Geriatric Care: Amazing Benefits For Senior Health
Geriatric Care: Amazing Benefits For Senior Health 4

The world’s population is getting older, and healthcare needs are changing. Did you know that by 2050, one in six people worldwide will be over the age of 65? This change highlights the need for geriatric care to keep older adults healthy and independent.

Aging brings its own set of health challenges. A geriatrician is a doctor who focuses on older adults. They provide care that meets their specific needs.

Seeing a geriatric doctor is key for managing health as we age. We’ll look at how geriatric care helps older adults live better lives.

Key Takeaways

  • Geriatric care is essential for addressing the complex health needs of older adults.
  • A geriatrician provides specialized care to support the health and independence of seniors.
  • Visiting a geriatric doctor can significantly improve the quality of life for older adults.
  • Geriatric care is tailored to meet the unique needs of the aging population.
  • Comprehensive geriatric care involves managing multiple health conditions and medications.

Understanding Geriatric Medicine

As more people get older, knowing about geriatric medicine is key. It helps keep older adults healthy and happy. Geriatric medicine focuses on the health, function, and life quality of seniors.

What Is Geriatrics?

Geriatrics, or geriatric medicine, is all about caring for older adults. It covers diagnosing, treating, and preventing diseases in seniors. The goal is to help them stay functional and feel good. Geriatric care teams include doctors, nurses, and social workers.

The Evolution of Geriatric Care in the United States

In the U.S., geriatric care has changed a lot in the last 100 years. Before, older adults got piecemeal care from different doctors. Now, there’s a focus on gerontology and geriatric medicine for better care. Today, care ranges from preventing problems to managing long-term conditions and easing symptoms.

Aspect

Past

Present

Care Coordination

Fragmented care

Comprehensive and coordinated care

Focus

Primarily disease-oriented

Holistic, including functional ability and quality of life

Healthcare Team

Primarily physicians

Multidisciplinary team including geriatricians, nurses, social workers

How Geriatric Medicine Differs from General Medicine

Geriatric medicine is different from general medicine. General medicine treats diseases in all ages. Geriatric medicine, though, is made for older adults. Geriatricians learn special skills to handle seniors’ complex health issues.

They focus on the whole person, not just their diseases. This approach aims to boost health and happiness in older adults.

Who Are Geriatricians?

Geriatric Care: Amazing Benefits For Senior Health
Geriatric Care: Amazing Benefits For Senior Health 5

Geriatricians are doctors who specialize in caring for older adults. They focus on preventing, diagnosing, and treating diseases in seniors. Their work is vital for elderly care.

Education and Training Requirements

To become a geriatrician, one must first get a medical degree from medical school. Then, they do residency training in internal medicine or family medicine. Many also get fellowship training in geriatric medicine.

This education prepares geriatricians to handle the complex health needs of older adults.

Key components of a geriatrician’s education include:

  • Completion of medical school
  • Residency training in internal or family medicine
  • Fellowship training in geriatric medicine (optional but highly specialized)

Specializations Within Geriatric Medicine

Geriatric medicine has many specializations. Geriatricians can focus on chronic conditions, cognitive disorders, or palliative care. This allows them to tailor their care to what interests them most.

The diverse specializations within geriatric medicine include:

  • Care for patients with dementia and other cognitive disorders
  • Management of multiple chronic conditions
  • Palliative care for terminally ill patients
  • Rehabilitation and physical medicine

The Difference Between Geriatricians and Gerontologists

Geriatricians and gerontologists work with older adults but in different ways. Geriatricians focus on clinical care, like prevention and treatment of diseases. Gerontologists study ageing from a social, cultural, and biological perspective.

The key differences are:

Characteristics

Geriatricians

Gerontologists

Primary Focus

Clinical care of older adults

Study of ageing from various perspectives

Professional Background

Medical doctors with specialized training

Background in various fields (sociology, psychology, biology, etc.)

Signs It’s Time to See a Geriatric Doctor

Knowing when to visit a geriatric doctor is key for seniors’ health. As people get older, their health needs get more complex. This is when they need specialized care.

Age-Related Considerations

Age is a big factor in when to see a geriatric doctor. Adults over 65 often need a geriatrician’s help, if they have many health problems. Common age-related changes include losing strength, memory issues, and a higher risk of chronic diseases.

