Clinics in Geriatric Medicine 1991: Vol 7 Index

19 Pages·1991·3.3 MB·English

Cumulative Index 1991
Volume 7
February GERIATRIC SEXUALITY, pages 1-184
May GASTROENTEROLOGIC PROBLEMS, pages 185-400
August CEREBROVASCULAR DISEASES IN THE 1990s, pages 401-643
November GERIATRIC HOME CARE, pages 645-892
Note: Page numbers for complete issues and articles appear in boldface type.
Abdominal pain, in irritable bowel Alcoholism, effect on sexuality, 20, 103,
syndrome, 267 117-118, 138
Abuse, of elderly, 831-845. See also Elder case study of, 145-146
abuse. Alpha-blockers, and sexual dysfunction, 101
Accidents, fails caused by, 709 Alzheimer’s disease, effect on sexual
Achalasia, and esophageal dysphagia, 222— function, 139-142
224 histologic features of, and intracerebral
Acid peptic disease, 231-254. See also hemorrhage, 555
Peptic ulcer disease; Ulcer(s). Amaurosis fugax, 526
Activities of daily living (ADL), poststroke stroke involving, 433
rehabilitation for, 514-515 American Academy of Home Care
Acute-care facility, feeding in, 204-209 Physicians (AAHCP), role in home
Adenomas, and colorectal cancer, 335-336 health care quality assurance, 859, 862
Adjustment, in home rehabilitation, 703 American Medical Association (AMA), role
Adult children, living with, effect on sexual in home health care quality assurance,
expression, 155-156 855, 862
Aging, as disease, 387-388 Amino acid antagonists, excitatory, for
interaction with disease, 196 ischemic stroke, 462
philosophic approach to, 387-394 Aminophylline, for ischemic stroke, 467
physiologic changes with, 134 21—Aminosteroids, for ischemic stroke, 468
psychologic and cultural issues in, 165- Amitriptyline, for poststroke depression,
167 499-500
rationing of medical care in, 390-392 Amnestic effects, of antidepressants, 500
sexual physiology of, drug interactions Amoxapine, for poststroke depression, 502
with, 96-98 Amyloid angiopathy, cerebral, 617-630
sexuality and, 1-7 amyloid plaques in, 622
Agitation, in dementia, home management and intracerebral hemorrhage, 553-555
of, 793 differential diagnosis of, 624-625
Airway, establishment of, in ischemic epidemiology of, 617-618
stroke, 456 histopathology of, 620-624
Alcohol consumption, and chronic subdural molecular, 623-624
hematoma, 585 parenchymal, 621-623
and intracerebral hemorrhage, 551 vascular, 620-621
and vascular dementia, 606 laboratory features of, 625-626
876 CUMULATIVE INDEX 1991
Amyloid angiopathy (Continued) for ischemic stroke, 462—463
signs and symptoms of, 618-620 Antispasmodics, for irritable bowel
treatment of, 626-627 syndrome, 278
Amyotrophic lateral sclerosis, and Antithrombotic therapy, for acute
oropharyngeal dysphagia, 219 cardiogenic stroke, 439-440
Ancrod, for ischemic stroke, 466 for ischemic stroke, 462—464
Androgen, and sexual function in women, Anxiety, effect on sexual function, 138-139
32, 47, 91 Anxiolytics, and sexual dysfunction, 99
Andrology Clinic case studies, 144-148 Aphasia, in chronic subdural hematoma, 587
Aneurysm, and subarachnoid hemorrhage, Apoplexy, pituitary, 533-535
569 Appetite, aging-related changes in, 193-195
surgical treatment of, 575-576 Arm, poststroke rehabilitation of, 515
cerebral, seizures with, 487 Arterial disease, and erectile failure, 77
intracavernous, and ocular motility distur- Arterial disorganization, in brain, 444
bances, 540, 542 Arteriosclerotic encephalopathy, subcortical,
ruptured, and chronic subdural hema- dementia with, 608
toma, 584 Arteriovenous malformation, and chronic
Angiography, for carotid-cavernous fistula, subdural hematoma, 584
539 and subarachnoid hemorrhage, 569, 578-
for cerebral amyloid angiopathy, 625 580
for chronic subdural hematoma, 589 Arteritis, fibrinoid, in brain, 444
for lower intestinal bleeding, 314-316 giant cell, and permanent visual loss,
Angionecrosis, in brain, 444 529-533
Angiopathy, amyloid. See Amyloid Arthritis, effect on sexuality, 122
angiopathy. Ascites, 380-381
Angiotensin converting enzyme inhibitors, L-Aspartate, for ischemic stroke, 462
