Common Problems in Geriatrics for Orthopedic Surgeons

Common Problems in Geriatrics for Orthopedic Surgeons
Presentation by
Steven Zweig, MD

Family and Community Medicine
MU School of Medicine

Goals

* Recognize the importance of aging physiology in the development and treatment of specific problems
* Prevent and treat delirium
* Recognize the significance of polypharmacy
* Identify patients at risk for elder abuse

Case 1 - 80 year old woman with hip fracture
Delirium
* Physical exam for VS, neuro, skin, infections
* Mental status exam
* Lab and x-ray for infections (lung, urine), fluid and lytes, hypoxia, BS, new trauma, systemic dx

Mental Status Evaluation

Case 2 - 76 year old woman with osteoarthritis
Altered Drug Distribution
Altered Drug Metabolism
Altered Renal Excretion
Common Adverse Drug Reactions
Principles of Geriatric Prescribing


Case 3- 75 year old woman with upper arm pain

X- ray and lab findings
Elder Abuse
Risk factors
Management

Tips for Coordinating Care

* Medicare home care - requires need for skilled nurse or PT
* Admission to SNF requires 3 day hospital stay - contact the NH physician to plan
* PPS means capitated reimbursement to SNFs
* Medicare does not cover costs of drugs
* Get SW involved if any care problems anticipated

Common Problems in Geriatrics for Orthopedic Surgeons.ppt

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Geriatrics in a Nutshell

Geriatrics in a Nutshell
Presentation by: Karen E. Hall, M.D., Ph.D.

Clinical Associate Professor of Internal Medicine
University of Michigan, Ann Arbor VA Health Systems
Research Scientist,
Geriatric Research, Education and Clinical Center

Covers the following topics
Geriatric Syndromes
Common Diseases in Elderly
Documentation/Skills
First rule of history and physical exam
Physical Exam
Diagnosis belongs in the Impression / Plan
Develop a Plan rather than a Diagnosis
Social, Ethical, Cultural

Geriatrics in a Nutshell.ppt

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Scope of Ayurveda in Geriatric Health Care

Scope of Ayurveda in GERIATRIC HEALTH CARE
Dr. B Rajeev MD (Ay), PhD (Psych)
Honorary Consultant- Holistic Medicine
Amrita Institute of Medical Sciences & Research Centre,
AIMS, Kochi, Kerala

Objective of Geriatrics
Gerontology
Problems of Geriatric age group
Common manifestations
Medical care & Management for the old
Preventive Geriatrics
Geriatric rehabilitation
Concept of Geriatrics in Ayurveda
Chikitsa yojana
Chikitsa Padhati
Rasayana – Vajeekarana
Vyadhi Pratyaneeka chikitsa
Glimpses on Diseases where Panchakarma offers better management options
Manasopachara / Achara rasayana

Scope of Ayurveda in Geriatric Health Care.ppt

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