Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Question
Explain the importance of geriatrics as a specialty in medicine.

Transcribed Image Text:Susan and John have been married for 46 years. Susan has always demonstrated a tendency for
ARression, but it has generally been ksrt under control with medication. John's health begins to
deteriorate and within a year he is dead. Several months after her husband's death, Susan is
exbikiting signs of sexere, depression She is gixen everincreasing levels of yatiqus
antidepressants, but they have no effect. She is also exhibiting signs of a psychosis and is
inflicting wounds upon herself. The family puts her in an assisted-living facility, but they are
wnable to deal with their aberrant behavior.
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Her son who lives in New York decides to bring her to live with him and he admits her to a
hospital in New York City. Tests įndicate she is suffering trom severe hvrathuroidism, and she is
put on appropriate treatment. (Apparently no health practitioner had to this point suspected
there may be anather condition contrikuting to the depression other than old age.) The low
thyroid undoubtedly was a significant factor in the development of her depression. But treatment
of the depression is not addressed in the hospital, and it has progressed considerably. She is
transferred to a nursing home and wrongly, diagnosed with dementia and Rlaced in the dementia
unit. She is deteriorating rapidly; she continues to abuse herself and she refuses to speak or
acknowledge anyone. Within a few months she will probably be dead.
At this point an experienced geriatric care physician steps forward and correctly diagnoses her
condition as clinical depression. She is hospitalized for six months and undergoes aggressive
treatment for depression. They also discover she is severely malnourished and correct that
problem as well. She has now moved back into the home of her son. She is a normal functioning
person and is even velunteering to Work in the local likrary. The elderly. bealth care system almast
dropped the ball on this one.
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