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Appropriate health care for older women
  • Published Date:
    Jul 1987
  • Source:
    Public Health Rep. 102(4 Suppl):71-73
  • Language:
    English
Filetype[PDF-433.99 KB]


Details:
  • Personal Authors:
    Barry, Patricia P.
  • Keywords:
  • Pubmed ID:
    19313204
  • Pubmed Central ID:
    PMCnull
  • Description:
    Attaining the goal of appropriate medical care for older women requires knowledge of the changes of aging, skills in recognition and treatment of disease, and an effort to provide help and avoid harm. Iatrogenic disorders are particularly problematic in all elderly, dur to decreased stress tolerance, increased prevalence of illness, and atypical presentations of disease. Iatrogenic disorders are most commonly due to drugs; elderly women are particularly at risk dur to altered pharmacokinetics, multiple medical problems, difficulties with compliance, and inappropriate prescribing practices by physicians. In addition, research and development of drugs has often excluded both women and the elderly.Other types of treatment may also result in complications, including significant morbidity and mortality. Additionally, since invasive diagnostic procedures are a common cause of iatrogenic disorders, careful consideration of the usefulness of tests and the appropriateness of treatment is particularly important when caring for elderly women. Attention to the maintenance of function is also critical; the ability of the older woman to live independently may depend upon adequate nutrition, ambulation, continence, and cognition. Health care providers must be responsible for functional assessment and all possible support of these essential capabilities.

  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. Climacteric medicine: cornerstone for midlife health and wellness.
      Personal Author:
      Notelovitz, M
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):116-124
      Description:
      Midlife care should consider the whole woman, with preventive attention to osteoporosis and cardiovascular disease. A new delivery system, using a skin patch, is available for replacement or additive hormonal therapy. Useful hormonal therapy may incl...
      File Type:
      Filetype[PDF - 2.15 MB]
    2. Substance abuse and women's health.
      Personal Author:
      Johnson, E M
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):42-48
      Description:
      The prevalence of illicit drug use is higher among men than women, but new drug use occurs at twice the rate for females as for males. Recent data from emergency rooms and medical examiners support this pattern, but females were more likely than male...
      File Type:
      Filetype[PDF - 1.43 MB]
    3. Introductory remarks
      Personal Author:
      Miller, Sanford A.
      Published:
      Jul 1987
      Source:
      Public Health Rep. 102(4 Suppl):20-22
      Description:
      The relationship between diet and disease has become a key component of health promotion and disease prevention efforts to assist the public in improving their overall health status. The definition of nutrition is in the process of transformation; it...
      File Type:
      Filetype[PDF - 511.65 KB]
    4. Communication between women and their health care providers: research findings and unanswered questions.
      Personal Author:
      Weisman, C S
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):147-151
      Description:
      Although much research has been carried out on communication between health care providers and patients, relatively few studies have investigated the effects of patient or provider gender on the communication process or its outcomes. Women use health...
      File Type:
      Filetype[PDF - 1.15 MB]
    5. Communication barriers between older women and physicians.
      Personal Author:
      Root, M J
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):152-155
      Description:
      Communication barriers between health care providers and older women are multifaceted and complex. The acute care, hospital-based orientation of the health care system tends to bypass the characteristic problems of older women who need services. Brea...
      File Type:
      Filetype[PDF - 723.53 KB]
    6. The physician-patient relationship
      Personal Author:
      Ross-Lee, Barbara
      Published:
      Jul 1987
      Source:
      Public Health Rep. 102(4 Suppl):142-144
      Description:
      There is a direct connection between the doctor-patient relationship and the quality of care. An increase in female and minority physicians leads to a corresponding increase in physician perspective, which allows for improved identification with the ...
      File Type:
      Filetype[PDF - 624.15 KB]
    7. Patient education: the role of the physician assistant and other allied health professionals
      Personal Author:
      Alexander, Lisa Mustone
      Published:
      Jul 1987
      Source:
      Public Health Rep. 102(4 Suppl):145-146
      Description:
      The physician assistant (PA) has been on the leading edge in the development of midlevel health providers since the 1960s. As an allied health professional, PAs, along with nurse practitioners, midwives, nurse anesthetists, and others, emphasize pati...
      File Type:
      Filetype[PDF - 432.27 KB]
    8. Improving communication between women and health care providers
      Personal Author:
      Rogers, Paul G.
      Published:
      Jul 1987
      Source:
      Public Health Rep. 102(4 Suppl):141-142
      Description:
      A wide range of resources are available to enhance the communication and education of women. The patient's attitude should connote a sense of rights as a patient and allow for the request of information from the health care provider without discomfor...
