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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

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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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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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 Metabolism01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism

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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...
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Related Experiment Video

Updated: Jan 13, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Developing and implementing a geriatric surgery co-management program for older adults: insights from document

Abigail Baim-Lance1,2, Fred Ko1,2, William Hung1,2

  • 1Icahn School of Medicine at Mount Sinai, New York (NY).

Surgery in Geriatrics and Frailty
|January 7, 2026
PubMed
Summary
This summary is machine-generated.

The Aging, Life Innovations, Goals and Needs-Collaboration Achieving Readiness and Empowerment (ALIGN-CARE) program enhances surgical preparation for frail older adults. This interdisciplinary co-management model evolved through adaptive strategies and stakeholder collaboration.

Keywords:
document analysisgeriatric surgery co-managementimplementation strategiesprogram development

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Area of Science:

  • Geriatric Medicine
  • Surgical Care
  • Healthcare Program Development

Background:

  • Frail older adults require specialized preparation for surgery.
  • Interdisciplinary co-management models can improve surgical outcomes for this population.

Purpose of the Study:

  • To examine the development and implementation of the ALIGN-CARE ambulatory geriatric surgery co-management program.
  • To identify key processes and strategies supporting the advancement of complex interdisciplinary programs for older adults.

Main Methods:

  • Utilized the Medical Research Council (MRC) evaluative framework.
  • Conducted document review and thematic analysis of 84 program meetings (January 2020-January 2022).
  • Analyzed four recurring meeting types: advisory, interdisciplinary, surgeon, and research.

Main Results:

  • The ALIGN-CARE program evolved and stabilized four core components: referral, scheduling, assessment, and planning.
  • Program flexibility and responsiveness were critical implementation drivers.
  • Stakeholder meetings facilitated program adaptation and maturation.

Conclusions:

  • The document analysis method identified essential processes for developing geriatric surgical co-management.
  • ALIGN-CARE's development highlights the importance of adaptive strategies in complex interdisciplinary programs.
  • This study provides insights into advancing care for older adults undergoing surgery.