Geriatric care focuses on older adults who often live with several long-term conditions and take many medicines. Dr Sujith Chadala, who has completed the Certificate Course in Geriatric Medicine & Gerontology, reviews every medicine together, adjusts sugar and blood pressure targets for age, and looks at falls, memory, mood, nutrition and independence — involving the family in the plan.
Information from the practice of Dr Sujith Chadala, MBBS, MD (General Medicine)
Overview
Older adults often see several doctors and collect prescriptions over the years. Some medicines may no longer be needed; others may interact or cause dizziness, falls, confusion or low sugar. A single, careful review of everything they take is one of the most useful things a physician can do.
Targets also change with age. Very tight sugar or blood pressure control can do more harm than good in a frail 80-year-old, while maintaining strength, balance and independence becomes central.
Families caring for parents in Gachibowli and the IT corridor are welcome to attend the consultation, share observations and ask questions. A written summary helps everyone involved in care stay on the same page.
What this covers
- Review of multiple medicines (polypharmacy)
- Diabetes and blood pressure management in older adults
- Falls, dizziness and unsteadiness
- Memory problems and confusion — initial evaluation
- Weakness, poor appetite and weight loss
- Sleep problems and low mood
- Vaccination for older adults
- Care after a hospital stay
When should you see a doctor?
- Your parent takes five or more medicines every day
- A fall, or a fear of falling that limits daily life
- New forgetfulness, confusion or change in behaviour
- Gradual loss of weight, strength or appetite
- After discharge from hospital, to review medicines and recovery
How care works
- 1
Whole-person assessment
Medical conditions, medicines, mobility, memory, mood, nutrition, hearing and vision are reviewed together.
- 2
Medicine clean-up
Each medicine is checked for need, dose and interactions; unnecessary ones are reduced safely.
- 3
Age-appropriate targets
Sugar, blood pressure and cholesterol goals are set for safety and quality of life.
- 4
Family plan
A clear written plan for caregivers, including warning signs and when to call.
Emergency warning signs
Call 108 or go to the nearest emergency department immediately if you notice:
- Sudden confusion or unusual drowsiness
- A fall with head injury, especially if on blood thinners
- Not eating or drinking for more than a day
- New weakness of an arm or leg, or difficulty speaking
Before your visit
- Every medicine, supplement and eye drop your parent uses — bring the actual strips
- Discharge summaries and recent reports
- A family member who knows their daily routine
- Hearing aids and glasses, so they can take part fully
Frequently asked questions
At what age should someone see a geriatric physician?
There is no fixed age. A geriatric-focused review is most helpful for people over 65 who have several conditions, take many medicines, have had falls, or are becoming less independent.
Can old medicines be safely stopped?
Often some can, but it should be done one at a time under medical supervision. Certain medicines, such as those for blood pressure, heart rhythm or seizures, can cause problems if stopped suddenly.
Can family members attend the consultation?
Yes, and it is encouraged. Family members often notice changes in memory, mood or mobility that the patient may not mention.
This page is general health information and does not replace a consultation. Treatment decisions depend on your examination and reports. See the medical disclaimer.