Hazzardâs Geriatric Medicine And Gerontology ( PDFDrive ) (2024)

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Sites of Care for Older Adults

2007 •

Kenneth Boockvar

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Journal of the American Geriatrics Society

Paper Abstract

2018 •

C. Pieper

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Care Management Journals

The Value of Comprehensive Geriatric Assessment

Comprehensive geriatric assessment (CGA) provides guidance in planning care for elderly patients. The goals of CGA include reduction of health care cost, early recognition and treatment of geriatric syndromes and improved survival and quality of life for patients. Evidence from randomized controlled studies has identified the value of CGA and some of its limitations. Studies of CGA in institutional settings and in home care provide the basis for specific interventions to targeted groups of high-risk patients. Strategies for fall prevention, appropriate use of pharmacotherapy, and prevention of in-hospital delirium have grown out of the application of this multidisciplinary tool. Future research focused on a more precise definition of the potential financial benefits of CGA may facilitate the task of communicating its value to decision makers.

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Research and Theory for Nursing Practice

A Model of Risk Reduction for Older Adults Vulnerable to Nursing Home Placement

2014 •

Jean Krampe

Because of the cost of nursing home care and desire of older adults to stay in their homes, it is important for health care providers to understand the factors that place older adults at risk for nursing home placement. This integrative review of 12 years of research, as published in 148 articles, explores the risk factors for nursing home placement of older adults. Using the framework of the vulnerable populations conceptual model developed by Flaskerud and Winslow (1998), we explored factors related to resource availability, relative risks, and health status. Important factors include socioeconomic status, having a caregiver, the availability and use of home- and community-based support services, race, acute illness particularly if hospitalization is required, medications, dementia, multiple chronic conditions, functional disability, and falls. Few intervention studies were identified. Development of evidence-based interventions and creation of policies to address modifiable risk ...

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Journal of the American Geriatrics Society

Multisite Geriatrics Clerkship for Fourth-Year Medical Students: A Successful Model for Teaching the Association of American Medical Colleges' Core Competencies

2000 •

Eric Hardt, Belle Brett

As the population ages, it is important that graduating medical students be properly prepared to treat older adults, regardless of their chosen specialty. To this end, the Association of American Medical Colleges (AAMC) and the John A. Hartford Foundation convened a consensus conference to establish core competencies in geriatrics for all graduating medical students. An ambulatory geriatric clerkship for fourth-year medical students that successfully teaches 24 of the 26 AAMC core competencies using an interdisciplinary, team-based approach is reported here. Graduating students (N=158) reported that the clerkship was successful at teaching the core competencies, as evidenced by positive responses on the AAMC Graduation Questionnaire (GQ). More than three-quarters (80-93%) of students agreed or strongly agreed that they learned the seven geriatrics concepts asked about on the GQ, which cover 14 of the 26 core competencies. This successful model for a geriatrics clerkship can be used in many institutions to teach the core competencies and in any constellation of geriatric ambulatory care sites that are already available to the faculty.

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Canadian geriatrics journal : CGJ

A Scoping Review of Frailty and Acute Care in Middle-Aged and Older Individuals with Recommendations for Future Research

2017 •

Darryl Rolfson

There is general agreement that frailty is a state of heightened vulnerability to stressors arising from impairments in multiple systems leading to declines in homeostatic reserve and resiliency, but unresolved issues persist about its detection, underlying pathophysiology, and relationship with aging, disability, and multimorbidity. A particularly challenging area is the relationship between frailty and hospitalization. Based on the deliberations of a 2014 Canadian expert consultation meeting and a scoping review of the relevant literature between 2005 and 2015, this discussion paper presents a review of the current state of knowledge on frailty in the acute care setting, including its prevalence and ability to both predict the occurrence and outcomes of hospitalization. The examination of the available evidence highlighted a number of specific clinical and research topics requiring additional study. We conclude with a series of consensus recommendations regarding future research p...

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AACN and the Hartford Institute are grateful to the following individuals for serving on the National Expert Panel for Baccalaureate Competencies in Geriatric Nursing

2000 •

Patricia Burbank

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Geriatric Orthopaedic Surgery & Rehabilitation

Postacute Management of Older Adults Suffering an Osteoporotic Hip Fracture: A Consensus Statement From the International Geriatric Fracture Society

Kathleen Mangione

Background: The majority of patients require postacute care (PAC) after a hip fracture. Despite its importance, there is no established consensus regarding the standards of care provided to hip fracture patients in PAC facilities. Methodology: A writing group was created by professionals from the International Geriatric Fracture Society (IGFS) with representation from other organizations. The focus of the statements included in this article is toward PAC providers located in nursing facilities. Contributions were integrated in a single document that underwent several reviews by each author and then underwent a final review by the lead and senior authors. After this process was completed, the document was appraised by reviewers from IGFS. Results/Conclusion: A total of 15 statements were crafted. These statements summarize the best available evidence and is intended to help PAC facilities managing older adults with hip fractures more efficiently, aiming toward overall better outcomes...