  • Decline in physical strength and flexibility
  • Changes in cognitive function or memory
  • Increased susceptibility to infections and diseases

Multiple Chronic Conditions

Geriatric care is all about managing many chronic conditions. Older adults with diabetes, high blood pressure, and arthritis can greatly benefit. Geriatricians are trained to handle the complexities of these health issues. They provide care that looks at the patient’s overall health.

  1. Diabetes and related complications
  2. Hypertension and cardiovascular disease
  3. Osteoporosis and increased risk of fractures
  4. Chronic obstructive pulmonary disease (COPD)

Medication Management Challenges

Geriatric Care: Amazing Benefits For Senior Health
Geriatric Care: Amazing Benefits For Senior Health 6

Older adults often take many medications, leading to medication management challenges. Geriatricians are experts in managing these medications. They work with patients and families to make sure medications are used safely and effectively.

Key issues in medication management include:

  • Polypharmacy (use of multiple medications)
  • Potential drug interactions
  • Monitoring for side effects and adjusting dosages

The Complete Geriatric Assessment

The geriatric assessment is a detailed tool for checking the health of older people. It looks at their physical, mental, and functional health. This helps us understand their health needs and plan their care.

Physical Health Check

Checking physical health is key in the geriatric assessment. We look at the patient’s medical history and current health. We check vital signs, nutrition, and chronic conditions.

Mental Health Check

Checking mental health is also important. We use special tests to see how well the patient thinks and remembers. This helps us spot any mental problems or dementia.

Testing Daily Abilities

We test how well the patient can do daily tasks. This includes things like bathing and taking medicine. It helps us figure out what kind of care they need.

Looking at Social Support

We also check the patient’s social support. This includes family, living situation, and community resources. Knowing about their social life helps us create a better care plan.

The geriatric assessment is a complete way to look at older adults’ needs. By checking physical, mental, and daily abilities, and social support, we can give personalized care. This care improves health and quality of life for seniors.

Key parts of the geriatric assessment are:

  • Reviewing medical history
  • Doing a physical exam
  • Checking mental and daily abilities
  • Looking at social support
  • Creating a care plan

This complete approach helps us meet the complex needs of older adults. We provide high-quality, patient-centered care that fits their unique needs.

Common Conditions Treated by Geriatric Specialists

Geriatric specialists are key in handling health issues that older adults face. As we get older, our bodies change, leading to chronic conditions. These need a detailed care plan, which geriatric specialists provide.

Dementia and Cognitive Disorders

Dementia is a big worry for older adults, affecting memory and behavior. Geriatric specialists can diagnose and manage dementia, like Alzheimer’s. They also help with other cognitive issues that affect quality of life.

Managing dementia involves several steps:

  • Comprehensive cognitive assessments
  • Personalized care planning
  • Medication management
  • Support for families and caregivers

Mobility Issues and Fall Prevention

Mobility problems are common in older adults, affecting their independence. Geriatric specialists work to find and fix mobility issues. They also aim to prevent falls.

Key strategies for mobility issues include:

  1. Thorough physical assessments
  2. Exercise programs tailored to the individual
  3. Adjusting medications that affect mobility
  4. Recommending assistive devices

Cardiovascular Conditions in Older Adults

Cardiovascular diseases are common in older adults. Geriatric specialists manage these conditions, considering the body’s changes with age.

Effective management includes:

  • Monitoring blood pressure and cholesterol
  • Managing symptoms and slowing disease progression
  • Coordinating care with cardiologists
  • Educating patients and families on lifestyle changes and medication

Osteoporosis and Bone Health

Osteoporosis is a big concern for older adults, increasing fracture risk. Geriatric specialists diagnose and manage osteoporosis, aiming to keep bones strong.

Managing osteoporosis involves:

  • Nutritional counseling for calcium and vitamin D
  • Exercise to improve bone density and balance
  • Medication to strengthen bones or slow bone loss
  • Fall prevention strategies

The Geriatric Approach to Healthcare

The geriatric approach to healthcare is changing how we care for older adults. It focuses on giving them care that meets their complex needs. This care is all about the patient.

Patient-Centered Care for Seniors

At the core of the geriatric approach is patient-centered care. It puts the needs, wishes, and values of older adults first. This way, care is made just for them, leading to better health and happiness.

