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In This Topic
Geriatrics
Approach to the Geriatric Patient
Introduction
Back to Top
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Sections in Health Care Professionals
  • Cardiovascular Disorders
  • Clinical Pharmacology
  • Critical Care Medicine
  • Dental Disorders
  • Dermatologic Disorders
  • Ear, Nose, and Throat Disorders
  • Endocrine and Metabolic Disorders
  • Eye Disorders
  • Gastrointestinal Disorders
  • Genitourinary Disorders
  • Geriatrics
  • Gynecology and Obstetrics
  • Hematology and Oncology
  • Hepatic and Biliary Disorders
  • Immunology; Allergic Disorders
  • Infectious Diseases
  • Injuries; Poisoning
  • Musculoskeletal and Connective Tissue Disorders
  • Neurologic Disorders
  • Nutritional Disorders
  • Pediatrics
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  • Pulmonary Disorders
  • Special Subjects
Chapters in Geriatrics
  • Approach to the Geriatric Patient
  • Drug Therapy in the Elderly
  • Prevention of Disease and Disability in the Elderly
  • Aging and Quality Of Life
  • Social Issues in the Elderly
  • Elder Abuse
  • Provision of Care to the Elderly
  • Falls in the Elderly
  • Gait Disorders in the Elderly
  • The Older Driver
  • Funding Health Care for the Elderly
Topics in Approach to the Geriatric Patient
  • Introduction
  • Physical Changes With Aging
  • Evaluation of the Elderly Patient
  • Unusual Presentations of Illness in the Elderly
 
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  • Approach to the Geriatric Patient
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Introduction

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Geriatrics refers to medical care for the elderly, an age group that is not easy to define precisely. “Older people” is sometimes preferred but is equally imprecise; > 65 is the age often used. Gerontology is the study of aging, including biologic, sociologic, and psychologic changes.

Around 1900 in the US, people > 65 accounted for 4% of the population; now, they account for > 13% (38 million, with a net gain of > 1000/day). In 2026, when post–World War II baby boomers begin to reach age 80, estimates suggest that > 20% (almost 80 million) will be > 65. Mean age of those > 65 is now a little ore than 75, and the proportion of those > 85 is predicted to increase.

Life expectancy is an additional 16 yr at age 65 and 9 yr at age 75 for men and an additional 19 yr at age 65 and 12 yr at age 75 for women. Overall, women live about 5 yr longer than men, probably because of genetic, biologic, and environmental factors. These differences in survival have not changed, despite changes in women's lifestyle (eg, increased smoking, increased stress).

Last full review/revision June 2009 by Richard W. Besdine, MD

Content last modified February 2012

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