Geriatric Sexuality

Jul 4, 2016 by in UROLOGY Comments Off on Geriatric Sexuality

Fig. 11.1 The landmark Massachusetts Male Aging Study (MMAS) [28], a community-based observational study of nearly 3,000 men, aged 40–70 years, clearly established that ED is highly prevalent, age-related, and…

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Urologic Office Procedures

Jul 4, 2016 by in UROLOGY Comments Off on Urologic Office Procedures

Fig. 3.1 (a) Standard lithotomy (b) Low lithotomy, please note that the hip and knee joints are flexed no more than 90° and pressure points are padded (foam) Catheterization Catheterization…

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Introduction: Aging

Jul 4, 2016 by in UROLOGY Comments Off on 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…

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Lower Urinary Tract Symptoms

Jul 4, 2016 by in UROLOGY Comments Off on 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…

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Urologic Oncology

Jul 4, 2016 by in UROLOGY Comments Off on 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…

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Urology in the Nursing Home

Jul 4, 2016 by in UROLOGY Comments Off on 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…

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Approach to the Elderly Patient: Evaluation

Jul 4, 2016 by in UROLOGY Comments Off on 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…

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Complications Particular to the Elderly

Jul 4, 2016 by in UROLOGY Comments Off on 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….

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Use of Adjunctive Services

Jul 4, 2016 by in UROLOGY Comments Off on 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…

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Medication Issues

Jul 4, 2016 by in UROLOGY Comments Off on 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…

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