Related Experiment Video
Updated: Feb 3, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.9K
Utilization of Geriatric Consultation and Team-Based Care
Joseph F Sucher1, Alicia J Mangram2, James K Dzandu3
1Valley Surgical Clinics and Acute Care Surgical Specialists, HonorHealth Deer Valley Hospital, 19841 N 27th Avenue, MOB Suite 200, Phoenix, AZ 85027, USA.
Clinics in Geriatric Medicine
|November 5, 2018
Summary
Geriatric surgical patients face increased risks. This study outlines three care models—consultation services, wards, and multidisciplinary teams—to improve outcomes for older surgical patients.
Area of Science:
- Geriatric Medicine
- Surgical Care
- Patient Outcomes
Background:
- Older adults undergoing surgery have higher mortality and morbidity rates compared to younger patients.
- Current geriatric surgical care models require optimization to address unique patient needs.
Purpose of the Study:
- To describe three distinct models of geriatric surgical care.
- To emphasize the importance of people, plans, and evaluation in these models.
- To define criteria for an optimal geriatric surgical care plan.
Main Methods:
- Review and description of three geriatric surgical care models: geriatric consultation services, geriatric wards, and geriatric multidisciplinary teams.
- Focus on key components: personnel (people), care strategies (plans), and outcome assessment (evaluation).
Main Results:
- Three models of geriatric surgical care are presented.
- The importance of a structured approach focusing on patient-centered care, comprehensive planning, and rigorous evaluation is highlighted.
Conclusions:
- Effective geriatric surgical care requires definitive, aggressive, sustainable, safe, and effective plans.
- Patient treatment preferences and wishes are paramount in developing optimal care strategies for older surgical patients.
Keywords:
Acute care for elderlyComprehensive geriatric assessmentG60 traumaGeriatric consultation servicesGeriatric evaluation and managementGeriatric multidisciplinary teamsGeriatric wardsMore Related Videos
Related Concept Videos
01:21Interdisciplinary Care: The Health Care Team-I
2.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
01:18Interdisciplinary Care: The Health Care Team-II
2.3K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K
01:15Drug Dosing: Geriatric Patients
273
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...
273
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
237
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...
237
01:00Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
261
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...
261
01:18Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism
215
Geriatric patients show significant variation in how their bodies process medications, which can change how effective and safe treatments are. The liver is the primary organ where drug metabolism occurs, involving two main types of chemical reactions: phase I and II. Phase I metabolism is driven by the cytochrome P450 enzyme system, which includes key types such as CYP3A, CYP2D6, and CYP2C9. Research indicates that while aging doesn't notably alter the levels or activity of these enzymes, it...
215