Abstract

Screening for Geriatric Syndromes: Falls, Urinary/Fecal Incontinence, and Osteoporosis

Smith EM1, Shah AA2. Clin Geriatr Med. 2018 Feb;34(1):55-67. doi: 10.1016/j.cger.2017.08.002. Epub 2017 Oct 14.
 
     
Author information

1 Department of Internal Medicine, Mayo Clinic, 13400 E. Shea Boulevard, Scottsdale, AZ 85259, USA.

2 Department of Internal Medicine, Mayo Clinic, 13400 E. Shea Boulevard, Scottsdale, AZ 85259, USA. Electronic address: Shah.Amit@mayo.edu.

Abstract

The geriatric syndromes of falls, incontinence, and osteoporosis are concerns in older adults because of their potential impact on quality of life. Asking about history of falls or a fear of falling should prompt a multifactorial assessment of fall risk and targeted interventions to reduce falls. Urinary and fecal incontinence should be screened because they are common conditions that are underreported due to embarrassment and general perception that incontinence is a normal part of aging. Women over age 65, men over age 70, and younger patients with high-risk characteristics should be screened with bone mineral density testing with dual-energy x-ray absorptiometry.

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