the case for becoming a “little g”...
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The Case for Becoming a “Little g” Geriatrician
Cathleen Colón-Emeric, MD, MHS
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The Case for Becoming a “Little g” Geriatrician
1. Pyramids becoming Squares
2. The Biopsychosocial model matters
3. Geriatric Syndromes are everywhere
4. The stories
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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
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Pyramids Becoming Squares
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Squaring of the Population Pyramid
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C.O.A.C.H
Building New Care Models
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The Biopsychosocial Model Matters
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The Story of the Noncompliant Patient
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The Biopsychosocial Model Matters
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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
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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
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CMS “Never Events”
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Delirium Impact
Mortality Rate 10-26%
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Polypharmacy
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The Stories
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The Case for Becoming a “Little g” Geriatrician
1. Pyramids becoming Squares
2. The Biopsychosocial model matters
3. Geriatric Syndromes are everywhere
4. The stories
![Page 24: The Case for Becoming a “Little g” Geriatriciansites.duke.edu/geriatrics/files/2019/04/03-ELITE... · 4/3/2019 · The Case for Becoming a “Little g” Geriatrician 1. Pyramids](https://reader036.vdocuments.net/reader036/viewer/2022071014/5fcd80b3ce8e7d1cfd563b4b/html5/thumbnails/24.jpg)
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