Geriatric Medicine

Geriatric MedicineEdit

This guide begins with an introduction to Geriatric Medicine: what it is, why it matters, and the various healthcare delivery settings. Aging and drugs are considered, followed by an in-depth discussion of various geriatric syndromes and chronic medical conditions before concluding with hospice and palliative care topics. All review questions have detailed explanations involving relevant portions of the text. Objectives are listed at the beginning of each chapter to primarily identify learning goals.

Table of Contents:

Chapter 1 - What is Geriatrics? Chapter 2 - Aging and Drugs Chapter 3 - Comprehensive Geriatric Assessment
  • 1.1 – Aging and Health
  • 1.2 – Implications of Increased Life Expectancy on Health
  • 1.3 – Geriatrics
  • 1.4 – Health Care Payment Models
  • 1.5 – Geriatric Care Settings
  • 1.6 – Cultural Considerations in Geriatrics
  • 1.7 – Review Questions
  • 2.1 – Minimizing Adverse Drug Events
  • 2.2 – Aging and Pharmacology
  • 2.3 – Potentially-Inappropriate Medications
  • 2.4 – To Prescribe or Not to Prescribe?
  • 2.5 – Review Questions



  • 3.1 – Components of a History and Physical
  • 3.2 – Components of a Comprehensive Geriatric Assessment
  • 3.3 – Review Questions





Chapter 4 - Overview of Geriatric Syndromes Chapter 5 - Dementia Chapter 6 - Delirium
  • 4.1 – Geriatric Syndromes
  • 4.2 – Documentation of a Geriatric Patient Encounter







  • 5.1 – Dementia
  • 5.2 – Alzheimer’s Disease
  • 5.3 – Vascular Dementia
  • 5.4 – Normal Pressure Hydrocephalus
  • 5.5 – Lewy Body Dementia and Parkinson’s Disease Dementia
  • 5.6 – Frontotemporal Dementia
  • 5.7 – Behavior Disturbances in Dementia
  • 5.8 – Review Questions
  • 6.1 – Delirium
  • 6.2 – Review Questions







Chapter 7 - Depression and Anxiety Chapter 8 - Urinary Incontinence Chapter 9 - Pressure Ulcers
  • 7.1 – Depression and Anxiety
  • 7.2 – Comparison of Dementia, Delirium, and Depression
  • 7.3 – Review Questions






  • 8.1 – Urinary Incontinence
  • 8.2 – Interpreting a Urinalysis and Urine Culture/Sensitivity
  • 8.3 – Review Questions






  • 9.1 – Pressure Ulcers
  • 9.2 – Review Questions







Chapter 10 - Ambulatory Dysfunction and Falls Chapter 11 - Metabolic Diseases Chapter 12 - Palliative Care and Hospice
  • 10.1 – Gait, Ambulatory Dysfunction, and Falls
  • 10.2 – Alcohol Abuse
  • 10.3 – Parkinson’s disease
  • 10.4 – Syncope and Hypotension
  • 10.5 – Osteoporosis
  • 10.6 – Review Questions



  • 11.1 – Diabetes in Geriatric Patients
  • 11.2 – Hypertension in Geriatric Patients
  • 11.3 – Hyperlipidemia in Geriatric Patients
  • 11.4 – Review Questions





  • 12.1 - Advance Care Planning
  • 12.2 – Dysphagia
  • 12.3 – Opioid use
  • 12.4 – Constipation
  • 12.5 – Frailty
  • 12.6 – Hospice/Palliative Care
  • 12.7 – Review Questions


Authors and ContributorsEdit

The primary author is Lenny Powell DO, MS, CMD, assistant professor in the Department of Geriatrics and Gerontology and the Department of Osteopathic Manipulative Medicine at Rowan University School of Osteopathic Medicine, however, this work is a compilation of work done by others with organization, additional narrative, and visualizations. This project initially started as a review guide for my students and evolved into a book. However, due to the demands and frequent updates I plan to make to this work, I have transitioned it from a physical book to an electronic one. It is a work in constant progress; others are encouraged to add information (subject to review) and contribute!

Specific acknowledgments include, from Rowan University School of Osteopathic Medicine, in addition to others inadvertently omitted:

  • Anita Chopra, MD, FACP, CMD, AGSF
  • Adaora Okoli-Umeweni, MD, FACP
  • Paul Bryman, DO, FACOI, AGSF, CMD
  • Terrie Ginsberg, DO, FACOI, AGSF
  • Kevin Overbeck, DO
  • Christian White, DO

ReferencesEdit

References are placed within the text. In the event a reference was inadvertently missed or one requests more information on the covered topics, here are several excellent sources. All are available for purchase on Amazon.

  1. “Geriatrics at Your Fingertips”, American Geriatrics Society, published yearly (21st edition as of 2019)
  2. Kane and Ouslander’s “Essentials of Clinical Geriatrics” (8th edition as of 2019)

DisclaimerEdit

  • All content found here including text, images, or other formats were created or compiled for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
  • If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. This text does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned herein. Reliance on any information provided is solely at your own risk.