Geriatrics Treatment and Care Options

Learn about geriatric treatment approaches and supportive care for healthy aging.

We offer advanced cardiac treatment and care for older adults, including non-surgical procedures, expert surgery, and specialized recovery programs at LIV Hospital.

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Medical Treatment Options for Older Adults

For older adults facing chronic conditions like heart failure, atrial fibrillation, or hypertension, medical treatment is the essential first step. Medications are used to manage symptoms, stabilize organ function, and optimize the patient’s overall health. The focus is always on helping seniors maintain strength and independence while easing the workload on aging organs, particularly the heart and kidneys.

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Pharmacological Management

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Medications are used to control the major symptoms and progression of geriatric diseases:

  • Diuretics: These help the body eliminate excess fluid, reducing congestion in the lungs and relieving stress on the heart, commonly used in heart failure management.
  • ACE Inhibitors/Beta Blockers: These medications help lower blood pressure and control heart rate, making pumping less strenuous for the often-stiffened heart muscle and protecting kidney function.
  • Blood Thinners: Crucial medications used to prevent strokes caused by irregular heart rhythms like atrial fibrillation, ensuring steady blood flow to the brain and body.

Geriatric Medication Review

Medication schedules for older adults are often complex. Geriatric specialists perform strict reviews to avoid drug interactions, adjust dosages for reduced kidney function, and ensure the patient is not taking medications that increase the risk of falls or confusion. This meticulous management is vital for safety, and LIV Hospital prioritizes a detailed review of all prescriptions.

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Minimally Invasive Procedures

Geriatrics

Minimally invasive interventions have revolutionized the management of many age-related cardiac and vascular issues. These procedures allow doctors to repair or improve structural issues without requiring major, high-risk open surgery. This approach involves guiding tiny, flexible tubes (catheters) through blood vessels to the target area.

Catheter-Based Interventions

The benefits of these catheter-based procedures are substantial, including minimal scarring, significantly less pain, and a much shorter recovery time compared to traditional surgery.

  • Angioplasty and Stent Placement: A small balloon is inflated inside a narrowed artery (often coronary or peripheral) to widen it, and a wire mesh tube (stent) is placed to keep it permanently open, ensuring adequate circulation.
  • Valve Replacement: Procedures like TAVR (Transcatheter Aortic Valve Replacement) allow surgeons to implant a new heart valve through a catheter, avoiding open-heart surgery for severely ill patients.

Why Choose LIV Hospital

LIV Hospital provides specialized and compassionate geriatric care, focusing on optimal outcomes with minimal invasion. Our approach integrates world-class technology, such as advanced imaging guidance, with a highly coordinated, multidisciplinary team dedicated to the unique needs of older patients. We prioritize recovery protocols that emphasize quick mobilization and return to home life.

Geriatrics

Surgical Treatments

When conditions are severe, or non-surgical methods are not an option, surgical intervention may be required. Major surgery in older adults is performed by highly specialized surgeons who understand the complexity and risks associated with aging bodies.

Complex Surgical Repairs

The goal of surgery is to provide a long-lasting structural repair, improving the patient’s function and quality of life.

  • Vascular Bypass: Procedures are necessary to reroute blood flow around severely blocked arteries in the heart or legs (e.g., coronary bypass surgery) to ensure the body receives adequate oxygenated blood.
  • Valve Repair/Replacement: Open-heart surgery may be necessary to repair or replace heart valves that are too diseased or damaged to function correctly, improving the heart’s pumping efficiency.

Palliative and Supportive Surgery

Sometimes, surgery is performed to improve symptoms and function rather than completely cure the disease. Procedures may include placing pacemakers to regulate slow heart rhythms or implanting defibrillators to treat dangerous, fast heart rhythms. The decision for surgery is based on a meticulous risk-benefit analysis by the LIV Hospital geriatric and surgical teams.

Rehabilitation and Recovery Programs

Recovery from any major illness or procedure is a specialized process for older adults. Rehabilitation starts immediately after stabilization with constant, expert monitoring.

Specialized Rehabilitation

The rehabilitation program is tailored to the patient’s specific needs, focusing on regaining strength and mobility.

  • Physical Therapy: Gentle exercises are introduced early to help the patient regain mobility, strength, and balance lost during the hospital stay. This is crucial for preventing falls after discharge.
  • Nutritional Counseling: Specialized feeding plans and dietary support are provided to ensure the patient receives the necessary calories and protein for rapid healing and immune function.
  • Respiratory Therapy: Support to help the patient improve breathing capacity and clear the lungs after major surgery.

Follow-up and Monitoring Protocols

Long-term follow-up is mandatory after any major intervention. Regular appointments with a geriatrician and relevant specialists (cardiologist, physical therapist) ensure the repaired structures are functioning correctly and chronic diseases remain stable. LIV Hospital provides comprehensive follow-up to address any late complications and maintain the patient’s functional status.

What to Expect During Recovery

Recovery time for older adults is often longer than for younger patients, requiring patience and comprehensive support from the medical team and caregivers.

Recovery Time and Expectations

  • Hospital Stay: The hospital stay can range from a few days for a catheter intervention to a week or more following major surgery.
  • Full Recovery: Full physical recovery and return to normal activities typically take four to twelve weeks after discharge, requiring commitment to a home exercise plan and specialized physical therapy.
  • Home Support: Patients should expect to need support at home for several weeks, including help with daily tasks and transportation. Rehabilitation is crucial for maximizing long-term independence.

LIV Hospital Comprehensive Support

LIV Hospital ensures comprehensive support, from the intensive care unit (ICU) through discharge. Our team focuses on safe transition, ensuring patients and caregivers are fully educated on wound care, medication schedules, and signs of potential complication, maximizing long-term health and preventing readmission. We also coordinate necessary home health services.

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FREQUENTLY ASKED QUESTIONS

What are the treatment options for geriatric heart conditions?

Treatment options range from supportive medications to control blood pressure and rhythm, to minimally invasive catheter procedures (like stenting or TAVR), and for necessary cases, open surgical repair performed by specialists at LIV Hospital.

The hospital stay is typically short for minimally invasive procedures, but full rehabilitation to regain strength and mobility after major surgery can take three to six months. Medical management is lifelong.

Not all heart conditions require surgery. Many can be managed with medication or minimally invasive catheter procedures like TAVR. Surgery is reserved for severe conditions where non-surgical methods are insufficient, following a careful assessment by the LIV Hospital team.

Common medications include diuretics to manage fluid, beta-blockers and ACE inhibitors to reduce the heart’s workload, and blood thinners to prevent strokes in patients with irregular heart rhythms.

You can expect initial monitoring in the ICU, followed by mandatory participation in physical therapy. At home, recovery involves strict adherence to medication schedules, modified activity, and continuous follow-up with the cardiology team.

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