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. 

 

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July 2018

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Website »

More information

 ORU offers a wide variety of summer camps from basketball camp to swimming camp for all ages. For a schedule and list of options visit ORUCES.com/camps.

Cost: Prices Vary

Where:
Mabee Center
7777 S Lewis Ave
Tulsa, OK  74171
View map »


Telephone: 918-495-6000
Website »

More information

Cost: $30.00 per person

Where:
Tulsa Spotlight Theater
1381 Riverside Drive
Tulsa, OK  74135
View map »


Sponsor: Rachel Horsley
Telephone: 918-891-8334
Website »

More information

August 10th 7pm to 10pm  food from Trencher's Deli and fruit cobblers by Vera Grocery & Drill   Make your reservations today! 918-587-5030

Cost: $30.00 per person

Where:
Tulsa Spotlight Theater
1381 Riverside Drive
Tulsa, OK  74135
View map »


Telephone: 918-891-8334
Contact Name: Rachel Horsley
Website »

More information

August 10th 7pm to 10pm  food from Trencher's Deli and fruit cobblers by Vera Grocery & Drill 

Cost: $30.00 per person

Where:
Tulsa Spotlight Theater
1381 Riverside Drive
Tulsa, OK  74135
View map »


Telephone: 918-891-8334
Contact Name: Rachel Horsley
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day, $100/week or $400/full camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day, $100/week or $400/full camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day, $100/week or $400/All 4 weeks of camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day,100/week or 400/full camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Crossing borders are central Consuelo J. Underwood’s artistic practice. In this exhibition inspired by land, politics, and spirit, Underwood speaks to her individual understanding of borders...

Cost: Free

Where:
108 Contemporary
108 E Mathew B. Brady St, Tulsa, OK 74103
Tulsa, OK  74103
View map »


Telephone: 191-889-56302

More information

Break the rules of conventional museums at the third annual Please Touch the Art exhibit. Mark your calendars for the opening reception Friday, June 1 from 5 - 9 p.m., in conjunction with the Tulsa...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton

More information

Opera in the Ozarks, the nationally acclaimed summer music festival and training program for top emerging opera professionals, celebrates its 2018 Season from June 22 to July 20 with nearly...

Cost: $25

Where:
Inspiration Point
16311 Hwy. 62 West
Eureka Springs, AR  72632
View map »

More information

Show More...
Show Less...

Become a junior marine biologist for a day and get hands-on experience caring for aquatic animals and learning what happens behind-the-scenes of an aquarium. *The program is offered for ages 12-16...

Cost: $100.00 per Child

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


Telephone: 918-296-FISH
Contact Name: Ann Money
Website »

More information

Isabelle de Borchgrave: Fashioning Art from Paper features the life-size, trompe l’œil paper costumes of Belgian artist Isabelle de Borchgrave (born 1946). Following a...

Cost: $12

Where:
Oklahoma City Museum of Art
415 Couch Dr.
Oklahoma City, OK  73102
View map »


Telephone: 405-236-3100
Website »

More information

Opening to the public on Thursday, Nov. 16, the 110th anniversary of Oklahoma statehood, “The Art of Oklahoma” celebrates the Museum’s outstanding and...

Cost: Free with admission

Where:
Oklahoma City Museum of Art
415 Couch Dr.
Oklahoma City, OK  73102
View map »


Website »

More information

The work of renowned artist Christopher Curtis will be featured at Tulsa Botanic Garden’s first sculpture exhibit March 17 through August 26. Curtis works primarily in stone and he often...

Cost: FREE for Garden members; $8 ages 13+, $4 ages 3-12. Kids 2 and under free

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
Website »

More information

 ORU offers a wide variety of summer camps from basketball camp to swimming camp for all ages. For a schedule and list of options visit ORUCES.com/camps.

Cost: Prices Vary

Where:
Mabee Center
7777 S Lewis Ave
Tulsa, OK  74171
View map »


Telephone: 918-495-6000
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day, $100/week or $400/full camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day, $100/week or $400/full camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day, $100/week or $400/All 4 weeks of camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Joys To The World, Inc. 3rd Summer Camp Founded in 2015, we are a 501 (c)3 volunteer-based non-profit organization based in Tulsa, OK.  Purpose: Joyfully live life! Mission: Enrich...

Cost: $30/ day,100/week or 400/full camp

Where:
Tulsa Hills Church
840 W. 81st St.
Tulsa, OK  74132
View map »


Sponsor: Joys To The World, Inc.
Telephone: 918-282-3191
Contact Name: Jenny Joy
Website »

More information

Crossing borders are central Consuelo J. Underwood’s artistic practice. In this exhibition inspired by land, politics, and spirit, Underwood speaks to her individual understanding of borders...

