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Understanding Geriatric Patients: Challenges and Care Approaches
Abstract
Geriatric patients often feel many physical changes linked to aging along with reduced muscle mass, bone density loss and changes in sensory perception. These alterations can influence balance, mobility and overall functional independence. Aging is normally associated with cognitive changes and ranges from mild forgetfulness to more severe conditions namely dementia. Generally geriatric patients exhibit various chronic health conditions namely arthritis, diabetes, hypertension and cardio vascular diseases. The prevalence of multiple chronic conditions often results in polypharmacy, where patients take numerous medications simultaneously. This enhances drug interactions and side effects. Geriatric patients may come across the loss of loved ones, changes in living situations and reduced social interactions. A detailed evaluation of Medical, cognitive, functional and psychological aspects assists identity individualized care plans. Incorporating mental health assessments enhance social interactions and offering counseling services contribute to the overall well-being of geriatric patients. Finally it is concluded that as the aging demograph continues to expand, ongoing research and advancements in geriatric care will play a role in increasing the well-being of older individuals around the world.
References
Ellis, G., Gardner, M., Tsiachristas, A., Langhorne, P., Burke, O., Harwood, R. H., ... & Shepperd, S. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane database of systematic reviews, (9).
Ellis, G., Gardner, M., Tsiachristas, A., Langhorne, P., Burke, O., Harwood, R. H., ... & Shepperd, S. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane database of systematic reviews, (9).
Mooijaart, S. P. (2021). Improving the care for older emergency department patients: the Acutely Presenting Older Patient study. Zeitschrift für Gerontologie und Geriatrie, 54(2), 97-98.
Elsawy, B., & Higgins, K. E. (2011). The geriatric assessment. American family physician, 83(1), 48-56.
Min, L., Yoon, W., Mariano, J., Wenger, N. S., Elliott, M. N., Kamberg, C., & Saliba, D. (2009). The vulnerable elders‐13 survey predicts 5‐year functional decline and mortality outcomes in older ambulatory care patients. Journal of the American Geriatrics Society, 57(11), 2070-2076.
Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D. B., McDowell, I., & Mitnitski, A. (2005). A global clinical measure of fitness and frailty in elderly people. Cmaj, 173(5), 489-495.
Cesari, M. (2011). Role of gait speed in the assessment of older patients. Jama, 305(1), 93-94.
Studenski, S., Perera, S., Patel, K., Rosano, C., Faulkner, K., Inzitari, M., ... & Guralnik, J. (2011). Gait speed and survival in older adults. Jama, 305(1), 50-58.
American Geriatrics Society Ethics Committee. (2003). Health screening decisions for older adults: AGS position paper. Journal of the American Geriatrics Society, 51(2), 270-271.
Triglav, T. K., & Poljak, M. (2013). Vaccination indications and limits in the elderly. Acta Dermatovenerol Alp Pannonica Adriat, 22(3), 65-70.
Koldaş, Z.L. (2017). Vaccination in the elderly population. Turk Kardiyol Dern Ars. 45(5), 124-127.
Sloan, F. A., Ostermann, J., Brown, D. S., & Lee, P. P. (2005). Effects of changes in self-reported vision on cognitive, affective, and functional status and living arrangements among the elderly. American journal of ophthalmology, 140(4), 618-e1.
Miller, K. E., Zylstra, R. G., & Standridge, J. B. (2000). The geriatric patient: a systematic approach to maintaining health. American Family Physician, 61(4), 1089-1104.
Clarke, E. L., Evans, J. R., & Smeeth, L. (2018). Community screening for visual impairment in older people. Cochrane database of systematic reviews, (2).
Feder, R. S., Olsen, T. W., Prum, B. E., Summers, C. G., Olson, R. J., Williams, R. D., & Musch, D. C. (2016). Comprehensive adult medical eye evaluation Preferred Practice Pattern® guidelines. Ophthalmology, 123(1), P209-P236.
Cosh, S., Helmer, C., Delcourt, C., Robins, T. G., & Tully, P. J. (2019). Depression in elderly patients with hearing loss: current perspectives. Clinical interventions in aging, 1471-1480.
Ford, A. H., Hankey, G. J., Yeap, B. B., Golledge, J., Flicker, L., & Almeida, O. P. (2018). Hearing loss and the risk of dementia in later life. Maturitas, 112, 1-11.
Pirozzo, S., Papinczak, T., & Glasziou, P. (2003). Whispered voice test for screening for hearing impairment in adults and children: systematic review. Bmj, 327(7421), 967.
Yueh, B., Shapiro, N., MacLean, C. H., & Shekelle, P. G. (2003). Screening and management of adult hearing loss in primary care: scientific review. Jama, 289(15), 1976-1985.
Verdery, R. B. (1995). Failure to thrive in the elderly. Clinics in geriatric medicine, 11(4), 653-660.
Chapman, I. M. (2006). Nutritional disorders in the elderly. Medical Clinics, 90(5), 887-907.
Ahmed, T., & Haboubi, N. (2010). Assessment and management of nutrition in older people and its importance to health. Clinical interventions in aging, 207-216.
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