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ED1 - Geriatrics

ED1 - Geriatrics

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Published by: crissy544 on Aug 24, 2013
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Education Day 1 Geriatrics The most powerful force shaping the present character of health care in the United

States is the aging of its people. The elderly use health services more frequently than any other demographic group. Most health care services received by older patients are provided in ambulatory settings and most physician encounters occur outside of the hospital. Because Iowa has one of the oldest populations in the country, you will frequently encounter elderly patients during your clerkships. The nature of illness and health in old age is strongly influenced by the occurrence of chronic disease and associated disability. The probability of having multiple chronic illnesses increases as people age. Hearing and visual impairments occur more frequently in the elderly, heart conditions are highly prevalent, and arthritis affects 3/5 of women and 1/3 of men. There can also be a related loss of independence as chronic illness multiplies. Older patients will frequently seek your counsel on illness, dependency, and for assistance in the negotiation of health care services designed to improve or support their function. The ability to assess the function of an older patient and skillfully manage interdisciplinary care services will prove especially useful in the development and implementation of care plans. The APM and its clerkship experiences offer opportunity for you to consider both these assessment techniques and how to apply them to your own work. Today, you will be introduced to the principles and tools of functional assessment. You will assess the function of the simulated patient and you will collaborate with a geriatric social worker in the development of a treatment plan. Your ability to assess function, work with health care teams, and manage the under-recognized syndromes of old age, will be germane to your practice for the remainder of your career. FacultyGerald Jogerst, M.D., Family Medicine Gretchen Schmuch, MSW, LISW, Family Medicine

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