Geriatrics

Geriatrics Medicine

It is a branch of general medicine dealing exclusively with the problems of ageing and the diseases of the elderly. It is derived from the Greek root “ger-gero- geronto” meaning “old age” or “the aged”.

 

Chronological Categories

Young-Old – (ages 65 – 74)

Middle-Old – (ages 75 – 84)

Old-Old – (age 85 and older) Ripe Old Age

oldage

Aim Of Geriatric Medicine

  • Maintenance of health in old age by high levels of engagement and avoidance of disease
  • Early detection and appropriate treatment of disease
  • Maintenance of maximum independence consistent with irreversible disease and disability
  • Sympathetic care and support during terminal illness

 

Geriatrics is known for its team approach to caring for older people and supporting their families and other caregivers.  Our geriatrics care team include the following professionals:

  • Geriatrician
  • Nurse
  • Physician assistant
  • Nutritionist
  • Physical therapist
  • Speech and hearing specialist
  • Geriatric psychiatrist

 

Old Folks Are Different

  • Atypical presentation of acute illness
  • Multiple concurrent problems
  • Non-specific symptoms
  •  Hidden illness
  •  Under-reporting

Goals of Geriatric Assessment

  • Improve diagnostic accuracy
  • Define functional impairment
  • Limit iatrogenesis
  • Recommend optimal living situation
  • Predict outcomes
  • Monitor clinical change over time

Areas of Assessment

  • Functional assessment
  • Mobility, gait and balance
  • Sensory and Language impairments
  • Incontinence
  • Nutrition
  •  Cognitive/Behavior problems
  •  Depression
  • Caregivers

oldagecare

Screening(medical)

  • Diabetes Mellitus
  • Hypertension
  • Renal dysfunction
  • Airway dysfunction
  • Ischaemic Heart Disease
  • Anaemia
  • Neurological disease.
  • BPH etc.

 Geriatric screening( Functional status)

1.Falls and injuries

2.Urinary symptoms

3.Depression

4.Abuse

5.Chronic pain

6.Visual symptoms

7.Hearing impairment

8.Sleep disturbances

9.Nutrition

12.Skin Diseases.

geraitics