Who should see a geriatrician, and when?
Dear Savvy Senior:
What can you tell me about doctors who specialize in geriatrics? My father, who’s 82, takes eight prescription drugs for different health issues but still hasn’t been feeling himself lately.
I’m wondering if he would benefit by seeing a geriatrician in place of his regular primary care physician.
—Concerned Daughter
Dear Concerned:
If your dad is dealing with a variety of health problems and is taking multiple medications, a visit to a geriatrician may be just the thing to help get him back on track. Here’s a rundown of the different types of health conditions geriatricians treat, and some tips to help you locate one near him.
For starters, it’s important to know that geriatricians are family practice or internal medicine physicians that have had additional specialized training to manage the unique and often multiple health concerns of older adults. Just as a pediatrician specializes in caring for children, a geriatrician is trained to provide care for seniors, usually patients over 75.
While most doctors, and even general practitioners, are trained to focus on a person’s particular illness or disease, geriatricians are trained to look at all aspects of life that can affect older patients — not just their physical symptoms.
They often work with a team of other healthcare professionals, such as geriatric-trained nurses, rehabilitation therapists, nutritionists, social workers and psychiatrists to provide care. And they will coordinate treatments among a patient’s specialists.
Who can benefit?
Patients who can benefit from seeing a geriatrician are older adults with multiple health and age-related problems, such as cardiovascular disease, stroke, confusion and memory problems, Parkinson’s and Alzheimer’s disease, diabetes, hypertension, depression, respiratory problems, osteoporosis, arthritis, chronic pain, mobility issues, incontinence, vision and hearing impairment, and trouble with balance and falls.
Geriatricians are also particularly adept at tackling medication problems. Because many seniors, like your dad, take multiple medications for various health conditions, and because aging bodies often absorb and metabolize drugs differently than younger adults, unique side effects and drug interactions are not uncommon. A geriatrician will evaluate and monitor you dad’s medications to be sure they are not affecting him in a harmful way.
Geriatricians can also help their patients and families determine their long-term care needs, like how long they can remain in their own homes safely without assistance, and what type of services may be necessary when they do need some extra help.
But not all older adults need to see a geriatrician. Those who have fewer health problems are just fine seeing their primary care physician.
How to find a geriatrician
Unfortunately, there’s a shortage of geriatricians in the U.S., so depending on where you live, finding one may be challenging.
To locate one in your area, use Medicare’s online physician search tool. Go to Medicare.gov/physiciancompare and type in your ZIP code or city and state in the “Enter your location” box, and then type in geriatric medicine in the Search box.
You can also get this information by calling Medicare at 1-800-633-4227. The American Geriatrics Society also has a geriatrician-finder tool on their website at HealthinAging.org.
Keep in mind, though, that locating a geriatrician doesn’t guarantee your dad will be accepted as a patient. Many doctors already have a full roster and aren’t accepting new patients. You’ll need to call the individual doctor’s office to find out their availability.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of The Savvy Seniorbook.