What are some common concerns with geriatric patients?

SCRN1 · Jun 26, 2004

Falls, causing fractured hips is a main one I see. Another is confusion. I've also known lots who are on fixed incomes skipping doses on their meds "to make them last longer" which leads to problems with their diabetes or heart problems. Incontinence, arthritis, hearing/vision problems...the list goes on. Then again, I've seen some well into their 70s & 80s who are just as physically & mentally fit as someone in their 40s.

nursecrickett · Jun 26, 2004

I know this is off topic here, but I can't post where I want to....anyone else having this problem>????

Thanks!

leslie :-D · Jun 26, 2004

kimmy,

are you talking about in a long term care facility or elderly living at home?

husker-nurse, LPN, LVN · Jun 26, 2004

One of the biggest problems, besides falls and patients tearing out invasive lines, is LONLINESS, at least in the hospital setting where I work med-surg. Patients often feel abandoned, and, if they are mentally compromised, often panic because they have no idea where they are! Our staffing guidelines don't allow us to spend any more time with these patients, so often they wind up in retraints, which is very sad, and compounds the problem. :crying2:

Energizer Bunny · Jun 26, 2004

kimmy,
are you talking about in a long term care facility or elderly living at home?

Both, really. I'm looking for resources on the net too if you have any. I guess what I want to find out is if there are any specific illnesses, etc. that are mostly found in this population and not in the younger ones. KWIM?

Love-A-Nurse · Jun 26, 2004

they still want to be as independent as they can.

suzanne4, RN · Jun 26, 2004

Alzheimer's; if they have had diabetes for a long time and their sugars were all over the place, then definitely diabetic retinopathy as well as neuropathy;

claudication of the lower extremities; congestive heart failure can become more pronounced, heart valve problems requiring a new valve be placed, carotid artery problems that can lead to a stroke if not corrected (procedure done is called a carotid endarterectomy); more common to get bowel obstructions; atherosclerosis.......and the list could go on and on...

Hope that this helps................. :)

Energizer Bunny · Jun 26, 2004

It's a good start, Suzanne....thanks!

mandykal, ADN, RN · Jun 26, 2004

Lets not forget skin tears & pressure ulcers

leslie :-D · Jun 26, 2004

kimmy,

although i agree with suzanne, that list is a bit too comprehensive for me.

elderly= arthritic/pain/impaired mobility/risk for falls. dementia often confused w/depression leading to self care deficit. decreased appetite/thirst=altered nutrition; dehydration/risk for impaired skin integrity/altered lytes all leading to a sequela of pathologies...all systems are slowed down, each having their own set of implication.

why do you ask?

Energizer Bunny · Jun 26, 2004

THanks Leslie....I have a group online set up for my class and am collecting links for all different areas...I know our first clinical is going to be in a LTC setting so I wanted to thorougly explore this area and get as much information as possible! Make sense?

Thanks, hun.