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Related Concept Videos

Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption

As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution01:00

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution

Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are not...

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Related Experiment Videos

Geriatric nephrology: responding to a growing challenge.

Mitchell Rosner1, Emaad Abdel-Rahman, Mark E Williams

  • 1Division of Nephrology, University of Virginia Health System, Charlottesville, VA 22908, USA. mhr9r@virginia.edu

Clinical Journal of the American Society of Nephrology : CJASN
|February 27, 2010
PubMed
Summary

The global population is aging, increasing the number of elderly patients with kidney disease. Nephrologists need specialized geriatric nephrology training to address unique age-related challenges and improve patient care.

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Area of Science:

  • Geriatric Nephrology
  • Demographic Trends
  • Kidney Disease Epidemiology

Background:

  • Global population aging predicts a tripling of individuals aged 65+.
  • Kidney disease incidence and prevalence rise with age, presenting challenges for nephrologists.
  • Aging introduces unique aspects to nephrologic diagnosis and treatment.

Purpose of the Study:

  • Address the growing need for geriatric nephrology expertise.
  • Highlight the challenges elderly patients with kidney disease pose.
  • Emphasize the inadequacy of traditional nephrology training for geriatric care.

Main Methods:

  • Initiation of educational activities by the American Society of Nephrology.
  • Chartering of a specific advisory council for geriatric nephrology.
  • Focus on improving geriatric nephrology awareness and training.

Main Results:

  • Increased focus on geriatric nephrology by a leading professional society.
  • Development of targeted educational programs and advisory bodies.
  • Recognition of the need for specialized geriatric nephrology training.

Conclusions:

  • Geriatric nephrology is gaining priority.
  • Improved understanding and management of kidney disease in the elderly are anticipated.
  • Enhanced focus on treatment efficacy and quality of life for elderly patients with kidney disease.