title: Maintaining health with renal disease or dysfunction.
abstract: A decline in renal function, similar to mild chronic renal insufficiency, normally occurs in the elderly concomitantly with various anatomic and histologic changes in the kidney. These morphologic and physiologic changes result in diminished ability to respond to body fluid or solute stresses. Superimposition of chronic renal insufficiency upon these age-related physiologic changes can accelerate renal functional decline. However, with proper management, most elderly patients with renal disease can remain highly functional.
authors.affiliation: Program in Geriatric Medicine, University of Pennsylvania School of Medicine, Philadelphia.
authors.forename: L H
authors.initials: LH
authors.lastname: Beck
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000378:metabolism / Q000502:physiology*; D003404:Creatinine / Q000097:blood; D005919:Glomerular Filtration Rate; D006801:Humans; D007674:Kidney Diseases / Q000378:metabolism / Q000503:physiopathology* / Q000628:therapy; D011320:Primary Health Care; D014667:Vasopressins / Q000378:metabolism
chemical_list: D014667:Vasopressins; D003404:Creatinine