Age and ageing
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Case Reports
Non-convulsive status epilepticus in elderly individuals: report of four representative cases.
the purpose of this article is to describe the clinical and electroencephalographic features of four elderly patients diagnosed as having non-convulsive status epilepticus. ⋯ the identification of non-convulsive status epilepticus may be particularly arduous in elderly subjects and, therefore, a high level of suspicion is essential to obtain an early diagnosis. An urgent electroencephalogram is considered as the method of choice in the diagnostic evaluation of non-convulsive status epilepticus. Finally, non-convulsive status epilepticus should be included among the causes of coma in older individuals.
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To develop consensus guidelines for management of delirium and to assess their effectiveness in improving the outcomes and process of care in delirium. ⋯ Delirium is a poorly managed condition in older people and guidelines alone fail to improve the process and outcomes of care.
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Editorial Comment
Need we do so badly in managing delirium in elderly patients?
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Randomized Controlled Trial Clinical Trial
Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial.
recent studies have found that moderate intensity exercise is an effective intervention strategy for preventing falls in older people. However, research is required to determine whether supervised group exercise programmes, conducted in community settings with at-risk older people referred by their health care practitioner are also effective in improving physical functioning and preventing falls in this group. ⋯ these findings indicate that participation in a weekly group exercise programme with ancillary home exercises can improve balance and reduce the rate of falling in at-risk community dwelling older people.