Management of the Geriatric Patient

Michelle Martinchek
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Abstract

Geriatric syndromes are complex conditions in older adults that often have many contributing factors. Examples of common geriatric syndromes include cognitive impairment, delirium, falls, frailty, weight loss, and pressure ulcers. Identifying the patients at risk for these syndromes and enacting preventive measures are also important to try to reduce the impact that many of these syndromes may have on outcomes. These syndromes can happen across many different care settings including in the community, outpatient setting, hospital, and nursing facilities. Once these syndromes are identified, management techniques often include multifactorial approaches and use both nonpharmacologic and pharmacologic means. Management strategies may include assistance from interdisciplinary team members, families, and caregivers of the patient. This review contains 30 references, 4 figures, and 4 tables. Key Words: cognition, delirium, dementia, fall, frailty, gait, geriatric, malnutrition, pressure ulcer, weight loss
老年病人的管理
老年综合征是老年人的复杂病症,通常有许多促成因素。常见的老年综合征包括认知障碍、谵妄、跌倒、虚弱、体重减轻和压疮。识别有这些综合征风险的患者并制定预防措施对于减少许多这些综合征可能对结果产生的影响也很重要。这些综合征可能发生在许多不同的护理环境中,包括社区、门诊环境、医院和护理设施。一旦这些症状被确定,管理技术通常包括多因素方法,并使用非药物和药物手段。管理策略可能包括跨学科团队成员、患者家属和护理人员的协助。本综述包含文献30篇,图4张,表4张。关键词:认知,谵妄,痴呆,跌倒,虚弱,步态,老年,营养不良,压疮,体重减轻
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