      File Type:
      Filetype[PDF - 312.99 KB]
    9. Nutrition and health--an individual responsibility.
      Personal Author:
      Dodds, J M
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):29-33
      Description:
      The report of the Public Health Service Task Force on Women's Health Issues identifies five social factors which affect health and also apply to nutrition: cultural and social values, which are at the heart of issues of body size; economic status, wh...
      File Type:
      Filetype[PDF - 1.08 MB]
    10. Health among older women in the United States.
      Personal Author:
      Wingard, D L
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):62-67
      Description:
      In the United States, women live longer than men, and they have lower death rates at virtually every age and for most causes of death. The sex differential in mortality has been increasing since the early 1900s, especially for those 15-24 and 55-64 y...
      File Type:
      Filetype[PDF - 1.86 MB]
    11. Issues and concerns of healthy pregnant women.
      Personal Author:
      Burst, H V
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):57-61
      Description:
      The issues and concerns of the 85 percent of essentially healthy women who have normal pregnancies and births are reviewed. The importance of their issues in relation to their health care and outcomes is discussed.
      File Type:
      Filetype[PDF - 1.20 MB]
    12. Taking charge: a personal responsibility.
      Personal Author:
      Newman, D M
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):74-77
      Description:
      Women can adopt health practices that will help them to maintain good health throughout their various life stages. Women can take charge of their health by maintaining a nutritionally balanced diet, exercising, and using common sense. Women can also ...
      File Type:
      Filetype[PDF - 860.49 KB]
    13. Progress on key issues in maternal nutrition
      Personal Author:
      Jacobson, Howard N.
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):50-52
      Description:
      Great progress on key issues in maternal nutrition has been made in the past few years, mainly because of the legislative requirements of the U.S. Department of Agriculture's Special Supplemental Food Program for Women, Infants, and Children (WIC Pro...
      File Type:
      Filetype[PDF - 562.57 KB]
    14. Urinary incontinence.
      Personal Author:
      Resnick, N M
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):67-70
      Description:
      Incontinence has about a 15 percent prevalence among elderly women. Some of the factors associated with incontinence are psychosocial implications of stigmatization, the decreased quality of life, and the economic considerations of nursing home costs...
      File Type:
      Filetype[PDF - 775.12 KB]
    15. Prenatal risk factors for mental retardation in young children
      Personal Author:
      Broman, Sarah H.
      Published:
      Jul 1987
      Source:
      Public Health Rep. 102(4 Suppl):55-57
      Description:
      In a prospective study, prenatal risk factors for mental retardation were identified in two large samples of white and black children followed from gestation to age 7 years in the Collaborative Perinatal Project. Important antecedents of severe and m...
      File Type:
      Filetype[PDF - 632.01 KB]
    16. Introductory remarks
      Personal Author:
      England, Mary Jane
      Published:
      Jul 1987
      Source:
      Public Health Rep. 102(4 Suppl):34
      Description:
      The American Medical Women's Association has chosen as one of its strategic goals for the next year, and probably for a lot longer, preventing young women from smoking. Smoking is of great concern to all as the death rate from lung cancer among women...
      File Type:
      Filetype[PDF - 131.69 KB]
    17. Shaping public policy.
      Personal Author:
      Crooks, G M
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):85-90
      Description:
      Public policy is an area of increasing study. Of concern in this presentation is the consensus-building feature of policymaking in the United States. The role of government in following the procedures established to achieve consensus and the importan...
      File Type:
      Filetype[PDF - 1.53 MB]
    18. Premenstrual symptoms: another look.
      Personal Author:
      Woods, N F
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):106-112
      Description:
      A collection of over 200 symptoms has been labeled premenstrual syndrome. Common belief is that most women experience a marked increase in symptoms premenses. Cyclic variations in the prevalence of commonly cited perimenstrual symptoms were estimated...
      File Type:
      Filetype[PDF - 1.33 MB]
    19. Osteoporosis: radiologic and nuclear medicine procedures.
      Personal Author:
      Weissman, B N
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):127-131
      Description:
      A number of radiographic and nuclear medicine techniques are available for the assessment of patients suspected of having osteoporosis or at risk for the development of osteoporosis. Spinal radiographs are insensitive indicators of osteoporosis. They...
      File Type:
      Filetype[PDF - 895.79 KB]
    20. Women and lung cancer.
      Personal Author:
      Itri, L
      Published:
      1987 Jul-Aug
      Source:
      Public Health Rep. 102(4 Suppl):92-96
      Description:
      Lung cancer has now surpassed breast cancer as the leading cause of cancer deaths in American women. In 1986, 49,000 women were diagnosed as having lung cancer; only 16 percent of them will survive 5 years or more. Cigarette smoking is unquestionably...
      File Type:
      Filetype[PDF - 1.68 MB]
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