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2020 ; 24
(7
): 705-707
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Back to Basics: Giant Challenges to Addressing Isaac s "Geriatric Giants" Post
COVID-19 Crisis
#MMPMID32744565
Flatharta TÓ
; Mulkerrin EC
J Nutr Health Aging
2020[]; 24
(7
): 705-707
PMID32744565
show ga
The COVID-19 pandemic, being the greatest challenge to our healthcare system for
over a century, has its greatest impact on older patients. This subgroup has
higher morbidity and mortality than younger age groups. Superimposed on this, the
major preventative intervention resulting in social isolation has negative
consequences. Prof. Bernard Isaacs described the "Geriatric Giant Symptoms" in
1965 and encouraged the development of interventions for immobility, instability,
incontinence and impaired intellect/memory with careful management of these
symptoms resulting in better outcomes for older patients including reduced
admissions to Nursing Homes and mortality. The author's explore the impact of the
current pandemic and, most particularly its aftermath on the provision of such
interventions. In the context of a major economic crisis, resources for highly
effective interventions such as joint replacement surgery, urological
interventions, cataract surgery will be all be limited after this crisis.
Moreover delayed access to day patient services with suboptimal access to
assessments for conditions such as cognitive decline and falls as well as social
care will likewise militate against addressing the "Geriatric Giant Symptoms".
Thus the "Founding Fathers" of Geriatric Medicine including Prof Isaacs would be
justifiably concerned regarding our ability to deliver interventions to address
the "Geriatric Giant Symptoms". Current leaders in geriatric medicine, healthcare
workers, funders and providers as well as advocacy groups must redouble their
efforts to ensure gains made in management of older patients over 2 generations
are not lost in the aftermath of this pandemic.
|*Betacoronavirus
[MESH]
|*Geriatrics
[MESH]
|Aged
[MESH]
|COVID-19
[MESH]
|Coronavirus Infections/*epidemiology/mortality/*prevention & control
[MESH]
|Delivery of Health Care
[MESH]
|Health Personnel
[MESH]
|Humans
[MESH]
|Nursing Homes
[MESH]
|Pandemics/*prevention & control
[MESH]
|Pneumonia, Viral/*epidemiology/mortality/*prevention & control
[MESH]