and sexual dysfunction, 101 Aspirin, for acute cardiogenic stroke, 440
Anorexia, in home hospice care, 812 for atherothromboembolic stroke prophy-
Anthropometric measures, 198-199 laxis, 404—407
Antiarrhythmic agents, and sexual for carotid artery disease, 421
dysfunction, 102 for ischemic stroke, 463
Antibiotics, for cavernous sinus syndrome, ulcers associated with, 245
537 Assistive devices, home assessment of, 726
intravenous, home-administered, 749-763 Ataxia, one-sided, lacunar infarction and,
Anticholinergic agents, and sexual 448
dysfunction, 103 Atenolol, for ischemic stroke, 467
Anticholinergic effects, of antidepressants, Atherosclerosis, and lacunar brain infarction,
500 444
Anticoagulants, for atherothromboembolic and stroke, prevention of, 401-416
stroke prophylaxis, 411-413 Atrial fibrillation, and cardiogenic stroke,
for cavernous sinus syndrome, 537 431, 436-439
for cerebral amyloid angiopathy, 626 Autonomy, in elder abuse, 841
for ischemic stroke, 463-464
Anticonvulsants, and sexual dysfunction, 102
for cerebral amyloid angiopathy, 626
for poststroke seizures, 489 Barbiturates, for cerebral edema, in
Antidepressants, and sexual dysfunction, 98- ischemic stroke, 460
99 Barium enema, for colorectal cancer, 334
for irritable bowel syndrome, 279 for lower intestinal bleeding, 313-314
for poststroke depression, 499-501 Barthel index, of stroke outcome, 519
Antifibrinolytic agents, for subarachnoid Basal ganglia, left, lesions of, depression
hemorrhage, 575 with, 496
Antihypertensive medication, and sexual Bathroom, home assessment of, 722-724
dysfunction, 66, 99-101, 169 Beanpole family, and elder abuse, 835
Antilipemic agents, and sexual dysfunction, Bedroom, home assessment of, 724-725
102 Behavior, poststroke rehabilitation of, 517-
Antiplatelet therapy, for 518
atherothromboembolic stroke preblems in dementia, home management
prophylaxis, 404-410 of, 787-801
for carotid artery disease, 421 Beneficence, in elder abuse, 842
CUMULATIVE INDEX 1991
Benzodiazepines, for dementia home for ischemic stroke, 460
management, 798-799 for subarachnoid hemorrhage, 577
Beta-blockers, and sexual dysfunction, 100- Caloric density, of tube feeding formulas,
101 205-206
for ischemic stroke, 467 Calorie needs, aging-related changes in,
Beta protein, in cerebral amyloid 193-194
angiopathy, 624 Cancer, effect on sexuality, 122-123
Biliary tract disease, 347-370 inflammatory bowel disease vs, 293
cholangitis, drainage for, 356 of colon and rectum, 331-346. See also
cirrhosis, primary, 378-380 Colorectal cancer.
obstruction, benign, 358-362 Carbamazepine, for dementia home
malignant, 362-363 management, 799
pancreatitis, 357-358 for poststroke seizures, 489
stricture, 358-363 Carbonic anhydrase inhibitors, and sexual
postsurgical, 358-360 dysfunction, 103
Binswanger’s disease, and vascular
Carcinomatosis, meningeal, and chronic
dementia, 608 subdural hematoma, 584
Biochemical parameters, measurement of, Cardiac care, in stroke patient, 480
199-200 Cardiac status, monitoring of, in ischemic
Bladder cancer, and erectile failure, 76-77 stroke, 456
Bleeding diathesis, and chronic subdural Cardiogenic stroke, 429-442
hematoma, 584
Cardiovascular agents, and sexual
Blood flow, effect on penile erection, 64
dysfunction, 99-102
Blood pressure, management of, in stroke
Cardiovascular disease, effect on sexuality,
patient, 475-477
123-124
monitoring of, in ischemic stroke, 457
Caregivers, in home health care, burden on,
Board-and-care facilities, sexual expression
660, 817-829
of elders in, 156-157
family relationship problems, 820
Body composition, measurement of, 199
Body fat, aging-related changes in, 193 sources and solution of, 819
Border-zone infarctions, dementia with, 609 conflict in, 818
Bowel dysfunction. See also Irritable bowel education of, and medication compli-
syndrome. ance, 741
diagnosis of, 276-277 pain management by, 767-768
incidence by age, 269 role in poststroke depression, 503
poststroke management of, 509 Carotid artery, external, biopsy of, in giant
Brain, atherothromboembolic infarction of, cell arteritis, 530-531
