임상정보
  • Understanding of the Geriatric Syndrome
  • Hyunji Koo1 and Joon Seok Bang2*

  • 1Jongmun Pharmacy, The Seoul Pharmaceutical Association
    2Graduate S chool o f Clinical Pharmacy, Sookmyung Women’s University, S eoul 04310, R epublic o f Korea

  • 노인증후군의 이해
  • 구현지1, 방준석2*

  • 1정문약국 · 서울특별시약사회, 2숙명여자대학교 임상약학대학원

Abstract

Geriatric syndromes are defined as multifactorial health conditions that occur when the accumulated effects of impairment in multiple systems render an older adult vulnerable to situational challenges. It contributes to increase the morbidity and mortality of the elderly and lowers the quality of life and function of the elderly. The symptoms of geriatric syndromes are dementia, urinary incontinence, delirium, hearing loss or visual impairment, myopia, malnutrition, frailty, mobility impairment, gait disturbance, and pressure sores. The most common symptoms of the elderly are dysphagia, impaired vision and hearing, and dizziness. They are caused by the physiological changes of the elderly, but they are caused by the chronic diseases and drugs of the elderly. It may also cause complications. Dysphagia is a difficult condition to swallow. Severe complications can lead to choking risk, aspiration pneumonia and malnutrition. A pharmacist's role in dysphagic patients is to provide appropriate drug administration and methods and to distinguish and educate the crushable and non-crushable drugs. Impact of sensory loss such as visual impairment and hearing impairment is not only an emotional distress such as anxiety, depression of the elderly, but also a factor that interferes with the independent life and lowers the quality of life. The pharmacist should not only understand these diseases, but also provide the patient with easy-to-do ophthalmic administration. Provide a quiet environment for patients with hearing impairment and sit face-to-face, provide short and concise written materials. Dizziness is one of the most uncomfortable symptoms in the elderly population, and can be divided into vertigo, presyncope, disequilibrium and other causes of dizziness due to problems of visual system, auditory system, proprioceptive system, and vestibular system. It may be caused by cerebrovascular disease, vestibulocochlear diseases, cervical dysfunction, mental nervous system abnormality, postural hypotension, drugs. Pharmacists should be able to identify drugs that can cause dizziness and recommend stopping and alternative drugs to the doctor. In order to cope with the rapidly aging society in Korea, it is necessary to understand the characteristics of the elderly and understand the geriatric syndrome, and to plan the treatment for the elderly rather than to understand the diseases of the elderly according to the individual diseases. The pharmacist also needs to understand the geriatric syndrome and it will be necessary to find and develop the role of the pharmacist.


Keywords: Geriatric syndrome, Dysphagia, Visual impairment, Hearing impairment, Dizziness, Pharmacist

This Article

  • 2018;4(1):41-50

    Published on May 31, 2018

  • Received on Apr 15, 2018
  • Revised on May 2, 2018
  • Accepted on May 3, 2018

Correspondence to

  • Joon Seok Bang
  • Rm. 308, College of Pharmacy, Sookmyung Women’s University, Cheongpa-ro 47-gil 100, Yongsan-gu, Seoul 04310, Republic of Korea
    Tel: +82-2-2077-7526, Fax: +82-2-710-9799

  • E-mail: jsbang@sm.ac.kr