geriatrics

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Introduction

Geriatrics is the branch of medicine that provides health care for the elderly; it differs from gerontology, study of the aging process itself. However, geriatrics is considered by some as 'medical gerontology'. The term geriatrics comes from the Greek geron meaning'old man' & iatros meaning 'healer'.

See elderly for disorders of the elderly.

The I's of geriatrics[2]

The 5 Ms of geriatrics[12]

Why is geriatrics important?

see elderly for demographics 'the graying of America'

What distinguishes geriatrics from internal medicine & family practice?

  • one of the major problems in geriatrics is polypharmacy
    • this is part cultural, part situational
    • the cultural part stems from advertisement, the media & other factors that convince Americans there is a medication for every ailment
    • however, elderly are the group of patients most at risk for drug interactions & they are at increased risk of complications from such drug interactions
    • 72% of elderly with dementia are prescribed >= 5 medications, 43% >= 10 medications[12]
    • what seems to be apparent is that the healthiest elderly are generally those on the fewest medications

More general terms

More specific terms

Additional terms

References

  1. Geriatric Medicine: An Evidence-Based Approach, 4th ed, Cassel CK et al (eds), Springer-Verlag, New York, 2003
  2. 2.0 2.1 The Sepulveda VA GRECC Guide to Geriatric Assessment
  3. 3.0 3.1 Cigolle CT, Langa KM, Kabeto MU, Tian Z, Blaum CS. Geriatric conditions and disability: the Health and Retirement Study. Ann Intern Med. 2007 Aug 7;147(3):156-64. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17679703
  4. 4.0 4.1 Fernandez HM et al, House staff member awareness of older inpatients' risks for hazards of hospitalization. Arch Intern Med 2008, 168:390 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18299494
  5. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 29-Oct 2, 2004
  6. Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004
    Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
  7. Principles of Geriatric Medicine, 4th ed,, Hazzard et al (eds), McGraw-Hill, NY, 1999
  8. Wikipedia: Geriatrics http://en.wikipedia.org/wiki/Geriatrics
  9. U.S. Department of Health and Human Services (HHS) Aging in 2015: HHS and the White House Conference on Aging. July 13, 2015 http://www.hhs.gov/news/press/2015pres/07/20150713c.html
  10. Yalcin B, Tamer E, Toy GG, Oztas P, Hayran M, Alli N The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol. 2006 Jun;45(6):672-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/16796625
  11. Partnership for Health in Aging Workgroup on Interdisciplinary Team Training in Geriatrics. Position statement on interdisciplinary team training in geriatrics: an essential component of quality health care for older adults. J Am Geriatr Soc. 2014 May;62(5):961-5. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24738753
  12. 12.0 12.1 12.2 12.3 Growdon ME, Gan S, Yaffe K, Steinman MA. Polypharmacy among older adults with dementia compared with those without dementia in the United States. J Am Geriatr Soc 2021 Sep; 69:2464 PMID: https://www.ncbi.nlm.nih.gov/pubmed/34101822 https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.17291
  13. HealthinAging.org The 5Ms of Geriatrics https://www.va.gov/covidtraining/docs/HIA_TipSheet_Geriatric_5Ms_19.pdf
  14. Stanford Geriatric Education Center http://sgec.stanford.edu/