Older patients present unique challenges for doctors

Geriatric patients can face a host of ailments, but specialists offer support to those patients and their families.



Loosely defined as those over age 65, geriatric patients can face a host of ailments, but specialists offer support to those patients and their families.

Dr. John Carment, a member of the geriatrics department at OU Physicians, says geriatricians treat all common diseases affecting older adults, but the focus tends to be on non-drug treatment whenever possible.

Managing multiple chronic conditions

Unlike younger patients, he says geriatric patients might have competing and concurrent medical problems. “A chronic condition, like diabetes mellitus, can be treated according to standard professional guidelines (in a young, healthy person),” Carment says. “The same treatment may not be feasible — and could be potentially harmful — when applied to a frail 88-year-old with eight active medical problems.”

Carment says geriatric patients tend to have complex needs, such as cognitive impairment, declining function or multiple conditions, which makes it difficult for them to live independently and care for themselves.

A geriatrician is trained to identify so-called “geriatric syndromes,” which include frailty, recurrent falls, dizziness, unintentional weight loss, sensory impairment, cognitive impairment and urinary incontinence, among other issues.

“Knowledge of medications, drug-to-drug interactions and side effects that limit use of many medicines in older persons are also areas of expertise,” Carment adds.

OU Physicians neurologist Dr. Syed Hussain treats patients suffering from Parkinson’s disease, tremors and other neurodegenerative disorders.

He says there are some challenges with treating older patients, and it is most successful through a multidisciplinary approach with the help of a caregiver as well as family support, nurses, a therapist, social worker and the neurologist.

The essential role of the caregiver 

Both doctors tend to work more with the families and caregivers of older patients compared to those of younger patients. Caregivers provide invaluable support to the patient, Carment says.

“This may be as simple as providing transportation to the grocery store or as involved as managing daily medications and assisting with self-care like bathing and dressing,” he says. “Caregivers are often the best advocate for older vulnerable adults and often serve as their ‘navigator’ through the complicated health care system.”

Caregivers also provide crucial emotional support for older adults, he says. “Most caregivers are friends or family to the patient and are not compensated for the time committed to caregiving,” he adds.

Hussain says caregivers play a critical role in the treatment of any geriatric patient — whether it is giving medications at the right time or identifying problems that might require medical attention.

Pelvic floor disorders: an awkward but necessary conversation

Problems emptying the bladder or urinary or fecal incontinence are other issues facing older patients. Such issues are known as pelvic floor disorders, says Dr. Jameca Price, a physician in the obstetrics and gynecology department of OU Physicians.

For people who are nervous about having a conversation about pelvic floor disorders, which can affect men and women, Price offers some tips. She says starting a conversation in which the person noticing the change mentions the frequency of bathroom visits is an option. Opening a conversation around activity level and whether or not there has been leaking is another way to broach the subject, she says

Finally, asking whether there is leakage when laughing, coughing or lifting heavy objects is another way to go about the topic.

“If your loved one thinks she may have a (pelvic floor disorder), offer to schedule an appointment for her with a primary care doctor, gynecologist or a urogynecologist for an evaluation,” Price adds.

Price says she provides a variety of treatment options for patients depending the severity of the condition, their general health and their wishes. “Often I recommend a combination of therapies,” she adds.

It can be difficult to talk about such problems, even to health care providers, Price notes.

“However, providers — and especially urogynecologists — are used to talking about these problems. And, to get proper treatment for pelvic floor disorders, you need to talk about them,” she says. 

 

Edit ModuleShow Tags

Archive »You Might Like

New View Oklahoma helps the visually impaired

New View Oklahoma is a nonprofit that provides specialized vision rehabilitation services to individuals with significant vision loss.

Southwood has delighted gardeners for 36 years

Come spring, the 5-acre facility becomes a destination, as Tulsans flock to Southwood Landscape and Garden Center for their seasonal planting needs.

