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Two thirds of older people have two or more long-term medical problems (multimorbidity). [8] This makes determining the cause of any deterioration more difficult, and thus deciding the best treatment plan is also challenging, since it depends on accurately diagnosing the underlying medical problem.
Monitoring of medications and ongoing medical problems. For example, people with polymyalgia rheumatica often take long-term steroids, leading to osteoporosis. Research in the UK has also suggested that these people would benefit from a falls assessment when first diagnosed, and regular treatment reviews. [22] [23]
However, elderly patients with severe trauma often do not meet the standard TTA criteria due to normal age-related changes and reduced physiologic capacities. For example, older adults have a less profound tachycardic response to hemorrhage , pain , or anxiety following trauma.
According to recent studies, a significant proportion of older adults experience musculoskeletal pain. This pain can be localized (e.g., back pain, knee pain) or widespread (e.g., fibromyalgia). The prevalence tends to increase with age, affecting a substantial portion of the elderly population. [34]
Geriatrics, or geriatric medicine, [1] is a medical specialty focused on providing care for the unique health needs of the elderly. [2] The term geriatrics originates from the Greek γέρων geron meaning "old man", and ιατρός iatros meaning "healer".
Frail elderly patients (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. Another tool that has been used to predict frailty outcome post-surgery is the Modifies Frailty Index, or mFI-5. This scale consists of 5 key co-morbidities: [62]
The most important and best way to manage SMA is to come up with a plan that both the medical team and patient agrees with. As mentioned before, patients with SMA also suffer from respiratory issues, which is the number one issue that must be prevented. Treating patients while they actively have the issues is not as effective as planning ...
Orthopaedic nursing (or orthopedic nursing) is a nursing specialty focused on the prevention and treatment of musculoskeletal disorders. Orthopaedic issues range from acute problems such as fractures or hospitalization for joint replacement to chronic systemic disorders such as loss of bone density or lupus erythematosus .