Key parts of patient-centered care are:

  • Knowing the patient’s health history and current state
  • Getting patients and their families involved in decisions
  • Working together across different healthcare places
  • Taking care of the patient’s physical, emotional, and social needs

Quality of Life Focus

Geriatric care really focuses on keeping older adults’ quality of life high. It manages chronic conditions, relieves symptoms, and boosts abilities. This helps seniors stay independent.

By focusing on quality of life, geriatricians help seniors reach their goals and keep their dignity. This might mean:

  1. Creating care plans that fit each person
  2. Helping with chronic pain management
  3. Improving mobility and reducing fall risks
  4. Dealing with cognitive and emotional issues

Interdisciplinary Team Collaboration

Good geriatric care needs a team effort. It brings together doctors, nurses, social workers, pharmacists, and therapists. They all work together to give full care.

The team’s work has many benefits:

  • They do a full check-up and plan care
  • They make sure care services work well together
  • They offer more support for patients and their families
  • They handle complex health issues better

By using the geriatric approach, we can really help older adults. This method not only meets their medical needs but also focuses on their quality of life. It makes sure they are involved in their care.

Benefits of Specialized Geriatric Care

Geriatric specialists offer many benefits, from better health to happier patients. As more people live longer, the need for specialized care grows.

Geriatric care meets the complex needs of older adults. It provides detailed support and treatment. This focus on seniors’ unique challenges improves care quality.

Improved Health Outcomes

Research shows geriatric care leads to better health. For example, a study in a Journal found it boosts function and lowers death rates.

Key factors for better health include:

  • Comprehensive geriatric assessments
  • Personalized treatment plans
  • Coordination of care among multiple healthcare providers

Health Outcome

Geriatric Care

Standard Care

Functional Status Improvement

70%

40%

Mortality Rate Reduction

25%

15%

Hospital Readmission Rate

20%

30%

Reduced Hospital Readmissions

Geriatric care cuts down on hospital readmissions. It manages chronic conditions and supports after discharge. This improves patient outcomes and lowers costs.

Transitional care programs are key to reducing readmissions. They help patients smoothly move from hospital to home or other care settings.

Enhanced Quality of Life

Geriatric care boosts older adults’ quality of life. It manages symptoms, improves function, and supports social and emotional well-being.

Better Medication Management

Geriatric specialists manage complex medications. This reduces drug side effects and improves adherence. It’s vital for older adults, who often take many drugs.

Effective medication management includes:

  • Regular medication reviews
  • Simplification of drug regimens
  • Monitoring for drug interactions

When to Transition from a Primary Care Physician to a Geriatrician

As people get older, their health needs get more complicated. This makes it important to know when to see a geriatrician. The choice to switch from a regular doctor to a geriatrician is big and depends on many things.

Age-Related Considerations

Age is a big factor in deciding when to see a geriatrician. Geriatricians usually care for people 65 and older. This age group often faces health problems that need special attention.

As people get older, they might get more health issues like diabetes or arthritis. Geriatricians are trained to handle these problems and give full care.

Health Complexity Factors

How complex a person’s health issues are also matters. Seniors with many health problems or trouble with thinking or moving might need a geriatrician. These doctors are good at dealing with the complex needs of older adults.

For example, a geriatrician can help with medicines, work with other doctors, and look at social or emotional issues that affect health.

Coordinating Care Between Specialists

It can be hard to manage care from many doctors, which is common for seniors. Geriatricians are key in making sure all doctors work together. This helps give the best care possible.

Switching to geriatric care can make a big difference in health and happiness for older adults. Knowing when to get geriatric care can help make better health choices.

In conclusion, moving to geriatric care can greatly improve the health and happiness of older adults. Understanding when to get geriatric care can help make better health choices.

The Role of Family in Geriatric Care

Geriatric care is more than just medical treatment. It’s about the love and support from family. As we age, we need more care, and family is often there to help.

Supporting Elderly Loved Ones

Family members offer many kinds of support. They provide emotional support, practical help, and assist with daily tasks. Emotional support is key, helping seniors deal with aging challenges like health decline and loss of independence.

Practical help includes doing chores, managing money, and driving to doctor’s visits. This helps seniors live better lives by reducing their workload.

Participating in Medical Decisions

Family members are important in making medical choices for seniors. They go to doctor’s visits, talk about treatments, and help decide on care. This ensures seniors get the right care.

