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Re-examine the approach to treatment decisions of the frail elderly in hospitals
June 06, 2006Frail elderly persons are a growing section of emergency and hospital care, and the traditional rules around consent and care may not be meeting this group's needs.
In this guest editorial in this week's issue of the Canadian Medical Association Journal, Dr. Kenneth Rockwood writes that physicians need to re-examine how to respect the autonomy and special needs of the frail elderly, when determining treatment.
He does not feel it is a simple matter of determining competency to give consent. He feels physicians in hospitals need to be held accountable.
Many frail elderly people are competent when they are well and in a familiar environment. However, their capacity for understanding can be quickly compromised when they fall ill and come to hospital. Dr. Rockwood suggests ways to help the frail elderly remain autonomous, and help the physician and hospital give care in the best interests of the elderly.
Canadian Medical Association Journal
Many frail elderly people are competent when they are well and in a familiar environment. However, their capacity for understanding can be quickly compromised when they fall ill and come to hospital. Dr. Rockwood suggests ways to help the frail elderly remain autonomous, and help the physician and hospital give care in the best interests of the elderly.
Canadian Medical Association Journal
Elderly Current Events and Elderly News RSSAmid the flu epidemic, don't forget RSV in young children
Influenza, particularly H1N1, has understandably captured the attention of public health officials, the media and the public.
Multiple health concerns surface as winter, vitamin D deficiences arrive
A string of recent discoveries about the multiple health benefits of vitamin D has renewed interest in this multi-purpose nutrient, increased awareness of the huge numbers of people who are deficient in it, spurred research and even led to an appreciation of it as "nature's antibiotic."
Surgery not linked to memory problems in older patients
For years, it has been widely assumed that older adults may experience memory loss and other cognitive problems following surgery. But a new study from researchers at Washington University School of Medicine in St. Louis questions those assumptions.
New culprit for viral infections among elderly -- an overactive immune response
Researchers at Yale School of Medicine have found that exaggerated responses of the immune system explain why the elderly succumb to viral infections more readily than younger people.
New neuroimaging analysis technique identifies impact of Alzheimer's disease gene in healthy brains
Brain imaging can offer a window into risk for diseases such as Alzheimer's disease (AD). A study conducted at the University of Kansas School of Medicine demonstrated that genetic risk is expressed in the brains of even those who are healthy, but carry some risk for AD.
'Escaped' proteins add to hearing loss in elderly, UF researchers find
Age-related hearing loss is the most common sensory disorder among the elderly. But scientists are still trying to figure out what cellular processes govern or contribute to the loss.
People with less education could be more susceptible to the flu
People who did not earn a high school diploma could be more likely to get H1N1 and the vaccine might be less effective in them compared to those who earned a diploma, new research shows.
Higher carotid arterial stenting rates associated with poorer clinical outcomes
Among eligible Medicare beneficiaries, increased use of carotid arterial stenting (CAS) procedures to treat carotid stenosis-the narrowing of the carotid artery-is associated with higher rates of mortality and adverse clinical outcomes, including heart attack and stroke, according to researchers from the University of Pennsylvania School of Medicine.
Carnegie Mellon researchers link health-care debate to risk of dying in US and Europe
The current health care debate in the United States is complicated. Trade-offs between heath care expenditures, lifestyle choices and life expectancy have been suggested but seldom clearly demonstrated.
Common Pain Relievers May Dilute Power of Flu Shots
With flu vaccination season in full swing, research from the University of Rochester Medical Center cautions that use of many common pain killers - Advil, Tylenol, aspirin - at the time of injection may blunt the effect of the shot and have a negative effect on the immune system.
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