Pub Date : 1986-04-01DOI: 10.1016/S0307-742X(21)00622-6
Michael Doherty, Paul Dieppe
{"title":"Crystal Deposition Disease in the Elderly","authors":"Michael Doherty, Paul Dieppe","doi":"10.1016/S0307-742X(21)00622-6","DOIUrl":"https://doi.org/10.1016/S0307-742X(21)00622-6","url":null,"abstract":"","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"Pages 97-116"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136723518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The immunology of ageing.","authors":"P M Ford","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14645079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
These case histories illustrate how medical, psychosocial, cultural and economic factors affect the elderly with chronic arthritis. Physicians need to be aware of their patient's attitudes, concerns, support systems and goals resulting from a lifetime of experience, to provide the most appropriate and effective care. 'Images of future are usually only caricatures of the present' (Starr, 1982), but based on current demography, one can predict trends for the future. It is likely that the elderly of the future will be better off financially, better educated, healthier, more politically connected and strident, but their social support systems will be less effective. The last stems from trends such as declining birth rate, an increasingly mobile society, diminished importance of the nuclear family, and the diminishing attractiveness of professions involved with providing maintenance care. This suggests that the physician and nurse, being the primary gatekeepers for the care of and services for the elderly, must be even more attentive to the non-biological determinants of arthritis disability.
{"title":"Impact of chronic arthritis in the elderly.","authors":"L L Demlow, M H Liang, H M Eaton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>These case histories illustrate how medical, psychosocial, cultural and economic factors affect the elderly with chronic arthritis. Physicians need to be aware of their patient's attitudes, concerns, support systems and goals resulting from a lifetime of experience, to provide the most appropriate and effective care. 'Images of future are usually only caricatures of the present' (Starr, 1982), but based on current demography, one can predict trends for the future. It is likely that the elderly of the future will be better off financially, better educated, healthier, more politically connected and strident, but their social support systems will be less effective. The last stems from trends such as declining birth rate, an increasingly mobile society, diminished importance of the nuclear family, and the diminishing attractiveness of professions involved with providing maintenance care. This suggests that the physician and nurse, being the primary gatekeepers for the care of and services for the elderly, must be even more attentive to the non-biological determinants of arthritis disability.</p>","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"329-35"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14839091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disease-modifying and immunosuppressive therapies are required for elderly patients with rheumatic disorders. The evidence to date suggests that the criteria for choosing a particular drug is not vastly different from the choice in younger patients, and that the elderly have a similar response. More care is required in monitoring elderly patients on immunosuppressive drugs because of the potential for increased adverse reactions consequent on reduced functional capacity of major end organs. There is little data available to judge relative efficacy of these drugs in the elderly and with the 'greying' of the population these data should be sought after. With careful individual choice of drug and regular reassessment for effect and adverse drug reactions, many elderly patients with rheumatic diseases can obtain useful benefit from these agents.
{"title":"Disease-modifying agents and immunosuppressive drugs in the elderly.","authors":"J W O'Callaghan, P M Brooks","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Disease-modifying and immunosuppressive therapies are required for elderly patients with rheumatic disorders. The evidence to date suggests that the criteria for choosing a particular drug is not vastly different from the choice in younger patients, and that the elderly have a similar response. More care is required in monitoring elderly patients on immunosuppressive drugs because of the potential for increased adverse reactions consequent on reduced functional capacity of major end organs. There is little data available to judge relative efficacy of these drugs in the elderly and with the 'greying' of the population these data should be sought after. With careful individual choice of drug and regular reassessment for effect and adverse drug reactions, many elderly patients with rheumatic diseases can obtain useful benefit from these agents.</p>","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"275-89"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14010771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1986-04-01DOI: 10.1016/S0307-742X(21)00624-X
Nicholas Bellamy
{"title":"The Clinical Evaluation of Osteoarthritis in the Elderly","authors":"Nicholas Bellamy","doi":"10.1016/S0307-742X(21)00624-X","DOIUrl":"https://doi.org/10.1016/S0307-742X(21)00624-X","url":null,"abstract":"","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"Pages 131-153"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136736400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1986-04-01DOI: 10.1016/S0307-742X(21)00626-3
L.A. Healey
What is currently classified as rheumatoid arthritis in the elderly (that is, late onset after age 60) may in fact include a number of separable distinct diseases. Identifiable subsets include seropositive or ‘classic’ rheumatoid arthritis, Sjogren's syndrome with a limited form of arthritis, and a seronegative benign synovitis akin to polymyalgia rheumatica.
