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Updated: Jun 22, 2025
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
[Targeted use of comprehensive geriatric assessment tools in cardiology. Part I (literature review).]
1I.I.Mechnikov North-Western State Medical University, E.S.Pushkova Department of Geriatrics, Propaedeutics and Nursing Management, 41 Kirochnaya str., St. Petersburg 191015, Russian Federation,
Insights
Integrating geriatric assessments into cardiology is crucial for elderly patients. This approach addresses geriatric syndromes and comorbidities, improving quality of life and reducing risks like functional decline.
Area of Science:
- Geriatric Medicine
- Cardiology
Background:
- Elderly cardiac patients often present with geriatric syndromes and multiple comorbidities.
- Current management in the Russian Federation lacks a dedicated geriatric approach.
- Geriatric syndromes like senile asthenia significantly impact patient outcomes.
Purpose of the Study:
- To highlight the necessity of comprehensive geriatric examinations in cardiology.
- To emphasize the integration of geriatric principles into managing elderly cardiac patients.
- To review international experiences in geriatric cardiology.
Main Methods:
- Literature review focusing on geriatric assessment in cardiovascular care.
- Analysis of challenges in managing elderly patients with comorbid conditions.
- Examination of the role of senile asthenia in cardiac patient outcomes.
Main Results:
- Elderly cardiac patients face risks beyond cardiovascular complications, including loss of independence.
- Senile asthenia and polymorbid pathologies are leading geriatric issues.
- A geriatric perspective is often overlooked in acute care settings.
Conclusions:
- A comprehensive geriatric examination is vital for optimal cardiology patient care.
- Cardiologists require specialized training in geriatrics.
- Implementing a geriatric approach can mitigate adverse outcomes and improve functional status.
Abstract:
The purpose of this review is to demonstrate the importance of using a comprehensive geriatric examination in cardiology, including geriatric aspects of the management of this patient population. Until now, the Russian Federation has completely lacked a geriatric approach to the management of cardiological patients, which provides for consideration of international experience in this survey. The curation of elderly and elderly patients is complicated by the presence of geriatric syndromes and age-associated diseases leading to deterioration of quality of life, repeated hospitalizations, disability and risk of death. The leading geriatric syndrome in geriatric practice is senile asthenia and multiple comorbid polymorbid pathologies of the geriatric patient. A patient admitted to an acute care hospital with a history of cardiovascular comorbid pathology is primarily viewed as a patient at high risk for cardiovascular complications, omitting the risk of adverse outcomes, including loss of independence and impaired functional status. The following literature review demonstrates the importance of defining senile asthenia outside of the geriatrician's office, justifying the need for advanced training for cardiologists in geriatrics.
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