This issue of Clinics in Geriatric Medicine focuses on the pharmacological, non-pharmacological, and device therapies in the medical management of cardiac rhythm disorders in the elderly population. It also reviews the epidemiology of arrhythmias and conduction disorders in older adults, atrial fibrillation and atrial flutter: stroke prevention, bradyarrhythmias and conduction disorders, and comorbidities, quality of life, and end-of-life issues in older patients with heart rhythm disorders.
Total joint replacement is an effective procedure, resulting in decreased pain and improved function and quality of life in patients of all age groups including the elderly. The use of TJR is increasing and therefore this issue reviews topics such as patient satisfaction with total joint arthroplasty, patient reported outcomes, rehabilitation with total joint arthroplasty, minimally Invasive total joint arthroplasty, and peri-operative complications of total joint arthroplasty.
With the use of multiple medications in the elderly patient comes the risk of drug-related problems. This issue covers polypharmacy in the elderly patient with topics that include: The Interplay between Polypharmacy, Geriatric Conditions, and Adverse Drug Reactions, Factors Leading to Excessive Polypharmacy, Clinical Practice Guidelines for Chronic Diseases and How They Contribute to Polypharmacy, Polypharmacy in Nursing Home Residents, Psychotropic Polypharmacy, Deprescribing Trials: Methods to Reduce Polypharmacy and the Impact on Prescribing and Clinical Outcomes, Ethical Framework for Medication Discontinuation in Nursing Home Residents with Limited Life Expectancy, Pharmacokinetics in the Elderly and the Interaction with Polypharmacy, Medication Adherence to Multi-drug Regimens, Improvements in Electronic Prescribing to Reduce Inappropriate Medication Use and Polypharmacy, and Tools to Decrease Polypharmacy.
This issue serves as a comprehensive review and update in the management of the geriatric cancer patient. Topics covered include: Cancer and Aging, Comprehensive Geriatric Assessment, Breast Cancer in the Elderly, Solid Tumors in the Elderly, Radiation Therapy with the Elderly, Liquid Tumors in the Elderly, Nursing and Palliation of Elderly Cancer Patients, Ethics and Religion in Care of the Elderly, and Surgery in the Elderly. Â
This issue provides a unique perspective on the topic of Successful Aging whcih will cover article topics such as: Normal Aging: Theories, Aging and Disease Prevention, Aging, hormones and hormone replacement, Aging and Diet, Aging and the Effects of Vitamins and Supplements, Aging and Toxins, Aging and the Preservation of Neurologic Function, Aging and the Psychological Outlook,  Aging and Exercise, State of the Art "Anti Aging Centers" Around the World, and Interviews, anecdotes and wisdom from centurions in the US.
In the last decade much attention has been paid to understanding and diagnosing Sarcopenia, the loss of muscle mass that results from the process of aging. This issue of Clinics in Geriatric Medicine, Guest Edited by Yves Rolland, MD, PhD, covers the History of Sarcopenia and works to define Sarcopenia based on recent workshops and meetings on the topic. This issue also covers the Epidemiology, Physiology, and Consequences of Sarcopenia. Also included are studies on Sarcopenia and Obesity, Sarcopenia and Frailty, Nutrition and Sarcopenia, Physical Activity and Sarcopenia, as well as a look at Clinical Trials on Sarcopenia.
This issue brings the geriatrician up to date on topics in Longer-Term-Care such as: Doing Dementia Better: Anthropological Insights, Update on teaching in the Long-Term Care Setting, Pneumonia in the Long-Term Resident, Palliative Care for Patients with Dementia in Long Term Care, Urinary Tract Infections in Long-Term Care Residents, and Nausea and Other Non-Pain Symptoms in Long-term Care. Â