{"title":"Rheumatoid Arthritis in the Elderly","authors":"L.A. Healey","doi":"10.1016/S0307-742X(21)00626-3","DOIUrl":"https://doi.org/10.1016/S0307-742X(21)00626-3","url":null,"abstract":"<div><p>What is currently classified as rheumatoid arthritis in the elderly (that is, late onset after age 60) may in fact include a number of separable distinct diseases. Identifiable subsets include seropositive or ‘classic’ rheumatoid arthritis, Sjogren's syndrome with a limited form of arthritis, and a seronegative benign synovitis akin to polymyalgia rheumatica.</p></div>","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"Pages 173-179"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136754234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1986-04-01DOI: 10.1016/S0307-742X(21)00629-9
Sandee I. Schlegel, Harold E. Paulus
{"title":"Non-steroidal and Analgesic Therapy in the Elderly","authors":"Sandee I. Schlegel, Harold E. Paulus","doi":"10.1016/S0307-742X(21)00629-9","DOIUrl":"https://doi.org/10.1016/S0307-742X(21)00629-9","url":null,"abstract":"","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"Pages 245-273"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137228348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1986-04-01DOI: 10.1016/S0307-742X(21)00632-9
Lori L. Demlow, Matthew H. Liang, Holley M. Eaton
These case histories illustrate how medical, psychosocial, cultural and economic factors affect the elderly with chronic arthritis. Physicians need to be aware of their patient's attitudes, concerns, support systems and goals resulting from a lifetime of experience, to provide the most appropriate and effective care.
‘Images of future are usually only caricatures of the present’ (Starr, 1982), but based on current demography, one can predict trends for the future. It is likely that the elderly of the future will be better off financially, better educated, healthier, more politically connected and strident, but their social support systems will be less effective. The last stems from trends such as declining birth rate, an increasingly mobile society, diminished importance of the nuclear family, and the diminishing attractiveness of professions involved with providing maintenance care. This suggests that the physician and nurse, being the primary gatekeepers for the care of and services for the elderly, must be even more attentive to the non-biological determinants of arthritis disability.
{"title":"Impact of Chronic Arthritis in the Elderly","authors":"Lori L. Demlow, Matthew H. Liang, Holley M. Eaton","doi":"10.1016/S0307-742X(21)00632-9","DOIUrl":"https://doi.org/10.1016/S0307-742X(21)00632-9","url":null,"abstract":"<div><p>These case histories illustrate how medical, psychosocial, cultural and economic factors affect the elderly with chronic arthritis. Physicians need to be aware of their patient's attitudes, concerns, support systems and goals resulting from a lifetime of experience, to provide the most appropriate and effective care.</p><p>‘Images of future are usually only caricatures of the present’ (Starr, 1982), but based on current demography, one can predict trends for the future. It is likely that the elderly of the future will be better off financially, better educated, healthier, more politically connected and strident, but their social support systems will be less effective. The last stems from trends such as declining birth rate, an increasingly mobile society, diminished importance of the nuclear family, and the diminishing attractiveness of professions involved with providing maintenance care. This suggests that the physician and nurse, being the primary gatekeepers for the care of and services for the elderly, must be even more attentive to the non-biological determinants of arthritis disability.</p></div>","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"Pages 329-335"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137228349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Crystal deposition disease in the elderly.","authors":"M Doherty, P Dieppe","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"97-116"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14148047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arthritis in the elderly can be very effectively treated by a combination of careful orthopaedic and rheumatological assessment. The overall functional assessment, and definition of the aims and likely results of surgical treatment by the team approach, involving occupational therapists, physiotherapists and social workers, are important for success. There are many worthwhile surgical procedures available to relieve pain, and restore mobility and independence to those affected by osteoarthritis and rheumatoid arthritis.
{"title":"Surgical treatment of arthritis in the elderly.","authors":"G Bentley, G S Dowd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Arthritis in the elderly can be very effectively treated by a combination of careful orthopaedic and rheumatological assessment. The overall functional assessment, and definition of the aims and likely results of surgical treatment by the team approach, involving occupational therapists, physiotherapists and social workers, are important for success. There are many worthwhile surgical procedures available to relieve pain, and restore mobility and independence to those affected by osteoarthritis and rheumatoid arthritis.</p>","PeriodicalId":77693,"journal":{"name":"Clinics in rheumatic diseases","volume":"12 1","pages":"291-327"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14645084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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