Oklahoma needs more primary and specialty care physicians

The shortage is seen particularly in areas of primary care, but also in areas of specialties, including general surgery, psychiatry and obstetrics/gynecology.
Edit Module

Add your comment:
21c

 

Get the best in arts, entertainment and more straight to your inbox.

Join our email list

Edit ModuleShow Tags

February 2019

Winter's Grace Publishing, of northeast Oklahoma, is holding its inaugural Dead of Winter Flash Fiction Contest. It opened January 1 and it closes February 28. It's open to all creative writers...

Cost: $15 per story

Where:
, OK


Sponsor: Winter's Grace Publishing
Telephone: 918-852-6311
Contact Name: C.D. Smart
Website »

More information

For decades social change activists have said, “If you want peace, work for justice.” But we also know that that working for justice evokes conflict. Working with conflict is...

Cost: Free

Where:
Peace Academy
4620 S Irvington Ave
Tulsa, OK  74135
View map »


Sponsor: Oklahoma Center for Community and Justice
Telephone: 918-583-1361
Contact Name: Sandi Cox
Website »

More information

Clark Youth Theatre announces performances of As You Like It by William Shakespeare on February 1-2 and February 7-9 at 7:30 p.m. and February 3 and February 10 at 2 p.m. at the Henthorne...

Cost: $10-$13

Where:
Clark Youth Theatre - Henthorne PAC
4825 S. Quaker Ave
Tulsa, OK  74105
View map »


Sponsor: Clark Youth Theatre, Incorporated
Telephone: 918-746-5065
Contact Name: Tammy Slack
Website »

More information

Clark Youth Theatre announces performances of As You Like It by William Shakespeare on February 1-2 and February 7-9 at 7:30 p.m. and February 3 and February 10 at 2 p.m. at the Henthorne...

Cost: $10-$13

Where:
Clark Youth Theatre - Henthorne PAC
4825 S. Quaker Ave
Tulsa, OK  74105
View map »


Sponsor: Clark Youth Theatre, Incorporated
Telephone: 918-746-5065
Contact Name: Tammy Slack
Website »

More information

BROKEN ARROW COMMUNITY PLAYHOUSE Presents “The Complete Works of William Shakespeare (abridged)[revised]” Tickets are on sale now at www.bacptheatre.com or Call our Box Office 918-258-0077...

Cost: $13-$18

Where:
Broken Arrow Community Playhouse
1800 S. Main St.
Broken Arrow, OK  74012
View map »


Sponsor: Broken Arrow Community Playhouse
Telephone: 918-258-0077
Contact Name: Sherry Hacker
Website »

More information

Cost: $10.00

Where:
The Shrine
112 E 18th St
Tulsa, OK  74119
View map »


Telephone: 539-215-1239
Contact Name: LaShanta Lewis

More information

Show More...
Show Less...

Think you can’t do something? Think again! All workshops are from 12 to 12:45 p.m. on Mondays in the Center for Creativity. All supplies provided. No workshop March 18.

Cost: Free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74135
View map »


Sponsor: Tulsa Community College
Telephone: 918-595-7339
Contact Name: Cindy Armstrong
Website »

More information

Winter's Grace Publishing, of northeast Oklahoma, is holding its inaugural Dead of Winter Flash Fiction Contest. It opened January 1 and it closes February 28. It's open to all creative writers...

Cost: $15 per story

Where:
, OK


Sponsor: Winter's Grace Publishing
Telephone: 918-852-6311
Contact Name: C.D. Smart
Website »

More information

Magi 4 Christ Campers meet each Monday at 6:00 PM until 7:30 PM. At 4241 S. 37th W. Ave., Tulsa, OK. 74107.  We are a Christian group of camping enthusiasts. We are family friendly. Meeting...

Cost: Donations only

Where:
Hope House
4241 S. 37th W. Ave.
South Door Activity Center
Tulsa, OK  74107
View map »


Sponsor: Magi 4 Christ Campers
Telephone: 918-906-0564
Contact Name: Dorothy Brown

More information

So You Want to Make a Movie? Learn how to take your movie idea from conception to reality through hands-on guidance. The goal is to create a short digital video to be submitted to a local film...