prevention of, 401-416 intracranial, aneurysm of, frequency of,
biopsy of, for cerebral amyloid angiopa- 574
thy, 625 stenosis of, asymptomatic, 418-419
radioisotopic scans of, for chronic subdural studies of, in lacunar infarction, 450—451
hematoma, 589 Carotid artery disease, asymptomatic, 417-
tumor of, and chronic subdural hema- 428
toma, 584 plaque morphology in, and prognosis,
Breast, cancer of, and sexual dysfunction, 419-420
54-56 risk factors in, 419-421
decreased vasocongestion of, with aging,
treatment of, 421-424
89
Carotid-cavernous fistula, and ocular
Bromocriptine, for impotence, 104
motility disturbances, 537-540
Bronchodilators, anticholinergic, for home
Carotid endarterectomy, for carotid artery
respiratory care, 779-780
Bruit, asymptomatic, in carotid artery disease, 421
disease, 417-418 CASANOVA, 424
Bulking agents, for irritable bowel Case-finding, in home assessment, 678
syndrome, 276—278 Catastrophic reactions, in dementia, home
Bupropion, for poststroke depression, 502 management of, 794
Burns, 717-718 Catheterization, urinary, following stroke,
509
Caudate nucleus, hemorrhage in, clinical
features of, 557-558
Calcium channel blockers, and sexual Cavernous sinus syndrome, and ocular
dysfunction, 101 motility disturbances, 535-537
878 CUMULATIVE INDEX 1991
Cavernous sinus syndrome (Continued) and vascular dementia, 606
with pituitary apoplexy, 534 Ciliary artery, posterior, occlusion of, and
Central nervous system, changes with aging, permanent visual loss, 529
effect on sexual function, 86 Cirrhosis, biliary, primary, 378-380
disorders of, and impotence, 66—67 Climacteric, normal, management of, 31-33
and oropharyngeal dysphagia, 218-219 Climate, problems with, in travel, 323-324
in aging men, 96 Clinical parameters, measurement of, 200
Central venous nutrition, 210 Clumsy hand syndrome, in lacunar
Cerebellum, hemorrhage in, clinical features infarction, 447-448
of, 561 Cognitive function, impairment of, as
Cerebral artery(ies), amyloid angiopathy of. barrier to sexual expression, 139-142,
See Amyloid angiopathy. 158
aneurysm of, frequency of, 574 tests of, in vascular dementia, 609
middle, infarction of, hemorrhagic, 434 Colitis, infectious, and lower intestinal
seizures in, 485 bleeding, 309-311
Cerebral cortex, stroke involving, and ischemic, and lower intestinal bleeding,
seizures, 484 304-308
cardiogenic source of, 433 barium enema of, 306
in cerebral amyloid angiopathy, 621- inflammatory bowel disease vs, 292
622 mucous, incidence by age, race, and sex,
Cerebral edema, in ischemic stroke, 270
management of, 458-460 Colon, cancer of, 331-346. See also
with chronic subdural hematoma, 593 Colorectal cancer.
Cerebral infarction, and vascular dementia, diverticula of, and lower intestinal bleed-
606 ing, 304-305
embolic, seizures in, 484—485 ischemia of, and lower intestinal bleeding,
in cerebral amyloid angiopathy, 619 304-308
Cerebral ischemia, acute, medical causes of, 305
management of, 455-473 distribution and length of, 308
Cerebrospinal fluid, testing of, for cerebral neoplasm of, and lower intestinal bleed-
amyloid angiopathy, 625 ing, 311
Cerebrovascular disease, effect on sexuality, stricture of, barium enema of, 306
123-124 Colonoscopy, for colorectal cancer, 334
ischemic, seizures in, 484—485 for lower intestinal bleeding, 314
management of, ethical issues in, 631-636 Colorectal cancer, 331-346
Change, illness as agent of, 827
American Cancer Society reeommenda-
Chemotherapeutic agents, and sexual
dysfunction, 103 tions concerning, 334
and erectile failure, 76-77
Chest pain, with pulmonary embolism, in
causes and pathogenesis of, 332
stroke patient, 479
classification of, 338-339
Children, adult, living with, effect on sexual
clinical features of, 336-337
expression, 155-156 epidemiology of, 331-332
Chlorpromazine, for dementia home
gross features of, 337
management, 798
histology of, 337
Cholangitis, 355-357
primary sclerosing, 361-362 laboratory findings in, 337
Cholecystitis, acute, in gallstone disease, management of, 339-343
