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Eskind Library Synthesized Information - Geriatrics
The information provided below is developed by EBL librarians in response to questions from VUMC clinicians. The
syntheses provided are copyrighted by the EBL and should not be re-used without
permission. Please also review this disclaimer.
In patients over age 65, what are risk factors for falls, what are consequences of falls, what is the recommended evaluation strategy for falls, and what management strategies are shown to reduce fall risk?
1) Can you find evidence about bisphosphonate therapy and osteonecrosis of the jaw?
2) How many cases of osteonecrosis of the jaw have been reported in users of Fosamax (or oral bisphosphonates) who do not have cancer?
3) How long does one have to use the medication to be at risk?
4) Are there recommendations about stopping bisphosphonates in patients because of this concern?
5) What about other recommendations for patients on bisphophonates (e.g., need to see a dentist/oral surgeon)? Is there any negative influence on dental procedures for patients taking oral bisphosphonates?
Methods for culture change/patient centered care/team work in the long-term care environment.
Literature review on approaches for behavioral management of agitation in demented patients.
This woman has been on Fosamax for about 5 years. She has anterior uveitis. How long should a patient be treated with Fosamax (life or 5 years)? Is there an association with anterior uveitis and Fosamax or any of the other medicines she is on?
Are older workers safer, more reliable, more productive?
What is the day care program experience like for seniors and their family members?
What is the difference in medication adherence/compliance rates in persons with and without prescription drug coverage?
What is the effectiveness of physical therapy in preventing falls in elderly patients with history of prior falls?