Cost: $375

Where:
Ahha Tulsa
101 E. Archer St.
Tulsa, OK  74103
View map »


Sponsor: Center for Poets and Writers at OSU-Tulsa
Website »

More information

BROKEN ARROW COMMUNITY PLAYHOUSE Presents “The Complete Works of William Shakespeare (abridged)[revised]” Tickets are on sale now at www.bacptheatre.com or Call our Box Office 918-258-0077...

Cost: $13-$18

Where:
Broken Arrow Community Playhouse
1800 S. Main St.
Broken Arrow, OK  74012
View map »


Sponsor: Broken Arrow Community Playhouse
Telephone: 918-258-0077
Contact Name: Sherry Hacker
Website »

More information

Show More...
Show Less...

A celebration of the 2018 Tulsa Area United Way campaign and the many individuals and organizations that made it a success.

Cost: Free

Where:
Cox Business Center
100 Civic Center
Tulsa
Tulsa, OK  74103
View map »


Sponsor: Tulsa Area United Way
Telephone: 918-295-6601
Contact Name: Bonnie Rucker
Website »

More information

Winter's Grace Publishing, of northeast Oklahoma, is holding its inaugural Dead of Winter Flash Fiction Contest. It opened January 1 and it closes February 28. It's open to all creative writers...

Cost: $15 per story

Where:
, OK


Sponsor: Winter's Grace Publishing
Telephone: 918-852-6311
Contact Name: C.D. Smart
Website »

More information

Theme Imitation Imitation is a form of flattery. Learn how writers mimic themes, voice and tone – with one-on-one mentoring - to create your own unique piece of poetry. Instructor: Clemonce...

Cost: $300

Where:
Center for Poets and Writers at OSU-Tulsa
700 N. Greenwood Ave.
Tulsa, OK  74106
View map »


Sponsor: Center for Poets and Writers at OSU-Tulsa
Website »

More information

BROKEN ARROW COMMUNITY PLAYHOUSE Presents “The Complete Works of William Shakespeare (abridged)[revised]” Tickets are on sale now at www.bacptheatre.com or Call our Box Office 918-258-0077...

Cost: $13-$18

Where:
Broken Arrow Community Playhouse
1800 S. Main St.
Broken Arrow, OK  74012
View map »


Sponsor: Broken Arrow Community Playhouse
Telephone: 918-258-0077
Contact Name: Sherry Hacker
Website »

More information

Show More...
Show Less...

TCC and the National Book Foundation present a panel of award winning authors from across the country who will discuss the importance of reading and writing as a means of exploring...

Cost: Free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74135
View map »


Sponsor: Tulsa Community College
Telephone: 918-595-7339
Contact Name: Cindy Armstrong
Website »

More information

Winter's Grace Publishing, of northeast Oklahoma, is holding its inaugural Dead of Winter Flash Fiction Contest. It opened January 1 and it closes February 28. It's open to all creative writers...

Cost: $15 per story

Where:
, OK


Sponsor: Winter's Grace Publishing
Telephone: 918-852-6311
Contact Name: C.D. Smart
Website »

More information

Enjoy lunch and a behind-the-scenes tour to learn how the Food Bank fights hunger in eastern Oklahoma by distributing the equivalent of 450,000 meals each week. You can help too. Food for...

Cost: No Cost

Where:
Community Food Bank of Eastern Oklahoma
1304 N. Kenosha Ave.
Tulsa, OK  74106
View map »


Sponsor: Community Food Bank of Eastern Oklahoma
Telephone: 918-936-4551
Contact Name: Regan Leake
Website »

More information

This super special Galentine’s Day event will take place at the Mother Road Market, in their awesome classroom. Not only will we be making adorable unicorn ring holders (a foolproof project, with...

