Wankhede Hospital

Geriatric Medicine

What is Geriatric Medicine?

Geriatric medicine, also known as geriatrics, is a branch of medicine that focuses on the healthcare of elderly individuals. It is concerned with the prevention, diagnosis, treatment, and management of diseases and conditions associated with aging. The goal of geriatric medicine is to promote health by preventing and treating diseases and disabilities in older adults, ensuring they maintain the highest possible quality of life.

geriatric medicine

Key Aspects of Geriatric Medicine:

  • Comprehensive Care for Older Adults:

    • Older adults often have multiple chronic conditions that interact with one another, requiring specialized, coordinated care. Geriatricians (doctors specializing in geriatrics) manage complex health issues like diabetes, hypertension, arthritis, heart disease, and cognitive decline (e.g., dementia and Alzheimer’s disease).
  • Focus on Functional Independence:

    • Geriatric medicine prioritizes maintaining or improving functional independence—helping older adults perform daily activities such as dressing, eating, walking, and bathing, as well as addressing mobility and fall prevention.
  • Polypharmacy Management:

    • Older adults often take multiple medications, which can lead to drug interactions and side effects. Geriatricians focus on simplifying medication regimens and adjusting dosages to avoid harmful side effects, a practice called polypharmacy management.
  • Cognitive Health:

    • Cognitive decline is common in aging. Geriatricians assess memory, reasoning, and mental health issues such as dementia, depression, and delirium, which can significantly impact an older person’s ability to function independently.
  • Chronic Disease Management:

    • Geriatricians are skilled at managing long-term conditions such as arthritis, heart disease, diabetes, and kidney disease, ensuring these are managed with minimal impact on the patient’s quality of life.
  • Palliative and End-of-Life Care:

    • Geriatric medicine also involves palliative care, which focuses on relieving symptoms and improving the quality of life for those with serious illnesses. Geriatricians work closely with patients and their families to make decisions about end-of-life care, advance directives, and hospice care when necessary.
  • Multidisciplinary Approach:

    • Geriatric care is often delivered by a team that includes not just doctors but also nurses, physical therapists, occupational therapists, social workers, and nutritionists. This approach ensures that the various physical, emotional, and social needs of older adults are addressed.
  • Falls and Injury Prevention:

    • Geriatricians assess risk factors for falls and work to reduce the risk of injury, which is common in the elderly due to decreased bone density, balance issues, and muscle weakness.

Common Conditions Managed in Geriatrics:

  • Dementia and Alzheimer’s Disease
  • Osteoporosis and Arthritis
  • Parkinson’s Disease
  • Urinary Incontinence
  • Hearing and Vision Loss
  • Malnutrition
  • Depression and Anxiety

When to See a Geriatrician:

  • Aging Adults: Individuals over the age of 65 with multiple chronic conditions or functional impairments.
  • Complex Medical Needs: If managing multiple medications and health conditions becomes overwhelming, a geriatrician can offer specialized care.
  • Cognitive Concerns: Those showing signs of memory loss, confusion, or cognitive decline may benefit from a geriatric assessment.

Geriatric medicine is vital for helping older adults maintain health and independence, while also addressing the unique health challenges that come with aging.

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