Cost: Free

Where:
108 Contemporary
108 E Mathew B. Brady St, Tulsa, OK 74103
Tulsa, OK  74103
View map »


Telephone: 191-889-56302

More information

Tequila Ladies’ Night Out Thursday, July 19 $29.95 per person Plus cocktails:  $6.95 each or a flight of 4 for $25  Plus Tax & Gratuity    ...

Cost: $29.95

Where:
The Melting Pot Restaurant
300 Riverwalk Terrace
Suite 190
Jenks, OK  74037
View map »


Sponsor: The Melting Pot of Tulsa
Telephone: 918-299-8000
Contact Name: Becky Chapman
Website »

More information

Break the rules of conventional museums at the third annual Please Touch the Art exhibit. Mark your calendars for the opening reception Friday, June 1 from 5 - 9 p.m., in conjunction with the Tulsa...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton

More information

Opera in the Ozarks, the nationally acclaimed summer music festival and training program for top emerging opera professionals, celebrates its 2018 Season from June 22 to July 20 with nearly...

Cost: $25

Where:
Inspiration Point
16311 Hwy. 62 West
Eureka Springs, AR  72632
View map »

More information

The League of Women Voters of Metropolitan Tulsa is hosting candidate forums for four Tulsa City Council races, ahead of the Aug. 28 election. Each forum has a Facebook event page with more...

Cost: Free

Where:
Tulsa Technology Center
3850 N. Peoria Ave.
Tulsa, OK


Sponsor: League of Women Voters Metropolitan Tulsa
Website »

More information

Show More...
Show Less...

Become a junior marine biologist for a day and get hands-on experience caring for aquatic animals and learning what happens behind-the-scenes of an aquarium. *The program is offered for ages 12-16...

Cost: $100.00 per Child

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


Telephone: 918-296-FISH
Contact Name: Ann Money
Website »

More information

The work of renowned artist Christopher Curtis will be featured at Tulsa Botanic Garden’s first sculpture exhibit March 17 through August 26. Curtis works primarily in stone and he often...

Cost: FREE for Garden members; $8 ages 13+, $4 ages 3-12. Kids 2 and under free

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
Website »

More information

Isabelle de Borchgrave: Fashioning Art from Paper features the life-size, trompe l’œil paper costumes of Belgian artist Isabelle de Borchgrave (born 1946). Following a...

Cost: $12

Where:
Oklahoma City Museum of Art
415 Couch Dr.
Oklahoma City, OK  73102
View map »


Telephone: 405-236-3100
Website »

More information

Opening to the public on Thursday, Nov. 16, the 110th anniversary of Oklahoma statehood, “The Art of Oklahoma” celebrates the Museum’s outstanding and...

Cost: Free with admission

Where:
Oklahoma City Museum of Art
415 Couch Dr.
Oklahoma City, OK  73102
View map »


Website »

More information

 ORU offers a wide variety of summer camps from basketball camp to swimming camp for all ages. For a schedule and list of options visit ORUCES.com/camps.

Cost: Prices Vary

Where:
Mabee Center
7777 S Lewis Ave
Tulsa, OK  74171
View map »


Telephone: 918-495-6000
Website »

More information

Crossing borders are central Consuelo J. Underwood’s artistic practice. In this exhibition inspired by land, politics, and spirit, Underwood speaks to her individual understanding of borders...

Cost: Free

Where:
108 Contemporary
108 E Mathew B. Brady St, Tulsa, OK 74103
Tulsa, OK  74103
View map »


Telephone: 191-889-56302

More information

Break the rules of conventional museums at the third annual Please Touch the Art exhibit. Mark your calendars for the opening reception Friday, June 1 from 5 - 9 p.m., in conjunction with the Tulsa...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton

More information

Escaping The Ordinary Vol. 4 Compilation Release Show at The Vanguard. For more information on ETO, visit escapingtheordinary.net/events/ Hosted by: Ty Griffin of Escaping The Ordinary and Joey...

Cost: Free

Where:
The Vanguard
222 North Main Street
Tulsa, OK  74103
View map »

More information

There are so many cool places to spend the night in the Oklahoma Aquarium beyond our shark tunnel, so we’ve expanded our popular Sleep with the Sharks events to include all kinds of ZZZs in...

Cost: Contact for pricing

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


Telephone: 918-296-3474
Contact Name: Kara Lovell
Website »

More information

Opera in the Ozarks, the nationally acclaimed summer music festival and training program for top emerging opera professionals, celebrates its 2018 Season from June 22 to July 20 with nearly...

Cost: $25

Where:
Inspiration Point
16311 Hwy. 62 West
Eureka Springs, AR  72632
View map »

More information

Show More...
Show Less...

Become a junior marine biologist for a day and get hands-on experience caring for aquatic animals and learning what happens behind-the-scenes of an aquarium. *The program is offered for ages 12-16...