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Journal of the American Medical Directors Association

Clinical Update on Nursing Home Medicine: 2014

2014 •

Julie Gammack

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Maine Policy Review

Maine’s Initiatives in Geriatric Medical Care: Commentary from the Front Lines

Roger Renfrew

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Hazzardâs Geriatric Medicine And Gerontology ( PDFDrive ) (2024)


What are the 4 giants of geriatric medicine? ›

There is also need for wider educational initiatives to improve the gerontological education of patients and the public. Bernard Isaacs famously coined the expression 'geriatric giants' or the four clinical I's: Intellectual impairment, Incontinence, Immobility, and Instability. However, non-clinical giants exist.

What are the 5 pillars of geriatric medicine? ›

Table 1.
MindMentation Dementia Delirium Depression
MobilityImpaired gait and balance Fall injury prevention
MedicationsPolypharmacy, deprescribing Optimal prescribing Adverse medication effects and medication burden
MulticomplexityMultimorbidity Complex biopsychosocial situations
1 more row

What is the key difference between gerontology and geriatrics? ›

While geriatrics deals with the care of the elderly and their needs, gerontology is the study of aging and its impacts on the population. Gerontologists perform a support function in educating and understanding aging, while geriatricians deal with the care of these older adults.

What age is considered geriatric in medicine? ›

Abstract. From a chronological viewpoint, medical treatment of the elderly (geriatrics) starts from the age of 65 years old.

What are the 5 M's of geriatrics? ›

In this article, we present the 5M framework from geriatrics to achieve age-friendly healthcare. The 5Ms are medications, mind, mobility, multicomplexity, and what matters most.

What are the 3 D's of geriatrics? ›

The three D's of Geriatric Psychiatry-delirium, dementia, and depression-represent some of the most common and challenging diagnoses for older adults.

What age is considered elderly? ›


Traditionally, the “elderly” are considered to be those persons age 65 and older. By that definition, in 1987 there were just over 30 million elderly people in the United States, more than 12 percent of the total U.S. population of nearly 252 million (Table 3.1).

What are the 4 needs of geriatric patients? ›

Elderly Care: Five Daily Needs of Seniors that Must be Met
  • Staying Mobile. ...
  • Getting Personal Care. ...
  • Managing Medical Care. ...
  • Getting Proper Nutrition and Exercise. ...
  • Engaging in Activities and Recreation.
Mar 16, 2018

What are the five geriatric giants? ›

The 5 Is of geriatric giants are: iatrogenesis, immobility, instability, incontinence and impaired cognition. Consequences for the patient and their caregivers include loss of functional independence, institutionalisation and caregiver burnout.

What is another name for a geriatric doctor? ›

Some provide care at long-term care facilities or rehabilitation facilities. A geriatrician is a specific type of gerontologist (a professional who supports the health and well-being of older adults).

Why are old people called geriatric? ›

The term geriatrics originates from the Greek γέρων geron meaning "old man", and ιατρός iatros meaning "healer".

Who can call themselves a gerontologist? ›

Gerontologists include healthcare providers you see and other professionals who work behind the scenes to support healthy aging. Examples of professionals who might also identify as gerontologists include: Physicians. They're typically called geriatricians, or geriatric medicine doctors.

What kind of doctor is best for seniors? ›

A geriatrician is a primary care doctor who specializes in treating older adults. They may provide integrative care, diagnose a variety of conditions, and help you maintain a high quality of life.

What does a geriatrician do for dementia? ›

Geriatric doctors are experts at diagnosing the causes of dementia. Using a combination of memory, ability, and mood tests, along with blood work and brain scans, geriatric doctors can offer treatment options and help you (and your caregivers) plan for the future.

What are the 4 pillars of geriatric? ›

These four components are the pillars that make up successful aging, a process of growing older while retaining our health, sense of community, cognitive functioning, and spiritual connection. These pillars of health can be broken down and defined as social, spiritual, physical and intellectual.

What are the 4 D's of geriatrics? ›

Deciphering the 4 D's: cognitive decline, delirium, depression and dementia--a review.

What are the 4 geriatric syndromes? ›

According to the literature review, the five conditions most commonly considered geriatric syndromes are: pressure ulcers, incontinence, falls, functional decline and delirium.

What are the 4 M's of geriatric care? ›

Using the 4Ms framework brings focus to What Matters, Medication, Mentation, and Mobility, and when put into practice, this framework is a success.


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