Cost: $30

Where:
Mother Road Market
1124 S LEWIS Ave
Tulsa, OK  74104
View map »


Sponsor: Tiny Things by Bowen
Contact Name: Sarah Bowen
Website »

More information

Every Wednesday Live Event Trivia is at The Willows Family Ales - Show starts at 7 and is free to play! Movie scenes, Finish the Lyric, Classic Trivia, and more! The crew from T-Town Tacos will be...

Cost: Free

Where:
The Willows Family Ales
418 south peoria ave
tulsa, OK  74120
View map »


Sponsor: The Willows Family Ales
Telephone: (918) 895-6798
Contact Name: Julian Morgan
Website »

More information

BROKEN ARROW COMMUNITY PLAYHOUSE Presents “The Complete Works of William Shakespeare (abridged)[revised]” Tickets are on sale now at www.bacptheatre.com or Call our Box Office 918-258-0077...

Cost: $13-$18

Where:
Broken Arrow Community Playhouse
1800 S. Main St.
Broken Arrow, OK  74012
View map »


Sponsor: Broken Arrow Community Playhouse
Telephone: 918-258-0077
Contact Name: Sherry Hacker
Website »

More information

Show More...
Show Less...

Winter's Grace Publishing, of northeast Oklahoma, is holding its inaugural Dead of Winter Flash Fiction Contest. It opened January 1 and it closes February 28. It's open to all creative writers...

Cost: $15 per story

Where:
, OK


Sponsor: Winter's Grace Publishing
Telephone: 918-852-6311
Contact Name: C.D. Smart
Website »

More information

Couples and singles are invited for a private happy hour with appetizers and drinks under the sea. Fall in love with the ocean by participating on an adult scavenger hunt that tours guests through...

Cost: $20

Where:
Oklahoma Aquarium
300 Aquarium Dr.
Jenks, OK  74037
View map »


Telephone: 918-528-1507
Contact Name: Liz Medrano
Website »

More information

Borrowed Forms Learn to craft content regardless of the format. Turn your mortgage payoff letter into a personal essay about purchasing a home or an orthodontist report transformed into an...

Cost: $225

Where:
Center for Poets and Writers at OSU-Tulsa
700 N. Greenwood Ave.
Tulsa, OK  74106
View map »


Sponsor: Center for Poets and Writers at OSU-Tulsa
Website »

More information

BROKEN ARROW COMMUNITY PLAYHOUSE Presents “The Complete Works of William Shakespeare (abridged)[revised]” Tickets are on sale now at www.bacptheatre.com or Call our Box Office 918-258-0077...

Cost: $13-$18

Where:
Broken Arrow Community Playhouse
1800 S. Main St.
Broken Arrow, OK  74012
View map »


Sponsor: Broken Arrow Community Playhouse
Telephone: 918-258-0077
Contact Name: Sherry Hacker
Website »

More information

Show More...
Show Less...

Do you and your pup have "cabin fever"? Come out to the Botanic Garden during our "Dog Days of Winter" - Fridays and Saturdays during January and February only when four-legged...

Cost: Free for Garden members & their dogs. Admission + $4 per dog for non-members.

Where:
Tulsa Botanic Garden
3900 Tulsa Botanic Drive
Tulsa, OK  74127
View map »


Sponsor: Tulsa Botanic Garden
Telephone: 918-289-0330
Contact Name: Lori Hutson

More information

Two workshops will be provided on February 15th at the Brookside Library from 11:00-12:00 & 12:30-1:30 will be provided free of charge for caregivers who want to learn about special...

Cost: Free

Where:
Brookside Library
1207 E 45th Pl
Tulsa, OK  74105
View map »


Sponsor: Albert Schweitzer Fellowship & Legal Aid Services of Oklahoma
Telephone: 918-925-2138
Contact Name: Sarah Young

More information

Two workshops will be provided on February 15th at the Brookside Library from 11:00-12:00 & 12:30-1:30 will be provided free of charge for caregivers who want to learn about special education,...

