Introduction: Aging
Specialty Percent Cardiovascular 58.4 Ophthalmology 48.5 Urology 47.9 Gen’l Int’l Med 42.7 Gen’l Surgery 35.8 Neurology 28.6 Dermatology 28.1 Family Practice 25.9 Orthopedic 25 Otolaryngology 22.5 Psychiatry 9.9 OB/GYN 7.1…
Lower Urinary Tract Symptoms
Obstructive symptoms Overactive symptoms Incontinence symptoms Hesitancy Frequency Urinary incontinence Decreased force of stream Nocturia Stress incontinence Intermittency Urgency Urgency incontinence Straining Urgency incontinence Mixed incontinence Position-dependent micturition Increased sensation…
Urologic Oncology
Age at diagnosis 66–74 Years 75+ Years 5-Year mortality 10-Year mortality 5-Year mortality 10-Year mortality Characteristic Rate per 100a 95% CIb Rate per 100a 95% CIb Rate per 100a…
Urology in the Nursing Home
Fig. 8.1 Gradual decrease in the number of nursing home residents of all ages from 1977 to 2004. Adapted from Centers for Disease Control and Prevention. 2012. National Center for…
Approach to the Elderly Patient: Evaluation
Deconditioning Delirium Dementia Falls Frailty Malnutrition Osteoporosis Palliative/end of life care Polypharmacy Pressure ulcers Transitional care Urinary incontinence Several steps must be added to the usual initial history and physical…
Use of Adjunctive Services
Home Assisted living/personal care home Rehabilitation facility Nursing home-short stay Nursing home—long-term stay Functional status Independenta Independent in ADLs, assistance with IADLsa May be dependent in some ADLs, IADLS…
Complications Particular to the Elderly
Fig. 6.1 Confusion Assessment Method. Courtesy of Vanderbilt University. Available from: http://www.mc.vanderbilt.edu/icudelirium/docs/CAM_ICU_flowsheet.pdf Treating postoperative delirium should focus on identifying risk factors, as well as underlying conditions, and treating them appropriately….
Medication Issues
The value of the equation is usually reduced to 85% in women. While many electronic medical record systems report Cr Cl via the Cockcroft–Gault equation, the clinician must remember that…
Perioperative Care of the Geriatric Urology Patient
6. Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203:865–77.PubMedCrossRef 7. Manku K, Bacchetti P, Leung JM….
Pelvic Organ Prolapse
Fig. 7.1 Three by three grid for recording quantitative description of pelvic organ support Points and Landmarks for POP-Q System Examination Table 7.1 illustrates the reference points: three reference points…