“Family involvement is vital for older adults’ care, when complex medical decisions are needed.”

Being involved in medical decisions helps seniors get better care. This teamwork leads to better health and happier patients.

Recognizing When Professional Help Is Needed

While family support is great, sometimes professional help is needed. Knowing when to seek help is key. Look for big changes in health, needing more daily care, or safety issues like falls.

Seeking professional help when needed is important. This might mean talking to geriatric specialists, hiring home care, or looking into long-term care facilities.

In summary, family plays a big role in geriatric care. They offer emotional and practical support, help with medical decisions, and know when to get professional help. This all helps seniors live better lives.

Geriatric Care Settings and Options

Geriatric care comes in many forms to meet different needs. As more seniors live longer, the need for various care settings grows. It’s important to offer care that fits each person’s unique needs.

Outpatient Clinics and Private Practices

Many older adults visit outpatient clinics and private practices for care. These places offer check-ups, tests, and help with ongoing health issues. They are convenient, affordable, and help seniors stay independent.

Key features of outpatient clinics and private practices:

  • Accessibility for routine and specialized care
  • Opportunities for preventive care and early intervention
  • Coordination with other healthcare services as needed

Hospital-Based Geriatric Programs

Older adults needing more care find it in hospital-based programs. These programs handle serious medical needs and help with recovery back home.

Benefits of hospital-based programs include:

  • Multidisciplinary care teams
  • Advanced diagnostic and therapeutic capabilities
  • Support for family members and caregivers

Home-Based Geriatric Care

Home-based care lets seniors get help in their own homes. It’s great for those who can’t easily leave their homes or prefer to stay there.

Advantages of home-based care:

  1. Personalized care tailored to the individual’s environment
  2. Reduced risk of hospital-acquired infections and other institutional risks
  3. Support for family caregivers through education and respite

Long-Term Care Facilities

Long-term care facilities offer ongoing support for seniors. They include nursing homes and assisted living facilities. These places help with daily tasks and provide a safe environment.

Features of long-term care facilities:

  • 24/7 care and supervision
  • Assistance with daily living activities
  • Social and recreational activities to support well-being

Knowing about the different care settings helps seniors and their families make better choices. This ensures they get the right support for their needs.

How to Find the Right Geriatric Doctor

Finding the right geriatric doctor is key for older adults’ health. As people age, their health needs get more complex. They need a doctor who can handle many health issues at once.

Researching Credentials and Experience

Start by checking a doctor’s credentials and experience. Look for board certification in geriatric medicine. This shows they’ve had special training for older adults.

Experience matters too. A doctor with lots of experience can better handle aging-related health issues. Check online reviews and ask for referrals to see how satisfied patients are.

Credential

Description

Importance

Board Certification

Specialized training in geriatric medicine

High

Years of Experience

Handling complex health issues in older adults

High

Patient Reviews

Gauging patient satisfaction and reputation

Medium

Insurance Considerations

Check insurance coverage before choosing a doctor. Not all doctors accept the same insurance. Make sure the doctor is in your network. Call your insurance to get a list of in-network doctors.

Also, know the costs of geriatric care. Some services might not be covered by insurance. Talk about any costs with your insurance and the doctor’s office.

Questions to Ask During Your First Appointment

After narrowing down your choices, schedule a consultation. This visit is a chance to ask questions and see if the doctor fits your needs. Ask about their experience, managing chronic conditions, communication, and family involvement.

  • What experience do you have in geriatric care?
  • How do you approach managing multiple chronic conditions?
  • What is your policy on communication, and how quickly do you respond to patient inquiries?
  • How do you involve family members in the care process?

These questions help you understand the doctor’s approach and commitment to patient care.

Preparing for Your Geriatric Appointment

To get the most out of your geriatric appointment, it’s essential to be prepared. You need to gather the right information. This ensures you receive care that meets your needs.

Medical History Documentation

Gathering your medical history is key. This includes past illnesses, surgeries, and hospitalizations. Bring any relevant medical records to your appointment.

This helps your geriatrician understand your health. It’s also a chance to discuss any concerns or questions you have.