Cost: Free

Where:
Brookside Library
1207 E 45th Pl
Tulsa, OK  74105
View map »


Sponsor: Albert Schweitzer Fellowship & Legal Aid Services of Oklahoma
Telephone: 918-925-2138
Contact Name: Sarah Young

More information

Winter's Grace Publishing, of northeast Oklahoma, is holding its inaugural Dead of Winter Flash Fiction Contest. It opened January 1 and it closes February 28. It's open to all creative writers...

Cost: $15 per story

Where:
, OK


Sponsor: Winter's Grace Publishing
Telephone: 918-852-6311
Contact Name: C.D. Smart
Website »

More information

Two workshops will be provided on February 15th at the Brookside Library from 11:00-12:00 & 12:30-1:30 will be provided free of charge for caregivers who want to learn about special education,...

Cost: Free

Where:
Brookside Library
1207 E 45th Pl
Tulsa, OK  74105
View map »


Sponsor: Albert Schweitzer Fellowship & Legal Aid Services of Oklahoma
Telephone: 918-925-2138
Contact Name: Sarah Young

More information

It's baseball time in Tulsa! Come and support the Golden Eagles on their road to the NCAA 2019 championship. All children ages 13 and under, accompanied by an adult, will be allowed in to all...

Cost: 7-14

Where:
J.L. JOHNSON STADIUM
7777 S Lewis Ave
Tulsa, OK  74137
View map »


Website »

More information

Solo performance. Originally from the OKC area, Adrienne Gilley is a vocalist, guitar player, songwriter. Drawing from co-writers and influential mentors and supporters in the Tulsa music scene,...

Cost: Tipping encouraged

Where:
The Colony
2809 S. Harvard
Tulsa, OK  74114
View map »


Website »

More information

Clark Youth Theatre Presents The Penguin Project ® Seussical Kids! Clark Youth Theatre announces the fourth annual production of The Penguin Project®. Students with disabilities will perform...

Cost: $13, adults; $10, students, seniors and military

Where:
Cascia Hall Preparatory School
2520 S. Yorktown Ave.
Tulsa, OK  74114
View map »


Sponsor: Clark Youth Theatre
Telephone: (918) 596-1412
Contact Name: Erin Scarberry
Website »

More information

BROKEN ARROW COMMUNITY PLAYHOUSE Presents “The Complete Works of William Shakespeare (abridged)[revised]” Tickets are on sale now at www.bacptheatre.com or Call our Box Office 918-258-0077...

Cost: $13-$18

Where:
Broken Arrow Community Playhouse
1800 S. Main St.
Broken Arrow, OK  74012
View map »


Sponsor: Broken Arrow Community Playhouse
Telephone: 918-258-0077
Contact Name: Sherry Hacker
Website »

More information

Sunday in the Park with George follows painter Georges Seurat in the months leading up to the completion of his most famous painting, "A Sunday Afternoon on the Island of La Grande Jatte." Consumed...

Cost: $25.00 for adults, $22.50 for students & seniors with ID

Where:
Tulsa Performing Arts Center
110 E. 2nd St.
Tulsa, OK  74103
View map »


Sponsor: American Theatre Company
Telephone: (918) 747-9494
Contact Name: Meghan Hurley
Website »

More information

Show More...
Show Less...

Do you and your pup have "cabin fever"? Come out to the Botanic Garden during our "Dog Days of Winter" - Fridays and Saturdays during January and February only when four-legged...

Cost: Free for Garden members & their dogs. Admission + $4 per dog for non-members.

Where:
Tulsa Botanic Garden
3900 Tulsa Botanic Drive
Tulsa, OK  74127
View map »


Sponsor: Tulsa Botanic Garden
Telephone: 918-289-0330
Contact Name: Lori Hutson

More information

Pain Management Class Non-medical Treatments for Pain Non-medical treatments may be used to treat chronic pain, along with pain medicines. They might also be used alone for mild pain or...

Cost: Free and Open to the Public

Where:
Glenpool Library
730 E. 141st Street
Glenpool, OK  74033
View map »


Sponsor: Success Skills
Telephone: 405-401-3519
Contact Name: Ron Watkins

More information

Winter's Grace Publishing, of northeast Oklahoma, is holding its inaugural Dead of Winter Flash Fiction Contest. It opened January 1 and it closes February 28. It's open to all creative writers...

