Geriatric Medicine is a
specialty that focuses on health concerns faced
by older persons and aims to promote healthy ageing,
optimize health and independence, and minimize
disability.
The geriatrician is trained to recognize the issues
faced by older persons and is especially adept
at recognizing the nuances of multiple coexistent
illnesses that older persons often present with.
It is well recognized that older persons are more
likely to suffer from multiple chronic diseases
such as diabetes mellitus, hypertension, ischaemic
heart disease and neurological conditions such
as strokes and Parkinson's disease. By extension,
it is thus not surprising that older persons with
multiple ailments often end up seeing multiple
doctors and having to take a large number of different
medications. Further to this, illnesses in older
persons often present in atypical fashion, partly
because of physiological changes arising from
the ageing process, and partly because of the
interaction of the multiple conditions and medications.
As such many conditions faced by frail older persons
are often missed or dismissed (as an inevitable
part pf ageing), when in fact these situations
may often be amenable to treatment. Examples of
such conditions include episodes of confusion
or forgetfulness, worsening mobility or difficulty
walking, increasing "weakness" and progressive
loss of appetite.
The geriatric medical consultation seeks to unravel
the complexities that underlie the complaints
that frail older persons present with e.g. an
older person presenting with worsening confusion
and drowsiness may in fact be suffering from a
simple infection or an over-dosing of medications
intended for helping with sleep and hypertension,
while a complaint of poor appetite and nausea
may in fact be due to side effects of medications
for regulating heart rhythms. The geriatrician
also seeks to directly address and counter many
of the myths that come with ageing and helps the
patient take a holistic approach to tackling his
or her problems, that includes consideration of
the patient's psychosocial concerns as well as
his or her personal aspirations.
Just as paediatric medicine is a specialty that
involves specially trained physicians to identify,
treat and manage the special health needs of children,
geriatric medicine is a well-established specialty
that involves specially trained physicians who
are well-acquainted with the special needs of
older person and who are able to identify, treat
and manage these needs in a holistic manner.
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more about Our Geriatric Services |