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Geriatricians for comprehensive medical care in older adults

What geriatrics focuses on, which health issues are commonly assessed in older adults, and when specialist geriatric care is appropriate

What geriatrics focuses on

What geriatrics focuses on

Geriatrics is a medical specialty dedicated to the assessment and management of health conditions in older adults. It focuses on age-related changes in physical, cognitive, and functional health rather than on a single organ system.

Geriatricians consider how multiple medical conditions interact over time, especially in patients with complex or chronic health issues. Symptoms in older adults often present differently and may be influenced by frailty, reduced physiological reserve, or polypharmacy.

The specialty emphasises overall function, independence, and quality of life alongside disease management. Many geriatric concerns develop gradually and require longitudinal assessment rather than episodic care.

A key aim of geriatrics is to distinguish normal ageing from conditions that benefit from targeted medical evaluation.

Common reasons to see a geriatrician

Common reasons to see a geriatrician

Multiple chronic conditions, such as cardiovascular disease, diabetes, arthritis, or respiratory illness, are a frequent reason for geriatric assessment. Managing these conditions together often requires a coordinated approach.

Cognitive changes, including memory concerns, confusion, or suspected dementia, commonly prompt referral. Geriatricians assess cognitive symptoms in the context of overall health, medications, and functional status.

Recurrent falls, balance problems, and mobility decline are also common indications for consultation. These issues may reflect neurological, musculoskeletal, cardiovascular, or medication-related factors.

Older adults are often referred for review of complex medication regimens, especially when side effects, interactions, or adherence concerns arise.

Frailty, function, and daily living

Frailty, function, and daily living

Frailty is a central concept in geriatrics and refers to increased vulnerability to stressors such as illness or injury. It often manifests as weakness, slowed mobility, fatigue, or unintended weight loss.

Geriatricians assess functional ability, including activities of daily living and mobility, to understand how health conditions affect independence. Small changes in health can have a significant functional impact in older adults.

Functional assessment helps guide decisions about further investigations, treatment priorities, and support needs. It also assists in identifying potentially reversible contributors to decline.

Maintaining function is often as important as treating disease in geriatric care.

Cognitive health and mental well-being in older age

Cognitive health and mental well-being in older age

Cognitive symptoms in older adults may arise from neurodegenerative conditions, vascular disease, metabolic disorders, or medication effects. Geriatrics evaluates these possibilities in a structured manner.

Mood disorders, including depression and anxiety, are common in later life and may present with atypical symptoms. These conditions can significantly affect physical health and daily functioning.

Geriatricians assess mental well-being alongside physical health, recognising the close relationship between the two. Cognitive and emotional changes are not an inevitable part of ageing.

Careful evaluation helps avoid attributing treatable conditions to age alone.

When geriatrics may not be enough

When geriatrics may not be enough

Some health issues in older adults require primary management by other specialties. Acute medical emergencies, such as stroke or severe infection, require immediate care rather than planned geriatric consultation.

Organ-specific conditions may need ongoing management by cardiology, neurology, oncology, or other specialties, with geriatrics providing supportive coordination.

Geriatricians identify when symptoms fall outside the scope of geriatric care alone and facilitate appropriate referral.

Collaborative care is a core principle of geriatrics.

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Geriatricians: frequently asked questions

Key questions about medical care for older adults

What health issues do geriatricians typically assess?
Geriatricians assess complex health problems that commonly occur in older adults, including multiple chronic conditions, functional decline, and frailty. They focus on how these conditions interact rather than treating each disease in isolation. Cognitive changes, mobility problems, and medication-related issues are also central to geriatric care. The aim is to support overall function and quality of life.
When should an older adult see a geriatrician?
A geriatric assessment is appropriate when health concerns become complex or affect daily independence. This may include recurrent falls, memory changes, increasing difficulty managing medications, or unexplained functional decline. Geriatricians are especially helpful when multiple conditions are present and symptoms are not easily explained by a single diagnosis.
Do geriatricians treat memory and cognitive problems?
Yes. Cognitive concerns such as memory loss, confusion, or suspected dementia are common reasons for geriatric evaluation. Geriatricians assess these symptoms in the context of overall health, medications, and functional status. They help distinguish between age-related changes, reversible causes, and neurodegenerative conditions.
Are falls and balance problems part of geriatric care?
Falls are a major focus in geriatrics because of their impact on health and independence. Geriatricians assess balance, mobility, vision, medications, and underlying medical conditions that may contribute to falls. Even a single fall can indicate increased vulnerability in older adults.
Do geriatricians manage medications differently?
Medication review is a core part of geriatric care. Older adults are more susceptible to side effects, drug interactions, and dosing issues. Geriatricians evaluate whether medications remain appropriate over time and whether simplification is possible. This helps reduce medication-related harm.
How does geriatrics differ from general internal medicine?
While both manage adult medical conditions, geriatrics focuses specifically on ageing-related complexity. The emphasis is on function, independence, and long-term health rather than disease-specific targets alone. Geriatric care often involves coordination with other specialties.
When is urgent medical care needed instead of a geriatric consultation?
Sudden confusion, acute weakness, chest pain, signs of stroke, or severe infection require immediate medical attention. These situations should not wait for planned geriatric assessment.
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