Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
It would naturally be expected that _wounds_ and _fractures_ of bones
would heal more slowly in the old than in the young, and, according
to Carrel and Ebeling,[192] the cicatrization of human wounds varies
inversely, if accurately measured, with the age of the patient;
Humphry, however, found that, provided sloughing did not occur, wounds
and ulcers in the aged heal as quickly as in middle life, and that the
failure of union in intracapsular fracture of the neck of the femur is
due to want of apposition and not to the age of the patient.
In some respects the _reaction to drugs_ in the senescent body is
different from that in ordinary adult life. In old people absorption
from the alimentary canal is slow and this is particularly so with
gelatin-coated pills and drugs, such as cinchona, containing tannin,
which should therefore be avoided. The physiological response to drugs
is slower and more prolonged than in early life, so that for this
reason and from the frequency of constipation an accumulated action
is thought to be more likely to occur in the aged. It is sometimes
said that large doses are not borne well by the old and that morphine
is dangerous as it is in infants, but Nascher[193] states that if,
in order to obviate the paralysing effect of morphine on a weakened
respiratory centre, atropine is given before the morphine so that
their action can be timed to coincide, instead of giving them at the
same time when the effect of the atropine comes later, morphine can
be given in the same doses as in maturity. Purgatives may be required
in larger doses than in ordinary practice. According to Leonard
Williams[194] bromides are likely to produce mental confusion in old
people and if persisted in, even in ordinary doses, may be followed
by vascular thrombosis and permanent impairment of the intellectual
powers. Sedatives and hypnotics when necessary should be given in small
doses and discontinued as soon as possible; but they may be necessary
for restlessness which would otherwise seriously exhaust the failing
strength.
VIII
THE DESCRIPTION OF OLD AGE IN THE TWELFTH CHAPTER OF ECCLESIASTES
Public-domain text, read in full here on John Shaqi.
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