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Sialorrhoea affects 75–80 per cent of patients with Parkinson’s disease. The condition is due to impaired swallowing rather than excessive saliva production.

The association between abdominal obesity and cardiometabolic risk is gathering evidence daily. In the older patient the changes that occur naturally in the process of ageing, combined with obesity, means the physician has a crucial role to play in assessing these cardiometabolic risk factors.

The National Institute for Health and Clinical Excellence (NICE) is no stranger to controversy, but rarely have their decisions ignited such heated debate as their recommendation of drugs to treat dementia. Professor Clive Ballard and Samantha Sharp of the Alzheimer's Society study the data, marshall their thoughts and articulate concerns about the new recommendations.

Increasing life expectancy and the ever-growing population of older adults make discussion of sex and sexual health in clinical practice with this age group topical.

It is important for medical and allied health professionals to provide necessary guidance to patients who wish to continue driving following recovery from stroke.

Surveys routinely highlight that one of the problems most often experienced by stroke patients is a major chasm in the care pathway between secondary and primary care, and a feeling of abandonment when they leave hospital.

Gallstone ileus was first described in the seventeenth century and, in the general population, is a rare phenomenon. In the elderly, it accounts for approximately 25 per cent of mechanical small bowel obstruction.

Voice change is common with advancing age. This article discusses the causes of dysphonia, the physiological changes that can precipitate the condition and the care of the older patient suffering from it.

he incidence of prostate cancer has risen in the last 20 years. This article discuss the structure of a multidisciplinary approach and some of the new management tools available to provide the best treatment for patients.

Care of older people with multiple complex needs at home or in care homes can be carried out by geriatricians as part of a domiciliary consultation created to assist the general practitioner.

It is never too late to benefit from giving up smoking; there is evidence that even smokers who quit at the age of 65 gain an average of more than two years of additional life expectancy.

There are more treatment options for reducing intraocular pressure in glaucoma than ever before and currently ophthalmologists are combining eye drops to achieve lower therapeutic targets.

Delirium is the term used to describe a state of fluctuating organic mental confusion, usually of abrupt onset and relatively short duration.

Charles Bonnet syndrome (CBS) is characterised by complex visual hallucinations This article reviews the history of CBS and discusses management.

Assistive technology (AT) can be used to help older patients understand and manage their illness while safely maintaining their independence.