Cost: $100.00 per Child

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


Telephone: 918-296-FISH
Contact Name: Ann Money
Website »

More information

Isabelle de Borchgrave: Fashioning Art from Paper features the life-size, trompe l’œil paper costumes of Belgian artist Isabelle de Borchgrave (born 1946). Following a...

Cost: $12

Where:
Oklahoma City Museum of Art
415 Couch Dr.
Oklahoma City, OK  73102
View map »


Telephone: 405-236-3100
Website »

More information

Opening to the public on Thursday, Nov. 16, the 110th anniversary of Oklahoma statehood, “The Art of Oklahoma” celebrates the Museum’s outstanding and...

Cost: Free with admission

Where:
Oklahoma City Museum of Art
415 Couch Dr.
Oklahoma City, OK  73102
View map »


Website »

More information

The work of renowned artist Christopher Curtis will be featured at Tulsa Botanic Garden’s first sculpture exhibit March 17 through August 26. Curtis works primarily in stone and he often...

Cost: FREE for Garden members; $8 ages 13+, $4 ages 3-12. Kids 2 and under free

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
Website »

More information

 ORU offers a wide variety of summer camps from basketball camp to swimming camp for all ages. For a schedule and list of options visit ORUCES.com/camps.

Cost: Prices Vary

Where:
Mabee Center
7777 S Lewis Ave
Tulsa, OK  74171
View map »


Telephone: 918-495-6000
Website »

More information

Cost: $30.00 per person

Where:
Tulsa Spotlight Theater
1381 Riverside Drive
Tulsa, OK  74135
View map »


Sponsor: Rachel Horsley
Telephone: 918-891-8334
Website »

More information

August 10th 7pm to 10pm  food from Trencher's Deli and fruit cobblers by Vera Grocery & Drill   Make your reservations today! 918-587-5030

Cost: $30.00 per person

Where:
Tulsa Spotlight Theater
1381 Riverside Drive
Tulsa, OK  74135
View map »


Telephone: 918-891-8334
Contact Name: Rachel Horsley
Website »

More information

August 10th 7pm to 10pm  food from Trencher's Deli and fruit cobblers by Vera Grocery & Drill 

Cost: $30.00 per person

Where:
Tulsa Spotlight Theater
1381 Riverside Drive
Tulsa, OK  74135
View map »


Telephone: 918-891-8334
Contact Name: Rachel Horsley
Website »

More information

Crossing borders are central Consuelo J. Underwood’s artistic practice. In this exhibition inspired by land, politics, and spirit, Underwood speaks to her individual understanding of borders...

Cost: Free

Where:
108 Contemporary
108 E Mathew B. Brady St, Tulsa, OK 74103
Tulsa, OK  74103
View map »


Telephone: 191-889-56302

More information

Break the rules of conventional museums at the third annual Please Touch the Art exhibit. Mark your calendars for the opening reception Friday, June 1 from 5 - 9 p.m., in conjunction with the Tulsa...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton

More information

  RSVP is excited to announce our annual gala!  Join us for a rousing evening, filled with memories of the wild, wild west! During the night, be prepared to dine on delicious...

Cost: $125 per ticket

Where:
River Spirit Casino and Resort
8330 Riverside Pkwy
Tulsa, OK  74137
View map »


Telephone: 918-280-8656
Contact Name: Annette Poston
Website »

More information

The Oklahoma Swing Syndicate (TOSS) hosts a Swing dance and lessons  The Oklahoma Swing Syndicate (TOSS) is the only UNESCO recognized dance organization in Oklahoma.  We are a 501c3...

Cost: $7

Where:
Community Center - South Minister Presby Church
3500 So Peoria
1/2 west of Peoria, on 35pl behind the church
Tulsa, OK  74102
View map »


Sponsor: The Ok Swing Syndicate
Telephone: 918-450-691
Contact Name: Rita Robbins
Website »

More information

Come join us for a special evening of hilarity at Camp “Spon-Ta-Ni-Acs!”  Forget the calamine lotion and sunscreen!  Our indoor campground is air conditioned, and the only...

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

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TULtalk


Roy Lee NYC street photography on display

Liggett Studio will host the local photographer's solo exhibition, “42nd Street: Grime, Glamour, and Glory,” July 13-August 4.

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Video: Auburn Cord Duesenberg Co.

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July 2018 Charitable Events

Celebrate summer, have a great time and support worthy causes at these fundraisers and events.

Comments

Church Studio Visionary Buys Harwelden Mansion

Businesswoman Teresa Knox is building quite the collection of historical properties. Harwelden is her latest acquisition.

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Circle Cinema Celebrates 90 Years

July 7-15: Expect new documentaries and features, silent classics, special guests, discussions with filmmakers, a reel-to-reel 35mm screening and much more at Circle Cinema Film Festival.

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