352-353 chemotherapy, 340-342
Choledocholithiasis, 354-355 in aged, 342-343
Cholesterol, serum levels of, and laser therapy, palliative, 342
intracerebral hemorrhage, 551 patient follow-up of, 343
Chronic-care facility, feeding in, 204-209 radiation therapy, adjuvant, 340
Chronic illness, and low sexual desire, 175 surgery, 339-340
as agent of change, 827 natural history of, 338
Chronic obstructive pulmonary disease, pathology of, 337-339
home oxygen therapy for, 780-782 physical examination for, 337
Cigarette smoking, and intracerebral prevention of, dietary recommedations
hemorrhage, 551 for, 343
and peptic ulcer disease, 238 prognosis in, 338, 339
and risk of stroke, 402 risk factors for, 333
CUMULATIVE INDEX 1991 879
screening for, antibiotic prophylaxis in, Death, in home hospice care, 814-815
335 Deconditioning, effect on poststroke
guidelines for, 332-335 rehabilitation, 514
signs and symptoms of, 336 Defecation, disturbed, in irritable bowel
staging of, 337-339 syndrome, 267
US death rate for, 332 Dehydration, in home hospice care, 812
Commercial food supplements, 203-204 in travel, 324
Common bile duct, obstruction of, 354-355 Delusions, in dementia, home management
Communication, family patterns of, effect on of, 794-795
home health care, 826-827 Dementia(s), and sexual dysfunction, 117,
poststroke rehabilitation of, 515-516 139-142
Community elderly, functional assistance behavioral problems in, demographics of,
needs of, 653-656 787-790
Community Health Accreditation Program, factors precipitating or worsening, 790-
Inc (CHAP), 854-855, 863 791
Community services, home assessment of, frequency and types of, 788-790
727-729 home management of, 787-801
Complementary marital arrangement, effect general methods for, 791-792
on home health care, 823—824 psychoactive drugs for, 796-799
Compliance. See Patient compliance. specific methods in, 792-796
Computed tomography, for chronic subdural treatment goals and approaches in,
hematoma, 587, 589-590 790-792
for lacunar infarction, 443 diagnostic criteria for, 788
for subarachnoid hemorrhage, 572, 573 in cerebral amyloid angiopathy, 619-620
Congestive heart failure, and sexual vascular (multi-infarct), 599-615
function, 170 classification of, 602-603
Conjunctiva, chemosis of, with carotid- clinical and laboratory tests for, 609-
cavernous fistula, 538 610
Consciousness, impaired, in intracerebral clinical syndromes of, 607-609
hemorrhage, 556 definition of, 600
with pituitary apoplexy, 534 diagnostic criteria for, 600-603
Constipation, and lower intestinal bleeding, epidemiology of, 603-607
311 neuropathology of, 610-611
in irritable bowel syndrome, management prevalence and incidence of, 603-605
of, 280 prognosis in, 611
Continence, poststroke rehabilitation of, 518 risk factors in, 606-607
COPD, home oxygen therapy for, 780-782 treatment of, 611-612
Coronary disease, and sexual function, 168- Department of Veterans Affairs, in home
170 health care, 649
Corticosteroids. See Steroids. Dependent living situations, sexuality in,
Cost-effectiveness, of home health care, 153-160
865-874 Depression, and impotence, 67
Counseling/therapy, for sexual problems, criteria for, 496
161-179 drugs causing, 502-503
Cranial nerve, compression of, subarachnoid effect on sexuality, 116-117, 137-138
hemorrhage and, 570-571 poststroke, 493-506
dysfunctions of, in cavernous sinus syn- biologic basis of, 497-499
drome, 535-536 diagnosis of, 494-497
Crisis intervention, in home assessment, 679 incidence of, 493
Crohn’s disease, 288 symptoms of, 494—495
Cultural attitudes, and sexuality, 135, 174 treatment of, 499-503
Cystatin C, in cerebral amyloid angiopathy, Desipramine, for poststroke depression,
624 499-500
Cystectomy, radical, and sexual dysfunction, Detachment, family, effect on home health
56-57 care, 826
Dextran, for ischemic stroke, 466
Diabetes mellitus, and impotence, 66-67
and risk of stroke, 402
Day-night disturbance, in dementia, home and vascular dementia, 606
management of, 794 effect on sexuality, 114-116, 167-168
