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Geriatrics
Elderly Health Issues
What is Geriatrics?

Geriatrics is the branch of medicine that focuses on health promotion and the prevention and treatment of disease and disability in later life.

What is a geriatrician?

A geriatrician is a doctor who specializes in care for people 65 and older. A geriatrician is a medical doctor who is specially trained to prevent and manage the unique and, oftentimes, multiple health concerns of older adults. Older persons may react to illness and disease differently than younger adults. Geriatricians are able to treat older patients, manage multiple disease symptoms, and develop care plans that address the special health care needs of older adults.

If you are getting older and having more health problems you may want to consider seeing a doctor who specializes in geriatric medicine. This specialty is increasing in importance as the population ages and that aging population lives longer.

A geriatrician is a doctor who specializes in care for people 65 and older. Just as a pediatrician tends to the needs of a child, a geriatrician cares for the special needs of changing seniors. Geriatricians approach each patient’s needs individually, and possess the knowledge and expertise needed to accommodate seniors.

The most appropriate term for a physician who specializes in the care of older adults is geriatrician, not gerontologist. A gerontologist is generally a non-physician, though physicians who focus on aging research can also be considered gerontologists.
What should a medical doctor or geriatrician know about aging?
How can you make a difference for your parents or older adults from a distance?
What are your duties if you live in the same household as those more than 65 years old?
What are your duties if you live in the neighborhood as those more than 65 years old?
What are your duties if you are away from you parent(s) or adults more than 65 years old and need to make a difference?
What are the duties of the state department of health in caring for adults more than 65 years old?
What should adults more than 65 years old know about aging?
What is the best way to help elders more than 65 years old?
What is my immediate advice to elders?
What must you do if you need emergency consultation for older adults?
What do you need to do if you need non-emergency consultation for older adults?
Where is the patient the day and date you are writing these details?

____________________________________________

Ten-Minute Screen for Geriatric Conditions

Vision
Hearing
Leg mobility
Urinary incontinence
Nutrition and weight loss
Memory
Depression
Physical disability
Geriatric Consultation

Simple Geriatric screen
Patient Name: _______
Date: _______
Source: Patient _______ Other_______
HISTORY ITEMS
These are basic questions.
There are many more.

Do you have difficulty with eyesight?

____________________________________________

    Common age-related vision complaints include:
    * "I can't see as clearly as I used to."
    * "I have difficulty seeing objects close up."
    * "Colors don't seem as vivid."
    * "It's getting more difficult to see in the dark."
    * "I'm less able to adapt to glare."
    * "I need more light to see."
    * "Have trouble seeing well enough to do everyday tasks like reading, cooking, or sewing."
    * "Can't recognize the faces of friends or family."
    * "Have trouble reading street signs."
    * "Find that lights don't seem as bright."
Have you had any falls in the last year?

____________________________________________

Do you have trouble with stairs, lighting, bathroom hazards, or other home hazards?

____________________________________________

Do you have a problem with urine leaks or accidents?

____________________________________________

Over the past month, have you often been bothered by feeling sad, crying, angry, depressed, or hopeless?

____________________________________________

During the past month, have you often been bothered by little interest or pleasure in doing things?

____________________________________________

Do you ever feel unsafe where you live?

____________________________________________

Does anyone threaten you or hurt you?

____________________________________________

Is pain a problem for you?

____________________________________________

Do you have any problems with any of the following areas?
1. Bathing (shower, sponge bath, tub) 2. Toothbrush
3. Eating
4. Heavy housework (e.g. washing)
5. Doing laundry
6. Transportation by driving or bus
7. Managing __________
8. Transferring out of bed
9. Shopping
10. Using the toilet
11. Dressing
12. Walking
13. Strenuous activities (e.g. fast walking)
14. Cooking

____________________________________________

Who assists?

____________________________________________

Do you use any devices?(for "yes" answers, consider causes, social services, and home eval/Physical Therapy/Occupational Therapy)

____________________________________________

Review medications that the patient brought in
Also ask about herbs, vitamins, supplements, and nonprescription medications

PHYSICAL EXAM ITEMS (The next few items may be performed by nursing staff in some settings)

Here are further guidelines.
Senior Health
From mild aches and pains to the most devastating illnesses, seniors face it all.
Arthritis
Age-related vision & eye diseases
Alzheimer's & Dementia
Cardiovascular
Cancer
Diabetes
Depression
General health concerns of the elderly
Hearing Loss
Heart Disease
Incontinence
Lung Disease
Osteoporosis
Parkinson's Disease
Sleep Disorders