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[Geriatric medicine. Current status and perspectives for the future]
1Abteilung für Innere Medizin, Fachbereich Geriatrie, St. Bonifatius Hospital, Wilhelmstr. 13, 49808, Lingen (Ems), Deutschland. gerald.kolb@bonifatius-lingen.de
Insights
Geriatric medicine faces challenges from increasing comorbidities in aging populations. Dementia care requires specialized resources, highlighting a critical need for enhanced training in elder care.
Area of Science:
- Geriatric Medicine
- Demographic Health Trends
- Epidemiology of Aging
Context:
- Western societies are experiencing rapid demographic shifts with aging populations.
- Increased incidence and severity of comorbidities are primary concerns in the elderly.
- Three main epidemiological classes of comorbidities are identified: cardiovascular diseases, malignancies, and cognitive impairments (dementia).
Purpose:
- To outline the distinct challenges posed by different comorbidity types in geriatric medicine.
- To highlight the varying effectiveness of current strategies for managing age-related diseases.
- To emphasize the critical need for specialized human resources and training in elder care, particularly for dementia.
Summary:
- Geriatric medicine is a growing field due to aging populations and rising comorbidity rates.
- While cardiovascular diseases and malignancies have seen therapeutic advances, dementia lacks effective preventive or therapeutic measures.
- The growing need for specialized elder care professionals, especially for dementia, presents a significant societal challenge.
Impact:
- Informs strategies for managing diverse comorbidities in the elderly.
- Underscores the urgent need for investment in dementia research and care infrastructure.
- Highlights the societal imperative to train more healthcare professionals specializing in geriatric medicine and elder support.
Abstract:
Geriatric medicine is one of the most rapidly growing medical subspecialties as a response to demographic changes seen in all western societies. One of the main problems of all aging populations is the increase in incidence and severity of comorbidities. Three epidemiological types of (co)morbidities can be identified: (1) Cardiac and vascular diseases including risk factors like diabetes mellitus, (2) malignancies of the elderly and (3) cognitive impairments defined as dementia. These epidemiologic-medical classes need different strategies. The first morbidity type is addressed by preventive medicine and modern therapy with great successes in recent years. In contrast, malignant diseases are continuously increasing in the elderly cohort, but a variety of new therapeutic measure shave turned some previously fatal disorders into chronic ones. In contrast, neither preventive nor therapeutic measures are available for dementia. Our response is better care and support, which demands specialized human resources that are becoming scarce. Better training of more individuals to care for elderly is a great challenge for our society.
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