Coronary Care in the Elderly

Macdonald, J; Baillie, J Kenneth; Williams, B. O.; Ballantyne, D.

doi:10.1093/ageing/12.1.17

Cited by 27 publications

(7 citation statements)

References 0 publications

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“…The relative rate of women was higher in “G,” with a male/female ratio of 2.1/1 vs 5.8/1. There was a higher proportion of painless infarction in “G” (13.7% vs 1.8%) similar to that described in other series, 2–4 of atypical pain (18.7% vs 2.5%), of pain at rest (86% vs 61%) and pain of long duration (more than 6 hours, 34.6% vs 19.8%) (P < .001 for all these parameters). A high incidence of painless infarction was observed in diabetic elderly patients (24.1% vs 5.7% in nondiabetics, P < .01) 5–6 .…”

supporting

confidence: 85%

Acute Myocardial Infarction in the Elderly

Caso¹,

Ribera²

1989

J American Geriatrics Society

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supporting

confidence: 85%

Acute Myocardial Infarction in the Elderly

Caso¹,

Ribera²

1989

J American Geriatrics Society

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“…More recent evidence, however, suggests otherwise. In a study of 1474 patients admitted to a coronary care unit, MacDonald et al . (1983 ) demonstrated that pain was the most frequent presenting symptom in the majority of patients being treated for acute myocardial infarction.…”

Section: Present State Of Knowledgementioning

confidence: 99%

Elderly recipients of home nursing services: pain, disability and functional competence

Ross

Crook

1998

Journal of Advanced Nursing

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Despite increasing evidence that pain is a problem with which many in their later years must contend, little is known about the experience of community-dwelling seniors who require the assistance of home nursing services to remain independent and functional in their homes. This study investigated the prevalence and experience of pain among seniors who were recipients of home nursing services. The study was guided by the World Health Organization Classification of Impairment, Disability and Handicap. Face to face interviews were conducted with 66 individuals who reported whether they were often troubled by pain and/or had experienced pain of a noteworthy nature within the 2 weeks prior to the interview. In addition, they responded to standardized questions about their pain experience and their levels of disability and functional competence. Findings revealed that although three-quarters of respondents reported pain, there was no association between pain and measures of disability. Findings, however, revealed an association between pain and measures of functional competence, more specifically, global function, level of depressive symptomatology, sleep impairment and satisfaction with life. Implications for nursing include the need for a heightened awareness of the prevalence of pain in community-dwelling older adults and the development of assessment and intervention strategies that support their quality of life.

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“…Caring for older patients with an acute myocardial infarction (MI) may prove difficult because these patients present with chest pain less frequently, 1–13 may have a delay in presenting for their care, 6,14–16 more likely to present with congestive heart failure, 1,5,6,10–13 and have a higher in‐hospital mortality rate 1–13,17–26 . it should be emphasized, however, that at least 50% of all myocardial infarctions occur in those over age 65 27 ; therefore, it is critical to have good information about this age group.…”

mentioning

confidence: 99%