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Geriatric Care: General Principles

Jeremy Golding, MD, FAAFP and Zahra Sheikh, MD Reviewed 06/2020
 


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.

  • Assess and manage emotionally charged interactions. Refrain from taking negative energy ...

TREATMENT

GENERAL MEASURES

  • Optimize nonpharmacologic options first.

  • Align with patients’ goals of care.

  • Feasibility for patient and caregivers: Assess cost, availability, travel burden, and adherence

  • Comp...

ONGOING CARE

Home nursing services and care at home with additional resources should be encouraged and promoted to prevent the above complications. 

FOLLOW-UP RECOMMENDATIONS

  • Realistic expectations

  • Caref...

REFERENCES

1
Abraha I, Cruz-Jentoft A, Soiza RL, et al. Evidence of and recommendations for non-pharmacological interventions for common geriatric conditions: the SENATOR-ONTOP systematic review protoc...

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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