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Related Concept Videos

Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

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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...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

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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...
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Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption

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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...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution01:00

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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...
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Methods of Documentation VII: EMR01:30

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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The Geriatric Emergency Department.

Mark Rosenberg1, Lynne Rosenberg1

  • 1Department of Emergency Medicine, St. Joseph's Healthcare System, 703 Main Street, Paterson, NJ 07503, USA.

Emergency Medicine Clinics of North America
|August 1, 2016
PubMed
Summary
This summary is machine-generated.

This article outlines the complex care needs of older patients in emergency departments. It highlights essential components for geriatric emergency services and improving patient transitions.

Keywords:
Emergency servicesGEDGeriatricGeriatric emergency departmentSenior

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Area of Science:

  • Geriatric Medicine
  • Emergency Medicine
  • Healthcare Management

Background:

  • Older adults represent a rapidly growing demographic with unique healthcare needs.
  • Emergency departments face challenges in meeting the complex medical and social needs of geriatric patients.
  • The current healthcare system often lacks specialized services for older individuals in emergency settings.

Purpose of the Study:

  • To provide an overview of the complex needs of older patients in the emergency department.
  • To discuss key considerations for hospital communities developing geriatric emergency services.
  • To review essential components of geriatric emergency departments, including care transitions.

Main Methods:

  • Literature review and synthesis of current best practices in geriatric emergency care.
  • Analysis of challenges and opportunities in accommodating an aging population within emergency services.
  • Examination of critical elements for effective geriatric emergency department models.

Main Results:

  • Geriatric emergency departments require specialized staffing, protocols, and environments.
  • Effective transition of care strategies are crucial for continuity and positive outcomes.
  • Hospital communities must proactively plan and implement geriatric-friendly emergency services.

Conclusions:

  • Establishing dedicated geriatric emergency departments is essential for optimizing care for older adults.
  • Integrating geriatric principles into emergency care improves patient safety and satisfaction.
  • Further research and investment are needed to support the development and sustainability of geriatric emergency services.