Geriatrician

Just as pediatricians provide specialized care to children, geriatricians provide specialized care to seniors. They understand that older adults respond differently to treatment and medicines than younger adults.

Geriatricians also know how to manage several conditions at once. This is helpful because older patients are more likely to have many health issues.

Here are some of the main benefits that geriatricians provide.

A ‘Big Picture’ Approach to Your Health Care

Specialists who treat a single health problem in a patient don’t always see the big picture. In contrast, geriatricians think about all of the patient’s health conditions. Their focus is making connections.

Could poor sleep be what is worsening your diabetes? Is a drug to treat your depression pushing your blood pressure too high?

Geriatricians recognize the connections between various health problems and treatments. It helps them to prevent issues before they occur, or respond to issues when they’re at a treatable stage.

And by collaborating with a patient’s other health providers, geriatricians can ensure a more holistic approach to care.

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Less Invasive Health Care

Younger people often do well with aggressive treatments. In elderly patients, the side effects of some medicines can outweigh their benefits. Likewise, the possibility of complications may outweigh the benefits of surgery.

This is why geriatricians tend to decrease a patient’s medicines. They also look for alternatives to invasive treatments like surgeries.

Research shows this approach is highly effective. A 2018 review in the Journal of Geriatric Oncology found that elderly cancer patients improved with a geriatrician’s care. Those patients were more likely to complete treatment and less likely to suffer complications.

A 2017 review published in the journal Age and Aging showed similar findings. Older patients cared for by a geriatrician in the hospital had improved function, fewer complications, and shorter hospital stays.

Putting the Patient in the Driver’s Seat

As geriatricians get to know their patients, they talk to them about their goals for care. These conversations help geriatricians make decisions about which treatments to recommend.

Geriatricians may ask questions like: What activities do you want to continue doing? Do you prefer a treatment plan that prioritizes your quality of life?

Geriatricians help their patients make informed choices. They talk to patients about what they can expect from treatments. As a result, patients get a treatment plan that matches their values, goals, and lifestyle.

Maintaining and Improving Quality of Life

Geriatricians take time to assess a patient’s living situation and understand their challenges. They may suggest an in-home caregiver to reduce stress and improve nutrition. They also can connect patients to social programs to prevent loneliness and cognitive decline.

Additionally, geriatricians can refer patients to pain management, exercise, and physiotherapy programs. Adding these specialists to the care team can help patients maintain or improve energy levels and mobility. These programs also promote independence in shopping or personal care needs.

Ensuring Appropriate Medicines

Older adults often have several medical conditions that need different medicines to treat. For example, muscle relaxants and allergy medicines can be dangerous for older adults. Geriatricians can help patients determine which drugs are necessary and which are not.

They also help patients avoid dangerous drug combinations which can lead to adverse drug reactions and hospitalizations. A 2018 study in Expert Opinion on Drug Safety found that 20% of hospitalizations caused by drug reactions were preventable.

To connect with a geriatrician who can assist with your health care needs, call the Benedum Geriatric Center at 412-692-4200 or the Senior Care Institute at 412-623-2700.

Sources

Age Ageing. Effectiveness of in-hospital geriatric co-management: a systematic review and meta-analysis. Link

Expert Opinion on Drug Safety. Preventable ADRs leading to hospitalization — results of a long-term prospective safety study with 6,427 ADR cases focusing on elderly patients. Link

Journal of Geriatric Oncology. The effect of a geriatric evaluation on treatment decisions and outcome for older cancer patients – A systematic review. Link

Health in Aging. Medications work differently in older adults. American Geriatric Society. Link

University of Pittsburgh. Division of Geriatric Medicine. Link

UPMC. Division of Geriatrics. Link

UptoDate. Geriatric Health Maintenance. Link

About Geriatrics

The UPMC Division of Geriatrics is nationally recognized for its expertise in treating older adults. Our multidisciplinary team diagnoses and treats a wide variety of conditions affecting seniors, including medical, physical, cognitive, psychological, and social. Our hope is to provide the best care in people’s later years. We can help on an inpatient or outpatient basis, for short-term or long-term conditions. The John A. Hartford Foundation designates us as a National Center of Excellence in Geriatric Medicine. U.S. News & World Report ranks UPMC Presbyterian Shadyside as among the nation’s best hospitals for geriatric care.