GERIATRIC / ELDERLY PATIENT

F.A.Q.

Geriatrics is a medical specialty that focuses on the health of the older population. A geriatrician, also known as a geriatric physician, is someone who is either a family practice or internal medicine doctor who has completed additional training (a residency or fellowship) to be able to work with older people.

If you or your loved ones are over 60, being treated by a geriatrician can make all the difference. As we age, the body goes through changes. It is important to distinguish between the effects of normal aging and disease.

Bladder Control Problems: Lack of bladder control, or “urinary incontinence,” is an embarrassing topic. Please know that you are not alone! Urinary incontinence can lead to problems such as falls, depression, and isolation. In most cases, incontinence can be cured or greatly improved with treatment. So don’t hesitate to tell your healthcare provider if you have bladder control problems.

Sleep Problems: Sleep problems can affect your quality of life and can contribute to falls, injuries, and other health problems. If you have trouble sleeping at night or feel sleepy during the day, tell your healthcare provider so they can identify the type of sleep problem you have.

Delirium: Many older adults who go to the emergency room or are admitted to the hospital develop delirium. Delirium is a state of sudden confusion. Delirium is a medical emergency, similar to chest pain. Make sure that you and your friends and family know the signs of delirium and seek medical attention right away at the first sign of any sudden changes in mental function.

Dementia: Dementia, most simply, is a memory problem significant enough to affect your ability to carry out your usual tasks. While the most common cause is Alzheimer’s Disease, there are many other types. Various tests can help determine whether you or someone you care for might have dementia and what type it might be. If so, there are treatments that can improve function and slow down the disease.

Falls: Falls are a leading cause of serious injury in older people. There are many risk factors for falling, including safety hazards in the home, medication side effects, walking and vision problems, dizziness, arthritis, weakness, and malnutrition. Like other geriatric syndromes, falls usually have more than one cause.

Tell your healthcare provider immediately if you have fallen. They will look into what caused your fall and suggest steps to prevent future falls. There are many treatments, such as exercise and physical therapy, that can help improve your gait and walking and prevent falls.

Osteoporosis: Osteoporosis, or “thinning bones,” is a condition that makes the bones of older adults more fragile and easy to break. Women 65 and older, and men over age 70, should get a bone mass density (BMD) test. Increased calcium and vitamin D intake, strength training exercises, and weight-bearing exercises such as walking are important to keeping your bones healthy. Your healthcare provider may also recommend medications or other treatments.

Weight Loss: Weight loss is a very common problem in older adults. Weight loss can be caused by the diminished sense of taste that comes with aging, or it can be a suggestion of an underlying serious medical problem. No matter the cause, weight loss can lead to other problems, such as weakness, falls, and bone disorders.

Your healthcare provider should weigh you each time you visit and check for any changes. Also, be sure to let your healthcare provider know if you have any changes in your weight or appetite.

Just as a pediatrician specializes in the care of children, a geriatrician specializes in the care of older adults. As we age, our bodies’ physiology changes, we react differently to medications, and we often experience chronic illnesses or impairments that threaten our independence. A geriatrician is specially trained to recognize and treat syndromes unique to older adults and provide resources and education to enable them to maintain healthy lives.
There is no specific age but most patients who elect a geriatrician as their primary care physician are 75 years of age or older. Often patients who benefit the most from the services of a geriatrician have chronic illnesses, impaired physical function, impaired memory or cognitive function, depression or anxiety, weight loss, problems with balance or recurrent falls, and/or urinary incontinence. They may be taking multiple medications. They may be neglecting themselves or making poor decisions about their health and safety. They may be at risk for mistreatment or exploitation.
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