title: [Review in geriatric medicine 2013].
abstract: Physical activity appears once again as the single most effective preventative intervention in older persons to delaying functional decline, avoiding falls, and mitigating the odds of developing dementia. Integrated care that promotes interdisciplinary collaboration among healthcare professionals is a major avenue to improve care coordination in polymorbid older patients. A study depicts the large gap between physicians and nurses' views about their respective skills and role in such a collaboration. On the cognitive side, while several studies show that new cohorts of older persons appear to age in better cognitive shape, results of trials of semagestat, a gamma-secretase inhibitor, and post-menopausal estrogenic therapy were disappointing. Finally, a study challenges the benefits of hydration in terminally ill patients.
authors.affiliation: Service de gériatrie et réadaptation gériatrique, Departement de medecine CHUV, 1011 Lausanne. christophe.bula@chuv.ch
authors.forename: Christophe
authors.initials: C
authors.lastname: Büla
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003299:Cooperative Behavior; D003704:Dementia / Q000628:therapy; D003858:Dependency, Psychological; D005853:Geriatrics / Q000379:methods / Q000639:trends*; D006801:Humans; D013727:Terminal Care
vernacular_title: Gériatrie.