Cost: $15 per story

Where:
, OK


Sponsor: Winter's Grace Publishing
Telephone: 918-852-6311
Contact Name: C.D. Smart
Website »

More information

It's baseball time in Tulsa! Come and support the Golden Eagles on their road to the NCAA 2019 championship. All children ages 13 and under, accompanied by an adult, will be allowed in to all...

Cost: 7-14

Where:
J.L. JOHNSON STADIUM
7777 S Lewis Ave
Tulsa, OK  74137
View map »


Website »

More information

America’s LARGEST interactive comedy murder mystery dinner show is now playing at the Hilton Garden Inn Tulsa Broken Arrow! At The Dinner Detective, you’ll tackle a challenging crime while you...

Cost: 59.95

Where:
Hilton Garden Inn Tulsa- Broken Arrow
420 W Albany St.
Broken Arrow, OK  74012
View map »


Telephone: 866-496-0535
Contact Name: The Dinner Detective
Website »

More information

$120 per couple and $65 for single ticket; Saturday, February 16, 2019; Venue Mike Fretz Event Center; Advance reservations required!   Slip into your cocktail attire for a night of food, music,...

Cost: $120.00

Where:
Mike Fretz Event Center
11545 E 43rd St
Tulsa, OK  74146
View map »

More information

BROKEN ARROW COMMUNITY PLAYHOUSE Presents “The Complete Works of William Shakespeare (abridged)[revised]” Tickets are on sale now at www.bacptheatre.com or Call our Box Office 918-258-0077...

Cost: $13-$18

Where:
Broken Arrow Community Playhouse
1800 S. Main St.
Broken Arrow, OK  74012
View map »


Sponsor: Broken Arrow Community Playhouse
Telephone: 918-258-0077
Contact Name: Sherry Hacker
Website »

More information

Beyond music and lyrics, an album bottles personal milestones, moments, and memories for the artist and the audience. When songs connect, those resonances only echo louder as each decade passes....

Cost: $50, $75, $100

Where:
Osage Casino
951 West 36th St N
Tulsa, OK
View map »

More information

Join us again for another evening of fun and laughter with Tulsa's Great Improvisational Comedy Show, “The Spontaniacs!”  Song, dance, and a whole lotta’ silly are...

Cost: $8.00

Where:
pH Community House
306 S Phoenix Ave
Tulsa, OK  74127
View map »


Sponsor: The Spontaniacs!
Telephone: 918-521-9345
Contact Name: Eric Peterson
Website »

More information

Sunday in the Park with George follows painter Georges Seurat in the months leading up to the completion of his most famous painting, "A Sunday Afternoon on the Island of La Grande Jatte." Consumed...

Cost: $25.00 for adults, $22.50 for students & seniors with ID

Where:
Tulsa Performing Arts Center
110 E. 2nd St.
Tulsa, OK  74103
View map »


Sponsor: American Theatre Company
Telephone: (918) 747-9494
Contact Name: Meghan Hurley
Website »

More information

Show More...
Show Less...
Crystal Bridges
Edit ModuleEdit ModuleShow Tags
Edit ModuleShow Tags

TULtalk


7 strategies to help you make the A-LIST

The competition is tough for small businesses on our annual readers' choice survey, but a few smart strategies can help you get ahead.

Comments

“Sunday in the Park” is no walk in the park

American Theatre Company prepares for the Oklahoma premiere of the very technically challenging “Sunday in the Park with George,” Feb. 15-24

Comments

2.3: Get that “Woo!” — Tom Basler

A conversation with dueling piano phenom Tom Basler about his many reinventions, both personal and professional.

Comments

February Charitable Events

How to support great causes at fun events in Tulsa, Oklahoma.

Comments

From the editor: What I did for love

But as far as doing uncommon things for love, I’m actually in great company. Just look at our February issue.

Comments