880 CUMULATIVE INDEx 1991
Diabetic foot infection, 757 Dyspepsia, nonulcer, ulcerlike symptoms
Dialysis, and chronic subdural hematoma, with, 249
585 Dysphagia, 216-228
Diarrhea, in traveling elderly, 325-326, 328 commercial food supplements for, 203
pretravel advice concerning, 322 esophageal, 221-228
Diazepam, for poststroke seizures, 489 in irritable bowel syndrome, 268
Dietary fiber, for irritable bowel syndrome, oropharyngeal, 217-221
276-278 poststroke rehabilitation of, 517
Dietary intake, evaluation of, 198, 202 Dysphasia, poststroke rehabilitation of, 516
Dietary problems, in traveling elderly, 325- Dyspnea, in home hospice care, 813
326 with pulmonary embolism, in stroke pa-
Digoxin, and sexual dysfunction, 102 tient, 479
Dipyridamole, for atherothromboembolic Dysthymic disorder, criteria for, 496
stroke prophylaxis, 409
for carotid artery disease, 421
Disease(s), aging as, 387-388
chronic, and geriatric sexuality, 113-131 Early satiety, in irritable bowel syndrome,
in traveling elderly, 324-328 268
interaction with aging, 196 Eating dependency, in institutionalized
Disuse atrophy, in female sexual patients, 197-198
dysfunction, 33 Edema, cerebral, in ischemic stroke,
Diuretics, and sexual dysfunction, 99-100 management of, 458-460
for intracranial hypertension, in intracere- periorbital, with carotid-cavernous fistula,
bral hemorrhage, 562 538
Diversion colitis, and lower intestinal Ejaculatory problems, in aging men, 97, 162
bleeding, 311 in diabetes, 168
Diverticula, colonic, and lower intestinal Elder abuse, 831-845
bleeding, 304-305 clinical assessment of, 836-842
relation to irritable bowel syndrome, family history, 838
275 medical history, 837-838
Diverticulitis, colonic, barium enema of, 307 physical examination, 838-839
Diverticulosis, inflammatory bowel disease psychological, 839-840
vs, 292 risk factor identification, 840
Dizziness, and falls, 711 definitions of, 831-832
Do not resuscitate/intubate orders, for home ethical issues in, 840-842
hospice care, 815 etiology and risk factors for, 834-836
for home respiratory care, 782 intervention in, 842-843
Doxepin, for poststroke depression, 499-500 laws regarding, 843
Drop attacks, and falls, 711 types of, 832-834
Drug(s), abuse of, and subarachnoid Elderly, acid peptic disease in, 231-254
hemorrhage, 580 assessment of, in home, 677-693. See also
cost of, and medication noncompliance, Home assessment.
741 biliary tract disease in, 347-370
depression caused by, 502-503 functional assistance needs of, 653-656
effects on sexual function, 96—98 gastroenterologic diagnoses in, 266
hepatotoxicity with, 371-374 inflammatory bowel disease in, 287-299
history of, in home medication assess- irritable bowel syndrome in, 265-286
ment, 734 liver diseases in, 371-385
metabolism of, 373 lower intestinal bleeding in, 301-319
reactions to, 373-374 nutritional problems of, 191-214
Duodenal ulcer, 242-243 physician view of, in hospitals, 388-389
Helicobacter pylori infection and, 237 sexual problems in, 161-179
Durable power of attorney for health care, swallowing disorders in, 215-230
808 travel-related problems in, 321-330
Dying patient, home hospice care for, 803- upper gastrointestinal bleeding in, man-
816. See also Home hospice care. agement of, 255-264
Dysarthria, lacunar infarction and, 447-448 urologic disease and surgery in, 75—78
poststroke rehabilitation of, 515 Electroencephalography, for chronic
Dyspareunia, and decreased sexual activity, subdural hematoma, 588
45 role of, in poststroke seizures, 488
CUMULATIVE INDEX 1991
Electrolytes, management of, in ischemic diagnostic approach to, 714-716
stroke, 456 epidemiology of, 707-709
Elemental diets, for tube-feeding, 207 incidence of, 708
Embolism, cardiogenic sources of, 431, 434- patient history in, 714
435 physical examination in, 715
Embolization, for carotid-cavernous fistula, prevention of, 707-731
539 risk factors for, 712-714
Emotional expressions, in family, effect on therapy for, 716-717
home health care, 826 Family(ies), caregivers in. See Caregivers.
