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Spotlight on skin cancer awareness

April 11, 2024
William Perkins
Skin cancer is the most common form of cancer and its incidence is increasing worldwide. Most skin cancers are non-melanoma, usually squamous-cell or basal-cell carcinoma.

Fluid balance of older people in hot environments

May 19, 2024
Kenneth J Collins
The control of fluid balance in older people has an important influence on morbidity and mortality in high environmental temperatures. This article looks at management of fluid balance.

Sleep disturbance and depression

April 11, 2024
Dr Martin Livingston
Depression and sleep disturbance are interlinked disorders, resulting in significant disability and both carry a risk of chronicity. Insomnia is a risk factor for depression and the majority of depressed patients complain of sleep dysfunction.

The management of heart failure: are we doing our best?

May 20, 2024
Dawn Powell
A study has indicated that neither geriatricians nor general practitioners adhere to guidelines for treatment of heart failure. Professor Peter Weissberg from the British Heart Foundation talks to Dawn Powell about the results of the survey and improving the management of heart failure in the UK.

Assisted dying: opinion for and against

May 16, 2024
admin
Assisted dying has long been a subject of heated debate. Dr Simon Kenwright argues the case for, and Dr Helen Watt states the case against, assisted dying.  

PEG feeding in dysphagic stroke patients

May 17, 2024
Pradeep Khanna
Stroke is the most common cause of severe disability in the UK, which is frequently complicated by dysphagia. PEG in a useful procedure that can help maintain nutrition in such patients.

Radiotherapy for the treatment of skin cancer

April 10, 2024
John Paul Glees
Epithelial skin cancers such as basal-cell and squamous-cell cancers are the most common cancers of the older population. These cancers are usually not life-threatening and can be cured easily with radiotherapy if recognised early.

Using reminiscence based approaches with older people

May 19, 2024
Julie Heathcote
Reminiscence is the name given to the process of accessing long-term memory and recalling past events, stories and experiences. It is an increasingly popular way of engaging older people with short-term memory problems.

Restless legs syndrome: chasing the diagnosis

May 19, 2024
Tayyab Haider
Restless legs syndrome (RLS) refers to a symptom complex of spontaneous, continuous lower limb movements that may be associated with paraesthesias.

Osteoporosis and bone densitometry: an overview

May 16, 2024
admin
Osteoporosis is a major problem in healthcare and the role of bone densitometry in the assessment and measurement of this metabolic bone disease is being recognised.

Anticonvulsants: an overview of use in old age psychiatry

May 17, 2024
Haripriya Kamireddy
This article reviews the evidence base for anticonvulsants commonly used in psychiatric disorders, focusing particularly on issues specific to older adults.

Assessing mental capacity in consenting adults

May 20, 2024
Dr Premila Fade
The concept of informed consent is based on an individual's basic human right to make their own decisions and pursue their own goals. However, a diagnosis of dementia or other form of cognitive impairment can affect mental capacity.

Alzheimer’s disease and sexually inappropriate behaviour

May 13, 2024
admin
When a patient with Alzheimer's disease displays sexually inappropriate behaviour, this often upsets the equilibrium of patient care and needs careful management.

Microalbuminuria: a valid marker for cardiovascular disease

May 14, 2024
Dr Paul Newman
With growing evidence to support its relation to risk, microalbuminuria is becoming more widely recognised as an important marker in cardiovascular disease.

Neoplastic change and the nonagenarian

May 15, 2024
Jonathan Birns
Neoplastic change increases with age but many cancers in the older patient are occult until a clinically important event causes rapid decline.

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