The Case for Becoming a “Little g”...

The Case for Becoming a “Little g” Geriatrician

Cathleen Colón-Emeric, MD, MHS



1. Pyramids becoming Squares

2. The Biopsychosocial model matters

3. Geriatric Syndromes are everywhere

4. The stories


Conflict of Interest

• I believe that Geriatrics is clearly the most wonderful and exciting specialty and am shamelessly enlisting your help in caring for this important population


Pyramids Becoming Squares


Squaring of the Population Pyramid


C.O.A.C.H

Building New Care Models


The Biopsychosocial Model Matters


The Story of the Noncompliant Patient


The Biopsychosocial Model Matters


The Ken Lyles Chief Complaint

This is a 76 year old vasculopath with HTN, DM2 and hyperlipidemia

admitted for elective CABG

This is a 76 year old retired truck driver

who lives in Beaufort, NC with his

wife, 2 grandkids, and 3 hunting dogs

who is here for elective CABG


Geriatric Syndromes are Everywhere

Journal of the American Geriatrics SocietyVolume 55, Issue 5, pages 780-791, 11 APR 2007 DOI: 10.1111/j.1532-5415.2007.01156.xhttp://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2007.01156.x/full#f1

Traditional Syndrome

Geriatric Syndrome


CMS “Never Events”


Delirium Impact

Mortality Rate 10-26%


Polypharmacy


The Stories



1. Pyramids becoming Squares

2. The Biopsychosocial model matters

3. Geriatric Syndromes are everywhere

4. The stories


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The Case for Becoming a “Little g”...

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