Encephalopathy, arteriosclerotic, dementia dynamics of, in home health care, 659,
with, 608 817-829
Endarterectomy, for carotid artery disease, assessment of, 682, 821
422-424 developmental stages, 822-823
Endocarditis, infective, and subarachnoid membership, 821-822
hemorrhage, 580 organization, 823-825
Endocrine system, in aging men, 96 structure, 821-827
in geriatric sexuality, 85-93 systems theory of, 820-821
Endothelial surface infections, home Fecal incontinence, in irritable bowel
intravenous antibiotic therapy for, 757 syndrome, 267—268
Enmeshment, family, effect on home health management of, 280-281
care, 826 Fecal occult blood, testing for, 333-334
Enterocolitis, inflammatory bowel disease Feeding process, improvement of, 202-203
vs, 292 Fiber content, of tube feeding formulas, 206
Environment, home assessment of, 682 Fibrinoid necrosis, in brain, 444
Epilepsy, development of, following Financial abuse, of elderly, 834
intracerebral hemorrhage, 486 Floors/rugs, home assessment of, 720-721
following subarachnoid hemorrhage, Fluid(s), intake of, regulation mechanisms
487 of, aging-related changes in, 196
in chronic subdural hematoma, 587 poststroke management of, 456, 508-509
in stroke patients, 484 Flunarizine, for ischemic stroke, 461
Epsilon-aminocaproic acid, for subarachnoid Fluoxetine, for poststroke depression, 502
hemorrhage, seizures with, 487 Food intake, aging-related changes in, 193—
Erectile failure. See Impotence. 196
Erection, physiology of, 74-75 supplementation of, 200-202
effects of aging on, 63-64 Food poisoning, in traveling elderly, 328
Erythrocyte sedimentation rate, in giant cell Footwear, home assessment of, 727
arteritis, 530 Framingham Study, of stroke outcome, 519
Esophagus, lesions of, and esophageal Frontal lobe, left, lesions of, depression
dysphagia, 221-228 with, 496
carcinoma, 225-226 Functional activities, in home rehabilitation,
diffuse spasm, 224-225 701
medication-induced injury, 227-228 Functional disabilities, and medication
rings and webs, 226 noncompliance, 740—741
tumor, 216, 217 Furosemide, for cerebral edema, in
vascular, 227 ischemic stroke, 459
and oropharyngeal dysphagia, 220
Estradiol therapy, and sexual function in
women, 91
Estrogen, and female sexual function, 32, Gait, poststroke rehabilitation of, 514
47-48, 90-91, 107-108, 163 problems with, and falls, 710
Ethical issues, in cerebrovascular disease Gallbladder cancer, in gallstone disease, 354
management, 631-636 Gallstone disease, 347-354
Eye(s), deviation of, lacunar infarction and, complications of, 352-354
448 acute cholecystitis, 352-353
motility disturbances of, 535-544 gallbladder cancer, 353
pain in, in cavernous sinus syndrome, 535 gallstone ileus, 353-354
management of, 349-352
expectant, 350
extracorporeal shock-wave lithotripsy,
Falls, causes of, 709-712 351-352
882 CUMULATIVE INDEX 1991
Gallstone disease (Continued) Headache, with chronic subdural hematoma,
methyl tert-butyl ether, 352 587
nonsurgical, 250-352 with intracerebral hemorrhage, 556
oral dissolution therapy, 350-351 with pituitary apoplexy, 534
surgical, 349-350 with subarachnoid hemorrhage, 570
natural history of, 348-349 Health, and sexuality, in aging, 167-171
prevalence of, 347-348 home assessment of, 681
symptoms of, 348 Heart disease, and vascular dementia, 606
types of gallstones in, 349 Heart valves, prosthetic, and cardiogenic
Gallstone ileus, 353-354 stroke, 431
Gastric disorders, in traveling elderly, 325- Heat stroke, in traveling elderly, 324
326 Heaters, home assessment of, 721-722
Gastric ulcer, 240-242 Height, measurement of, 199
Helicobacter pylori infection and, 237— Helicobacter pylori infection, and peptic
238 ulcer disease, 236-238
Gastritis, and peptic ulcer disease, 235-238 Hematemesis, upper gastrointestinal
Gastrointestinal bleeding, lower, 301-319 bleeding with, 257
upper, 255-264 Hematoma, intracerebral, and seizures, 486
endoscopy of, 258-261 subdural, chronic, 583-598. See also Sub-
for esophageal varices, 260-261 dural hematoma.
