Evaluating the Geriatric Patient

Evaluating the geriatric patient can be complex. Geriatric patients are more likely to have medical illnesses or take medications that can affect cognition and mood. Age-related cognitive decline and dementia can also play a role in leading to mood and behavior changes. Older patients may have fewer social supports and suffer from bereavement or social isolation. This case demonstrates all the factors that should be considered in evaluating and determining appropriate disposition for a geriatric patient who has neurologic and medical problems, as well as depression and substance abuse issues....

Evaluating the geriatric patient can be complex. Geriatric patients are more likely to have medical illnesses or take medications that can affect cognition and mood. Age-related cognitive decline and dementia can also play a role in leading to mood and behavior changes. Older patients may have fewer social supports and suffer from bereavement or social isolation. This case demonstrates all the factors that should be considered in evaluating and determining appropriate disposition for a geriatric patient who has neurologic and medical problems, as well as depression and substance abuse issues. Treatment options in geriatric patients are discussed, with focus on geriatric-specific considerations for side effects and medical comorbidity.