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Geriatrics grew out of long term institutional care of the sick and infirm during the late 1940s and 1950s. The importance of comprehensive multidisciplinary assessment and the effectiveness of rehabilitation allowing both appropriate care…
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Dementia is defined as a progressive decline in cognitive function, with memory being especially affected. It is associated with a progressive decrease in the patient's intellect accompanied by reduced emotional control and a deterioration…
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Transient ischaemic attack affects approximately 35 people per 100,000 of the population per year and is associated with a high risk of stroke in the first month of the event and up to a year aferwards. There is now considerable debate…
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There is a high prevalence of anaemia in the elderly population. Anaemia signifies an underlying disease and is associated with increased morbidity and mortality. It can be underdiagnosed in this age group as the symptoms of anaemia can be…
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NICE was heavily criticised when it ruled that patients with rheumatoid arthritis who had failed on one TNF- inhibitor could not use an alternative TNF- inhibitor. However in August 2010, NICE published guidelines that reversed this…
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A quarter of all new patients diagnosed with coeliac disease are in their seventh decade or older. Coeliac disease presents with a wide range of symptoms. It is under diagnosed, especially in the elderly who may present with only iron…
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Palliative care aims to improve the outcome of patients, especially in life threatening conditions. This is usually provided through prevention and relieving of suffering by a holistic approach; considering the physical, psychosocial and…
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The law concerning advance decisions, otherwise known as €œLiving Wills€, has been formalisedby the Mental Capacity Act. These documents can be used by patients to refuse treatment andcan be legally binding on clinicians. This article…
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Palliative care aims to improve the outcome of patients, especially in life threatening conditions. This is usually provided through prevention and relieving of suffering by a holistic approach; considering the physical, psychosocial and…
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Rheumatoid arthritis (RA) is a disease of unknown cause that leads to widespread infammation, predominantly manifesting itself in the joints, with pain, swelling and stiffness. Uncontrolled, it is a progressive disease that damages joints…
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