Zhumadian Network News (Correspondent Zhou Tian) What is the geriatric department? What diseases are suitable for geriatrics? I'm sure many people don't know.
According to the relevant responsible comrades of the Geriatric Department of the Second People's Hospital of the city, geriatric medicine is a specialized medicine that specializes in the study of the causes, diagnosis, treatment and prevention of aging and various geriatric diseases, the characteristics of various diseases in the elderly population, as well as mental psychology, health care, rehabilitation, and comprehensive evaluation. Its ultimate goal is to maintain the functional status of the elderly, to support the elderly to care for the elderly at home, and to improve the quality of life of the elderly and their families.
The elderly generally have multi-system diseases such as cardiovascular and cerebrovascular, respiratory, endocrine, digestive, and tumor, which often require multidisciplinary treatment, which is very inconvenient. The Department of Geriatrics of the Second People's Hospital of Shanghai is a specialty integrating geriatric clinical, geriatric preventive health care and geriatric rehabilitation. The department focuses on comprehensive geriatric assessment, multidisciplinary diagnosis and treatment, and case management. Compared with the disease diagnosis and treatment process of "diagnosis-differential diagnosis-treatment" in other departments, the geriatrics department adopts "screening-assessment-intervention-re-evaluation" on a daily basis, which requires not only patient and careful inquiry, but also more detailed observation.
The Department of Geriatrics of the hospital is based on general medicine, with comprehensive geriatric assessment as the central link of diagnosis and treatment, with the core task of maintaining the functional independence of the elderly to the greatest extent, and the diagnosis and treatment team model of multidisciplinary cooperation has been established according to the characteristics of multi-disease coexistence of elderly patients. Here, the treatment plan can be optimized to solve the problem of polypharmacy in the elderly, and the trouble of multidisciplinary referral can be avoided.
The department has a geriatric outpatient department and ward, with 9 medical staff, medical team members with master's degrees, 46 open beds, including general wards, monitoring wards, special wards, complete facilities, complete facilities, with ECG monitors, micropumps, infusion pumps, hypothermia treatment instruments, infrared physiotherapy instruments, electric air cushion nursing beds, high-frequency vibration expectoration machines, lower limb inflatable pressure wave therapy instruments, non-invasive ventilators, etc. It can provide clinical diagnosis and treatment, prevention guidance and safety prevention for chronic common diseases of the elderly over 60 years old: cardiovascular diseases, respiratory diseases, digestive system diseases, endocrine diseases, nervous system diseases, etc., especially for elderly Parkinsonism, Alzheimer's disease, neurasthenia, delirium, anxiety and depression and sleep disorders, pain, dizziness, constipation, malnutrition, senile sarcopenia syndrome (sarcopenia), end-stage palliative care, care and a variety of geriatric syndromes and intervention guidance for cancer patients.
The subjects of the department are mainly the elderly over 60 years old, elderly patients with multiple diseases, and patients with geriatric syndromes manifested by dementia, urine and fecal disorders, sleep disorders, anxiety and depression disorders, delirium, falls, sarcopenia, malnutrition, frailty, gait instability and pressure ulcers. Elderly patients over the age of 75 and three or more serious diseases coexisting and requiring personal care. At the same time, the geriatrics department can also provide palliative care services for dying patients, so that patients can spend their last days in peace.