- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- 6.1 Ageing and clinical medicine
- 6.2 Frailty and sarcopenia
- 6.3 Optimizing well-being into old age
- 6.4 Older people and urgent care
- 6.5 Older people in hospital
- 6.6 Supporting older peoples’ care in surgical and oncological services
- 6.7 Drugs and prescribing in the older patient
- 6.8 Falls, faints, and fragility fractures
- 6.9 Bladder and bowels
- 6.10 Neurodegenerative disorders in older people
- 6.11 Promotion of dignity in the life and death of older patients
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
(p. 548) Older people in hospital
- Chapter:
- (p. 548) Older people in hospital
- Author(s):
Graham Ellis
, Alasdair MacLullich
, and Rowan Harwood
- DOI:
- 10.1093/med/9780198746690.003.0056
Older people usually present to hospital because of a crisis: a sudden change in health, function, or circumstances that causes worry, distress, or overwhelms independence or care provision. Crises may relate to the individual, the carer, care systems, or the environment. At the point of presentation it may not be clear which, or what combination, of these is responsible. It is necessary to identify all relevant factors for hospital care to be effective and efficient. Admission to hospital for an acute illness can have a major negative impact on an older person’s ongoing functional abilities, hence systems of care need to know when to expect and how to manage functional deterioration.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- 6.1 Ageing and clinical medicine
- 6.2 Frailty and sarcopenia
- 6.3 Optimizing well-being into old age
- 6.4 Older people and urgent care
- 6.5 Older people in hospital
- 6.6 Supporting older peoples’ care in surgical and oncological services
- 6.7 Drugs and prescribing in the older patient
- 6.8 Falls, faints, and fragility fractures
- 6.9 Bladder and bowels
- 6.10 Neurodegenerative disorders in older people
- 6.11 Promotion of dignity in the life and death of older patients
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine