Working in Geriatric Medicine in the NHS

Working in Geriatric Medicine in the NHS

Geriatrics, or care of the elderly, may initially strike you as a boring rotation. You might think it's just a ward of falls and dementia, but to be perfectly honest, working in geriatric medicine is like experiencing a true medicine ward. A patient can come in with any possible presentation and it is your job to determine what is making them ill.

What is Geriatric Medicine?

First you need to understand what qualifies a geriatric patient. Generally 65 and above is considered eligible for a geriatric ward, but fraility plays a major role in this classification. If a patient is younger but perceived as frail, they may still be admitted to a geriatric ward.

As mentioned before, care of the elderly is a mixed bag of patients where you can find patients suffering from pneumonia, vasovagal syncope, stroke, dementia, Parkinson's, Alzheimer's, falls, urinary incontinence, UTIs, etc.

An important thing to keep in mind as you assess your patient is the Rockwood's Clinical Fraility Score . . .

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Ibrahim Ivanqamark67 Recent comment authors

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Nicely written. There’s a geriatric podcast if interested. Also can add something about importance of collateral history in geriatric patient management.

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