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Senior Healthcare

- Archelle Georgiou, MD

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Question an Expert » Senior Healthcare

Senior Healthcare

Archelle Georgiou, MD is a well-recognized physician leader who combines her deep knowledge of clinical medicine with a breadth of experience in business and health care administration to pursue her passion for simplifying the health care system. Dr. Georgiou was a practicing physician for 5 years and then transitioned to working as a health system executive.
View Archelle's full Bio
Questions
Q: What are the most common reasons for seniors to be admitted to the hospital?
Sean from TX
A:

The most common reasons for hospital admission in seniors aged 65-84 is joint replacement of the lower extremity (knee and hip) and other conditions and surgeries related to other joint injury. There are 466,325 admissions each year for this group of diagnoses. Some of these are preventable because the injury is caused by falls. In fact, according to the CDC, more than one third of adults 65 and older fall each year in the United States, and among older adults, falls are the leading cause of injury deaths. Older adults can take several steps to protect their independence and reduce their risk of falling.

They can:

  • Exercise regularly to increase strength and improve balance.
  • Ask their doctor or pharmacist to review their medicines to reduce side effects and interactions.
  • Have their eyes checked by an eye doctor at least once a year.
  • Improve the lighting in their home.
  • Reduce hazards in their home that can lead to falls.
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Q: Why is having an advance directive important?
A:

The facts are that less than 20 percent of Americans have an advance directive in place. Of those who do have an advance directive, up to 75 percent of their physicians remain unaware of it. That means that only about one in 20 Americans are in position to feel secure that their wishes will be respected if they lose the ability to directly control their own care. When there is no advance directive, families are placed in the painful position of having to make decisions for their loved ones, and this often pits one side of a family against another. Doctors may be left having to institute invasive and aggressive treatments simple because they have no choice. You should make an advance directive not just for your sake, but also for your family.

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