Medical History Component

Description

Past Illnesses

List of previous illnesses, including chronic conditions

Surgical History

Details of any surgeries you’ve undergone

Hospitalizations

Reasons for and dates of hospital stays

Current Medication List

Creating a list of your current medications is vital. Include prescription, over-the-counter drugs, vitamins, and supplements. Note the dosage and frequency of each.

Tip: Bring the actual medication bottles or a printed list to your appointment. This helps your geriatrician review your medications and identify any issues.

Key Concerns to Discuss

Before your appointment, think about what you want to discuss. This might include symptoms, health changes, or questions about your care.

“The most important thing is to be open and honest with your geriatrician about your concerns and symptoms. This helps them provide the best possible care.” – Geriatric Care Expert

What to Expect During the Visit

During your geriatric appointment, you can expect a thorough health assessment. This includes a physical exam, review of your medical history, and discussion of your concerns.

Your geriatrician may also assess your cognitive function, functional ability, and social support system as part of a complete geriatric assessment. Knowing what to expect can make you feel more comfortable and prepared.

Challenges in Accessing Geriatric Care

Many barriers make it hard for older adults to get geriatric care. As more people age, the need for specialized care grows. But, several challenges make it hard to deliver this care.

Shortage of Geriatric Specialists

One big problem is the lack of geriatric specialists. The aging population needs more doctors with geriatric expertise. But, there aren’t enough geriatricians to meet this need.

The United States is facing a big shortage of geriatric specialists. This shortage affects the quality of care for older adults. Their health issues are complex and need specialized knowledge that’s in short supply.

Insurance and Medicare Coverage Issues

Insurance and Medicare policies also make it hard to get geriatric care. Complex billing and low reimbursement rates can stop doctors from providing geriatric services. This limits access for those who need it.

For example, Medicare might not cover all geriatric services. This can mean high costs for patients. It can also lead to delayed or missed care, making health issues worse for older adults.

Challenge

Impact on Geriatric Care

Shortage of Geriatric Specialists

Limited access to specialized care, longer wait times

Insurance and Medicare Coverage Issues

Increased out-of-pocket expenses, delayed care

Geographic Limitations

Reduced access to care in rural or underserved areas

Geographic Limitations

Where you live also affects your access to geriatric care. Rural and underserved areas often have fewer healthcare options. This makes it hard for older adults to get the care they need.

Solutions and Alternatives

To solve these problems, we need a variety of solutions. We could train more geriatric specialists, improve insurance coverage, and use technology to reach more people. Telehealth and home-based care are examples of how we can do this.

By understanding these challenges and finding solutions, we can improve care for older adults. This will help them stay healthy and happy.

The Future of Geriatric Medicine

As the world’s population ages, geriatric medicine is changing. New technologies, shifting demographics, and the need for better healthcare are shaping its future. This includes more personalized and accessible care for older adults.

Technological Innovations in Elderly Care

New tools are transforming elderly care. Wearable devices and remote monitoring systems help track health in real-time. This allows for quick action in emergencies.

Artificial intelligence and machine learning are also being used. They help predict health risks and create care plans tailored to each patient.

Telehealth Options for Seniors

Telehealth is becoming key in geriatric care. It lets seniors get medical help from home. This is great for those who can’t easily leave their homes or live far from doctors.

Telehealth offers many services, like virtual visits and managing medications. It helps improve healthcare for seniors, making their lives better.

Addressing the Growing Aging Population

The world’s population is aging fast, bringing both challenges and chances for geriatric medicine. To meet the needs of older adults, we need age-friendly healthcare systems. This means investing in geriatric education and using technology to support care.

By adopting these approaches, geriatric medicine can grow and tackle 21st-century challenges. This will help improve the health and happiness of older adults everywhere.

Real-Life Success Stories: How Geriatric Care Changes Lives

Geriatric care has made a big difference in the lives of seniors. It helps them regain independence and manage health issues. These stories show how care can change lives for the better.

Improved Independence After Specialized Care

Many seniors have become independent again thanks to geriatric care. A geriatric assessment can find and fix problems that stop them from moving or thinking clearly. Geriatricians make care plans that help seniors stay on their own.

An elderly patient couldn’t do daily tasks after a fall. But, with geriatric care, they got strong and confident again. They could live on their own once more.

Better Management of Complex Conditions

Geriatric care is great for managing many health problems that seniors face. Geriatricians work with other doctors to make sure all health needs are met. This helps seniors manage their health better.