for nonvariceal lesions, 259-260 Hemicraniectomy, for cerebral edema, in
sedation with, 258 ischemic stroke, 460
technique of, 259-261 Hemiparesis, in chronic subdural
hematoma, 587-588
history of, 256-257
in lacunar infarction, 445-447
initial evaluation of, 256-258
poststroke rehabilitation of, 513
physical examination in, 257-258
Hemodilution, for ischemic stroke, 465—466
Gastrointestinal disorders, in traveling
Hemoptysis, with pulmonary embolism, in
elderly, 321-330
stroke patient, 479
Gastrointestinal tract, aging, 186-188
Hemorrhage, intracerebral, 549-567
Genitourinary infection, home intravenous
age distribution of, 549-551
antibiotic therapy for, 756
clinical features of, 556-562
Geriatric assessment, in home, 677-693. differential diagnosis of, 624
See also Home assessment. distribution by site, 557
Giant cell arteritis, and permanent visual in cerebral amyloid angiopathy, 618—
loss, 529-533 619, 621-622
Glaucoma, with carotid-cavernous fistula, incidence of, 549-550
539 mechanisms of, 552-556
L-Glutamate, for ischemic stroke, 462 risk factors for, 550-552
Glycerol, for cerebral edema, in ischemic treatment of, 562-564
stroke, 459 intracranial, seizures in, 485-488
GM, gangliosides, for ischemic stroke, 467— intraplaque, in carotid artery disease,
468 prognosis with, 420
Groshong catheter, for home intravenous subarachnoid, 569-582
therapy, 754 causes of, 578-581
Gut, aged, general perspectives on, 185-189 clinical presentation and diagnosis of,
Gynecologic factors, in sexual dysfunction, 571-574
41-57 epidemiology of, 570
cancer, 51 in cerebral amyloid angiopathy, 620
gynecologic surgery and therapy, 49-57 mortality in, 573
postmenopausal problems, 44—45 premonitory signs in, 570-571
seizures in, 487-488
treatment of, 574-578
Hemorrhagic infarction, computed
H, blockers, and sexual dysfunction, 102 tomography of, 434
Hachinski Ischemic Score, for multi-infarct Hemorrheologic treatment, for ischemic
dementia, 600-601 stroke, 465-466
Haloperidol, for dementia home Hemorrhoids, and lower intestinal bleeding,
management, 797-798 311
Hand, poststroke rehabilitation of, 515 Heparin, for acute cardiogenic stroke, 440
CUMULATIVE INDEX 1991
for atherothromboembolic stroke prophy- history of, 646-647
laxis, 411-412 home assessment of, 679-680
for deep venous thrombosis, in stroke pa- hospice, 803-816. See also Home hospice
tient, 479 care.
for ischemic stroke, 463-464 informal, 658-661
for pulmonary embolism, in stroke pa- Medicare payment for, 866
tient, 479 quality assurance in, 847-863
Heparin lock, for home intravenous therapy, activities in, 849-850
753 concerns in, 848
Heparinoids, low molecular weight, for formal mechanisms of, 852-855
ischemic stroke, 464 improvement in, 859-860
Hepatitis, type C, 376-378 methods and goals of, 850-852
Hepatotoxicity, drug-induced, 371-374 multidisciplinary perspectives of, 855-
High-tech methods, for home pain 859
management, 773-774 reasons for, 658
Hip fracture, falls and, 709 recent changes in, 667-668
Home assessment, 677-693 role of physicians in, 665-675
checklist for, 682 academic physician and, 672-673
comprehensive, 680-683 background, 666—668
extent of, 681-682 decline in, 666
medications in, 736-737 education, 669-671
implications for primary care, 690-691 home visits, importance of, 857
limitations and barriers to, 688—689 medical specialties, 671-673
location of, 689-690 quality assurance, 855
need for, 689 reasons, 668-669
of assistive devices, 726 reimbursement, 667, 673
of medication, 734-737 responsibilities, 671
of pain, 768-770 studies of, 870-872
of safety, 718-729 third-party payment of, 647-653
outcomes from, 687-688 unique aspects of, 848-849
problems identified by, 684 visits involving, composition of, 871
recommendations from, 685-687 Home hospice care, 803-816
team approach to, 683 clinical aspects of, 809-814
types of, 678-680 death in, 814-815
unresolved issues in, 689-690 ethical and legal aspects of, 807-808
yield of, 683-685 goals of, 803
Home health agency(ies), accreditation of, laboratory tests in, 813-814
853-854 Medicare certification of, 804-805
certificate of need of, 853 organization of, 804-807
Medicare certification of, 651, 852-853 reasons for, 804
physician as medical director of, 672 reimbursement for, 807
selection of, guidelines for, 855-857 team dynamics in, 806
state licensure of, 853 treatment plan for, 805
users of, 652 Home intravenous therapy, antibiotic, 749-
Home health aide-homemaker, quality 763
monitoring of, 858 drugs used in, 758-760
Home health care, 645-664 experience in elderly, 759-761
benefits of, 869 financial considerations in, 761
caregiver burden in, 817-829 types of infection treated by, 756-758
cost-effectiveness of, 662, 865-874 development of, 750-751
definition of, 645-646 equipment required for, 753-756
desirablity of, 868-869 patient selection for, 752
elderly use of, 653-661 types of, 751-752
family dynamics in, 817-829 Home management, of dementia, 787-801.
