The study findings suggested that a shortened version of the Mini-Mental State that included only the recall of three words and the orientation to month, year and address could be a valid and time-efficient assessment tool.
Geriatric patients present multiple challenges to primary care physicians. Using a standard assessment plan, which might include a chart-based checklist of counseling topics Figure 7 , 6 as well as a brief screening list Table 5 , 47 physicians can prevent or delay some of the major causes of morbidity and mortality in their older patients.
The assessment can be performed over time and during multiple visits. By performing comprehensive health screening, physicians can provide appropriate interventions and improve quality of life for their geriatric patients.
Areas of assessment in a systematic approach to maintaining healthy geriatric patients. Information from U. Preventive Services Task Force. Guide to clinical preventive services: report of the U. Use an audioscope set at 40 dB. Test the patient's hearing using 1, and 2, Hz. Inability to hear 1, or 2, Hz in both ears or inability to hear frequencies in either ear.
Then walk 20 feet briskly, turn, walk back to the chair and sit down. Screening for common problems in ambulatory elderly: clinical confirmation of a screen instrument. Am J Med ;— Copyright , with permission from Excerpta Medica Inc. Already a member or subscriber?
Log in. Interested in AAFP membership? Learn more. Zylstra earned a master of social work degree at the University of Michigan, Ann Arbor, and a doctor of education degree at the University of Memphis. JOHN B. He earned his medical degree at the University of Tennessee College of Medicine, Memphis, and completed a family practice residency at Roanoke Va.
Memorial Hospital. Address correspondence to Karl E. Miller, M. Reprints are not available from the authors. The performance of simple instruments in detecting geriatric conditions and selecting community-dwelling older people for geriatric assessment. Age Ageing. Outpatient geriatric evaluation and management. Results of a randomized trial. Med Care. A randomized clinical trial of outpatient comprehensive geriatric assessment coupled with an intervention to increase adherence to recommendations.
J Am Geriatr Soc. Use of comprehensive geriatric assessment techniques by community physicians. Fam Med. Physician implementation of and patient adherence to recommendations from comprehensive geriatric assessment. Am J Med. What's new in Alzheimer's disease treatment? Reasons for optimism about future pharmacologic options. Postgrad Med. Tinetti MD. In: Cassel CK, et al. Geriatric medicine. New York: Springer-Verlag, — Forgetting falls. The limited accuracy of recall of falls in the elderly.
N Engl J Med. One-leg balance is an important predictor of injurious falls in older persons. Arch Phys Med Rehabil. Impaired vision in the elderly: a preventable condition. Fam Pract. Carter TL. Age-related vision changes: a primary care guide. Low prevalence of hearing aid use among older adults with hearing loss: the Epidemiology of Hearing Loss Study. Hearing loss in community-dwelling older persons: national prevalence data and identification using simple questions.
Prevalence rates of hearing impairment and comorbid conditions in older people: the Veneto Study. Validation of screening tools for identifying hearing-impaired elderly in primary care. Hearing impairment in older adults: new concepts. Identification of elderly people with hearing problems. The clinical and cost-effectiveness of medical nutrition therapies: evidence and estimates of potential medical savings from the use of selected nutritional intervention.
Summary report prepared for the Nutritional Screening Initiative. Adult immunization in a network of family practice residency programs. J Fam Pract. Sexual function in the elderly. Learn more. When your children were little, you probably took them to a pediatrician. After all, babies and children have specialized needs that differ from those of adults.
On the other end of the spectrum, older adults often have different medical concerns than they had in their 30s or 40s. Yet many people have no idea that there are specialists just for seniors. Durso, M. The kinds of conditions we have and how those conditions interact with each other differs from what adults under the age of 60 typically experience. Geriatricians are primary care doctors who have additional specialized training in treating older patients.
I had a run in with that same person four years earlier when he pushed my mother out of the Hospital too early and she was brought back in two days later for a second tussle with her pneumonia. The guard who forced us out of the ER, and the Nurse who violated tenets of civility and refused to do anything that I asked in a respectful nature. You may also be able to file a complaint with the hospital administration as well.
Seniors with complex health needs can benefit from a specialist Many older adults have multiple chronic health conditions. Print This Article. Share Article on: Facebook Twitter. Related Articles. Reply June 5, DailyCaring.
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Share with linkedin. Share using email. Getty Images. Here are four signs that you may need a geriatrician. More than a third of adults over age 62 are taking at least five prescription drugs. Over 60 percent use some type of herbal or dietary supplement. Almost 60 percent of people over age 65 with probable dementia are undiagnosed or unaware that they have it, according to a Johns Hopkins University School of Medicine study published last year in the Journal of General Internal Medicine.
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