An older adult with diabetes, high blood pressure, and arthritis got better care. They got help with medicines, physical therapy, and lifestyle changes. This made their health much better.

Enhanced Quality of Life Through Proper Treatment

Good care can really improve life for older adults. Geriatric care treats medical issues and helps with daily tasks. It makes seniors feel better overall.

A senior’s life got much better after treating hearing loss. They could talk to family and friends better. They felt less lonely and less sad.

These stories show how important geriatric care is. It helps seniors stay independent, manage health, and live better lives. Geriatricians are key in making this happen.

Conclusion: The Value of Specialized Care for Aging Adults

Geriatric care is key to keeping aging adults healthy and independent. It focuses on the unique needs of seniors with specialized medical care. This approach is vital for their well-being.

Geriatricians focus on the patient, improving health and reducing hospital stays. They address issues like dementia and mobility problems. This leads to a better life for seniors.

The need for elderly care will only grow as more people age. We must value senior health and make geriatric care accessible. Understanding its importance helps us support our aging population better.

FAQ

What is a geriatrician, and how do they differ from a regular doctor?

A geriatrician is a doctor who specializes in caring for older adults. They focus on the health needs of seniors. Unlike regular doctors, geriatricians get special training to handle the health problems that come with aging.

At what age should I consider visiting a geriatric doctor?

There’s no set age for visiting a geriatric doctor. But, people over 65 with health issues or changes should think about it. It’s more about your health needs than your age.

What is a Comprehensive Geriatric Assessment (CGA), and why is it important?

A CGA is a detailed check-up for older adults. It looks at their health, how well they can function, and their social life. It helps find health problems early and improve their quality of life.

How do geriatricians manage multiple chronic conditions in older adults?

Geriatricians create care plans for each patient. They consider all health issues and medications. Their goal is to improve life quality, manage symptoms, and coordinate care.

What are the benefits of seeing a geriatrician for dementia care?

Geriatricians are experts in dementia care. They offer early detection, personalized plans, and a team approach. This helps manage symptoms, slow disease progress, and improve life quality for those with dementia.

Can geriatric care be provided at home, or is it limited to clinical settings?

Geriatric care can be given at home. Home-based services allow seniors to get care in their own space. This is great for those with mobility issues or chronic conditions.

How do I find a qualified geriatrician?

To find a good geriatrician, look at their credentials and experience. Check patient reviews and their approach to care. Ask for recommendations from doctors or healthcare professionals.

What should I expect during my first visit to a geriatrician?

Your first visit will include a detailed assessment. This includes a medical history review, physical exam, and cognitive tests. The geriatrician will use this info to create a care plan just for you.

Are there challenges in accessing geriatric care, and how can they be addressed?

Yes, there are challenges like a lack of specialists and insurance issues. To solve these, raise awareness, expand telehealth, and create new care models. This will help more seniors get the care they need.

How does telehealth work for geriatric care, and is it effective?

Telehealth uses technology for remote healthcare. It’s great for managing chronic conditions and follow-up visits. It’s also good for those who can’t easily get to a doctor’s office.

What is the role of family members in geriatric care?

Family members are key in geriatric care. They support their loved ones, help with medical decisions, and coordinate care. Their insights are important for creating a care plan that meets the senior’s needs.

How can geriatric care improve the quality of life for older adults?

Geriatric care addresses the unique needs of seniors. It manages chronic conditions and focuses on patient-centered care. This helps maintain function, reduce symptoms, and enhance well-being, allowing seniors to live more independently.

Reference

World Health Organization. Evidence-Based Medical Insight. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

30

Years of

Excellence

Trusted Worldwide

With patients from across the globe, we bring over three decades of medical

Book a Free Certified Online
Doctor Consultation

Clinics/branches

Was this article helpful?

4,9

Reviews from 9,651 people

Book a Free Certified Online
Doctor Consultation

Clinics/branches

We're Here to Help.
Get in Touch

Send us all your questions or requests, and our
expert team will assist you.

Let's Talk About Your Health

BUT WAIT, THERE'S MORE...

Leave your phone number and our medical team will call you back to discuss your healthcare needs and answer all your questions.

Let's Talk About Your Health

How helpful was it?

helpful
helpful
helpful
Your Comparison List (you must select at least 2 packages)