financing for, 865 See also Dementia(s).
for respiratory problems, 777-786. See of intravenous antibiotics, 749-763. See
also Respiratory problems. also Home intravenous therapy.
formal, effectiveness of, 661-662 of medication, 733-748. See also Medica-
functionally dependent community elderly tion.
receiving, 656-658 of pain, 765-776. See also Pain.
884 CUMULATIVE INDEX 1991
Home pharmacy, assessment of, 734-735 Imipramine, for poststroke depression, 499-
Home rehabilitation, admission criteria for, 500
696 Immunizations, pretravel advice concerning,
multidisciplinary, 695-706 323
nursing care in, 697-699 Implantable port, for home intravenous
occupational therapy in, 701-703 therapy, 755
physical therapy in, 699-701 Impotence, 63-72
psychosocial issues in, 703-705 diabetes mellitus and, 114, 168
role of physician in, 696-697 evaluation of, 68—69
Home safety, 707-731 pathogenesis and diagnosis of, 64-68
Home visitor, home assessment by, 682 treatment of, 31, 69-70, 78
Homemaker-home health aide, quality medications for, 104—107
monitoring of, 858 urologic considerations in, 73-84
Hookworm, in traveling elderly, 326 Incontinence, urinary, effect on sexuality,
Hormone therapy, and sexual function in 125
women, 90-91 Infection, and chronic subdural hematoma,
for impotence, 104 584
Hospice care, home, 803-816. See also and subarachnoid hemorrhage, 580
Home hospice care. Infectbiloeuesd incgol,i ti3s,0 9a-n3d1 1 lower intestinal
Hospitals, physician view of elderly in, 388—
389 Inflammatory bowel disease, 287-299
House calls, by physicians, 857 and lower intestinal bleeding, 309
in home assessment, 678-679 cancer risk in, 295
causes of, 293-294
Hyalinosis, in brain, 444
Hydatid cysts, in traveling elderly, 327 diagnosis of, 288-293
incidence and prevalence of, 288-289
Hypercholesterolemia, and risk of stroke,
natural history of, 294-295
402
surgery for, 296
Hyperestrogenemia, effect on sexuality, 120
treatment of, 290, 295-297
Hyperlipidemia, and vascular dementia, 606
university-based experience with, 297—
Hyperprolactinemia, effect on sexuality, 48,
298
120 Infusion pumps, for home pain
Hypertension, and intracerebral
hemorrhage, 550 management, 773
Intercourse, frequency of, with aging, 44, 86
and risk of stroke, 402
Interpersonal factors, and sexual
and vascular dementia, 606
dysfunction, 135-136
control of, in cerebral amyloid angiopathy,
Intestinal bleeding, lower, 301-319
626
causes and clinical features of, 301-312
Hyperthyroidism, effect on sexuality, 120 evaluation and management of, 312-316
Hyperventilation, for cerebral amyloid upper, 255-264
angiopathy, 626
Intracranial hemorrhage, seizures in, 485—
for intracranial hypertension, in intracere- 488
bral hemorrhage, 562 Intracranial pressure, elevated, in
Hypnotic effects, of antidepressants, 500 intracerebral hemorrhage, 556, 562—
Hypogonadism, in aging men, 88 563
Hypotension, orthostatic, and falls, 711 in ischemic stroke, 458-459
Hypothalamic-pituitary-testicular axis, age- low, and chronic subdural hematoma, 584
related changes in, 87-89 Intrapersonal issues, and sexual dysfunction,
Hypothermia, in traveling elderly, 324 135
Hypothyroidism, effect on sexuality, 120 Intravenous antibiotic therapy, home-
Hysterectomy, in older women, and sexual administered, 749-763. See also Home
dysfunction, 49-50 intravenous therapy.
Intussusception, and lower intestinal
bleeding, 311
Ipratropium bromide, for home respiratory
Illness, as agent of change, 827 care, 779-780
chronic, psychosocial aspects of, 125-126 Irritable bowel syndrome, 265-286
Imaging studies, of cerebral amyloid anorectal abnormalities and, 272
angiopathy, 625 cause of, 271-275
of lacunar infarction, 450 diet in, 273