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Biomedical subjects

J A Giordano

Publications and source records attributed to J A Giordano.

8 recordsLinked to original sources
PubMed2000

Effective communication and counseling with older adults.

Age-sensitive communication skills must be developed to achieve greater effectiveness in assisting older adults. These skills should be guided by research findings on the development changes related to normal aging. A listening-responding technique is presented outlining six principles that can be applied in a wide variety of situations. These principles are governed by the intention to preserve self-esteem and to clarify the needs of elderly clients. By using this approach with the older adult, the practitioner will achieve an effective communication process that generates accurate information, supports self-determination, and achieves a therapeutic process.

Adult↗
PubMed1981

Gastric carcinoid syndrome diagnosed by endoscopy.

A 64-year old white female who had a history of diabetes mellitus, hypothyroidism and Evan's syndrome (autoimmune hemolytic anemia plus thrombocytopenia) was admitted for orthopedic evaluation of an inflamed finger. She gave a history of patchy, pruritic lobster-red flush on her face, neck and chest and upper extremities after meals or after emotional distress. She was examined and a gastric carcinoid with liver metastases was found. The tissue diagnosis was made by gastric endoscopic and liver biopsies.

Biopsy↗
PubMedDate not supplied

Malignant external otitis: now a medical problem.

A 75-yr-old diabetic woman presented with right ear tenderness and neck pain. Pseudomonas aeruginosa was cultured during surgery from an inflammatory area in the region of the cervical vertebrae. A diagnosis of malignant external otitis was made and parenteral antibiotics were given, which produced a cure. This disease has a high mortality rate, which accounts for the use of the word malignant. Our patient also manifested the jugular foramen syndrome involving multiple cranial nerves. If there is cranial nerve involvement, which is seen in at least one-half of cases, the mortality ranges as high as 80%. We describe here the first case with invasion of the cervical vertebrae.

Aged↗