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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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Pharmacodynamics in Geriatric Patients: Effects of Age01:27

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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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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
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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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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

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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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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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Oral Health Assessment by Lay Personnel for Older Adults
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Geriatric Assessment for Primary Care Providers.

Hong-Phuc T Tran1, Susan D Leonard2

  • 1Division of Geriatrics, UCLA, 1223 16th Street, Suite 3100, Los Angeles, CA, USA.

Primary Care
|August 12, 2017
PubMed
Summary

Primary care providers will increasingly care for older adults due to a growing elderly population and a shortage of geriatricians. This review covers comprehensive geriatric assessments, suggesting tools and staff training can ease the primary care burden.

Keywords:
AssessmentElderFunctionGeriatricGeriatric syndromeOlder adult

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Area of Science:

  • Geriatrics
  • Primary Care Medicine
  • Healthcare Management

Background:

  • The US faces a growing, aging population.
  • There is a significant shortage of geriatricians.
  • Geriatric patient care is increasingly falling to primary care providers.

Purpose of the Study:

  • To review the key aspects of a multidimensional, multidisciplinary geriatric assessment.
  • To provide strategies for primary care providers to manage geriatric care.
  • To identify methods for improving the efficiency of geriatric assessments in primary care settings.

Main Methods:

  • Literature review of geriatric assessment principles.
  • Discussion of assessment tools and their application.
  • Exploration of staff training models for expanded roles.

Main Results:

  • Comprehensive geriatric assessment is multidimensional and multidisciplinary.
  • Specific assessment tools can aid primary care providers.
  • Training office staff can delegate tasks and reduce provider workload.

Conclusions:

  • Primary care providers are essential for geriatric care delivery.
  • Utilizing appropriate tools and trained staff can optimize geriatric assessments.
  • Proactive strategies are needed to support primary care in managing the needs of an aging population.