5t1.jsp ad¬resinden 12.07.2004'de erişilmiştir.
46. Moser M. Hypertension treatment and the prevention of coronary heart dis¬ease in the elderly. http://www.aafp.org/afp/990301ap/1248.html adresinden 1.11.2004'de erişilmiştir.
47. Tezcan V.
Yaşlılard
a hipertansiyon ve tedavisi. Geriatrik Hasta ve Sorun-ları'nda. Ed: Beğer T. Î.Ü.Cerrahpaşa Tıp F. STE Komisyonu Yayını No: 9. istanbul 1998; 113.
48. Chandramouli BV, Kotler MN. Atrial fibrillation:drug therapies for vent¬ricular rate control and restoration of sinus rhythm. Geriatrics 1998; 53(6):
46-60.
Türkiye Aile Hekimliği Dergisi | Turkish Journal of Family Practice | Cilt 9 | Sayı 3 | 2005 | 133
53. Vita AJ, Terry RB, Hubert HB, Fries JF. Aging, health risks, and cumula¬tive disability. N Engl J Med1998; 338: 1035-41.
54. Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre JA, Kane RL. Efectiveness of a geriatric evaluation unit: a randomized clinical
trial. N Eng J Med1984; 311: 1664-70.
55. Llewellyn-Jones RH. Multifaceted shared care intervention for late life dep¬ression in residential care: randomised controlled trial. BMJ 1999; 319: 676¬82.

Thank you for copying data from http://www.arastirmax.com