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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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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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Updated: Dec 27, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Functional disability among elderly: A community-based cross-sectional study.

Kriti Vaish1, Somdatta Patra2, Pragti Chhabra2

  • 1Department of Community Health, St. Stephen's Hospital, Tis Hazari, New Delhi, India.

Journal of Family Medicine and Primary Care
|February 29, 2020
PubMed
Summary

Functional disability affects over a quarter of elderly individuals in urban Delhi. Older age, chronic illness, and malnutrition significantly increase the risk of functional decline in this population.

Keywords:
Community-basedelderlyfunctional disability

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Area of Science:

  • Gerontology
  • Public Health
  • Epidemiology

Background:

  • Aging populations worldwide face increased functional decline and dependency.
  • Limited community-based research exists on functional disability among the elderly in India.
  • Understanding prevalence and risk factors is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of functional disability in elderly residents of urbanized villages in Delhi.
  • To identify associated risk factors contributing to functional disability in this demographic.

Main Methods:

  • A cross-sectional study was conducted in two urbanized villages in East Delhi.
  • A semi-structured interview schedule collected data from 360 elderly participants (>60 years).
  • Functional disability was assessed based on activities of daily living (ADL), blindness, or hearing impairment; logistic regression identified predictors.

Main Results:

  • 25.6% of the elderly participants exhibited functional disability.
  • Older age, presence of chronic diseases, and potential malnutrition were identified as significant predictors.
  • These factors highlight key areas for intervention to mitigate disability.

Conclusions:

  • Early identification of functional disability is essential for effective interventions.
  • Targeted support can promote healthy aging and improve quality of life for the elderly.
  • This study underscores the need for community-based programs addressing functional decline in urban Indian elderly.