A geriatric consultation is a thorough examination of a patient and professional assessment of their current plan of care that is performed by a geriatric medicine specialist. Following this exam, the physician composes a written, detailed assessment of a particular health condition or broader health concern, including an unbiased review of the patient’s current plan of care, advice on next steps for getting control of a current problem, and recommendations for additional testing and evaluations. This report can be provided by the patient or their representative to other physicians who are involved in the patient’s care and used to guide the development or alteration of an existing treatment plan. A thorough geriatric consultation is particularly appropriate when the patient: is experiencing more pain/discomfort than usual; appears more confused than previously; displays a change in their behavior or moods; exhibits signs of depression; is suffering from constipation or incontinence; loses weight unexpectedly; has been diagnosed with Alzheimer’s or another form of dementia; is having problems taking care of one’s self at home; or shows signs of increasing frailty and/or increased likelihood of falling.
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