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Geriatric Care: General Principles

Reviewed 06/2019
 


BASICS

DESCRIPTION

The optimal approach to caring for our elderly patient population requires an understanding of the physiology of normal aging as well as unique geriatric considerations for access to...

DIAGNOSIS

HISTORY

Optimizing communication 
  • Speak directly to your patient unless directed toward their surrogate.

  • Use emotional intelligence to assess and manage emotionally charged interactions and ove...

TREATMENT

GENERAL MEASURES

  • Optimize nonpharmacologic options first.

  • Align with patients’ goals of care.

  • Feasibility for patient and caregivers

    • Cost

    • Availability

    • Travel burden

  • Compliance

  • Nonpharmacologic (2)

    • OT...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Realistic expectations

  • Consider pharmacologic débridement.

Patient Monitoring

Use team members optimally. 
  • Home health care

  • Social work

  • RN care managers

PATIENT EDUCATION

REFERENCES

1
Uhlmann RF, Larson EB, Rees TS, et al. Relationship of hearing impairment to dementia and cognitive dysfunction in older adults. JAMA.  1989;261(13):1916–1919. [View Abstract on OvidM...

ADDITIONAL READING

CODES

ICD10

Z71.89 Other specified counseling 

SNOMED

  • 33697008 Geriatric counseling

  • 171313004 Geriatric screening

  • 183691007 Geriatric self-referral

  • 183522000 Referral to care of the elderly service

  • 268564006...

CLINICAL PEARLS

  • Establish patient goals of care and align all clinical decisions within the context of these goals.

  • Use an interdisciplinary team approach to optimize holistic care for elders and their...

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