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Multidisciplinary comprehensive geriatric treatment


Multidisciplinary comprehensive geriatric treatment

Multidisciplinary comprehensive geriatric treatment

The comprehensive multidisciplinary diagnosis and treatment of the elderly, which includes professionals of various specialties, is today the treatment of choice for the elderly.

Treating the elderly in the public sector today is done by means of a one-dimensional approach. Therefore, many times, the elderly receive treatment by the family doctor who goes to him. Only if necessary, when the family doctor is not able to give adequate treatment, directs the elderly person to the specialist in the field of his complaint. Sometimes the elderly is sent to a number of counselors and finds himself moving between different doctors, performing different examinations and receiving different drugs, which may not be coordinated between them.

Even going to a geriatrician, it is not certain that it will bring salvation to the elderly, because often, due to the crowding in clinics and the large number of patients, the attention that the elderly receives is for a short period and is insufficient to examine the complex medical problems that the elderly suffer and methods of treatment.

According to a holistic, multidisciplinary approach, all treatment is concentrated in the hands of a geriatrician, who is the central responsible for treating the elderly and is assisted by a multidisciplinary team such as a physiotherapist, nutritionist, psychologist, social worker and occupational therapist. The team conducts a meeting with the elderly, at the end of which a detailed diagnosis is obtained about the condition of the elderly and accordingly, the optimal treatment is given to the elderly.

A complete and comprehensive diagnosis is divided into several levels:

1 . Medical level - it deals with the medical history of the elderly person, what diseases he contracted during his life, how he was treated, examining whether these diseases are still active, and if they are treated properly.

To reach conclusions, the elderly person undergoes a complete physical examination, a neurological examination, as well as a comprehensive geriatric examination that includes diagnosing what conditions the elderly suffers from, such as malnutrition , low mental performance, lack of control in the process of urination and defecation, ulcers, and so on.

In addition, a monitoring procedure for medications that the elderly is taking is initiated, which includes examining the interaction between different drugs .

2 . Occupational level - examining the occupational level of the elderly in daily life. This examination constitutes a measure of whether the elderly person is performing well or suffering from disability. The examination is carried out on three basic levels (the ability to move, shower, control the process of urination and defecation, the ability to wear clothes and eat independently), use of tools (the ability of the elderly to perform daily activities such as shopping, driving, preparing meals, using the phone, cleaning the house. , Etc.), and advanced (social relationships, work, hobbies, etc.).

3 . Motor level - stability, balance, muscle strength, and ability to move, examined by a physiotherapist as well as a neurological examination.

4 . Level of Perceptual Ability- The thinking processes of the elderly person, which include spatial, temporal and postural perception, ability to judge, problem-solve, decision-making, types of memory, language functions, etc. are examined by an occupational therapist.

5 . Mental level - is determined by a psychiatrist who examines the alertness of the elderly person, their outward appearance, and the ability to express emotions. His movements are also tested whether they are slow, flexible, freezing and also the ability to speak. Pay great attention to his psychological state, is he depressed , anxious, has suicidal thoughts, etc.

After all the aforementioned diagnoses, the elderly are given various recommendations about the examinations that he should undergo, how to maintain proper nutrition , treatment of psychological symptoms, if there is such a thing, and also if there is a need for physical therapy.

In addition, social recommendations are given that include going to the club daily, housing suitability, if necessary, behavioral and medication recommendations, and more.

In summary, with age, we accumulate diseases, drugs, and suffer impairment in motor and cognitive ability. There is great importance to pay attention to the elderly’s complaints, to describe the story of his illness, which constitutes an important factor for an effective diagnosis of the disease in the elderly in order to achieve rapid improvement in the quality of life of the elderly and alleviate him and those around him.