Download Annual Review of Gerontology and Geriatrics, Volume 6, 1986: by Carl Eisdorfer PhD MD PDF
By Carl Eisdorfer PhD MD
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Extra info for Annual Review of Gerontology and Geriatrics, Volume 6, 1986: Geriatric Health Care
1981). Acute confusional states in the elderly. In D. ), Acute geriatric medicine (pp. 175-189). London: Croom Helm. Kay, D. W. , & Roth, M. (1955). Physical accompaniments of mental disorder in old age. Lancet, 2, 740-745. Kennedy, A. (1959). Psychological factors in confusional states in the elderly. Gerontologia Clinica, 1, 71 82. Krai, V. A. (1975). Confusional states: Description and management. In J. G. ), Perspectives in the psychiatry of old age (pp. 356-362). New York: Brunner/Mazel. Krueger, J.
The lack of high technology associated with modern care coupled with the goal of maintenance and restoration instead of "cure" have been perceived by some as less important. Also, there is an unspoken bias that nurses who choose geriatric care are less intelligent, less motivated, and have fewer credentials. Clearly, "image" in geriatric nursing has been a problem. One process that has enabled nurses to become credentialed in the field of gerontological nursing is the ANA certification process.
The half- GERIATRIC NURSING IN ACUTE SETTINGS 43 life of digoxin may be up to 72 hours in a frail elderly person with decreased kidney function (Simonson, 1984). This author also reports that toxicity in the elderly may present in subtle forms including anorexia instead of nausea, vomiting, and diarrhea, vision disturbances, and fatigue. Coumadin® has a high degree of toxicity and can result in severe bleeding problems in the elderly. Other drugs that account for a large percentage of drug reactions in the elderly include Inderal®, diuretics, antihypertensives, Aldomet®, Reserpine, Cimitidine, codeine, and Valium® (Simonson, 1984).