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Geriatric consultation: a functional approach.

H Lichtenstein, C H Winograd

    Journal of the American Geriatrics Society
    |May 1, 1984
    PubMed
    Summary
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    Geriatric consultations identify new diagnoses, improving elderly patient care and function. This approach can prevent unnecessary nursing home placement by addressing reversible conditions.

    Area of Science:

    • Geriatrics
    • Internal Medicine

    Background:

    • Geriatric consultations are crucial for managing complex health needs in elderly patients.
    • Effective interventions can significantly impact functional status and healthcare utilization.

    Purpose of the Study:

    • To analyze the impact and outcomes of geriatric consultations at a major hospital.
    • To identify common diagnoses and effective recommendations from geriatric assessments.

    Main Methods:

    • Retrospective analysis of 81 geriatric consultations for 71 elderly patients (mean age 78).
    • Categorization of consultation requests (medical, psychiatric, social, rehabilitation).
    • Identification of new diagnoses and recommended interventions.

    Main Results:

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  • 50 new diagnoses were made, including cardiovascular disorders, medication effects, malnutrition, dementia, and gait disorders.
  • Key recommendations included medication adjustment (62%), management of cognitive/mood disorders (59%), rehabilitation (32%), and malnutrition treatment (30%).
  • Geriatric consultations led to 51% of patients being rerouted from nursing homes, with 14 eventually returning home.

    • Conclusions:

    • Geriatric consultations effectively identify and address conditions impacting elderly patients' functional levels.
    • Focusing on reversible conditions improves patient management and can reduce long-term care placement.
    • This specialized care enhances self-care ability and promotes successful aging in place.