Geriatric MedicineTier 1Topic overview

Respiratory conditions

Framing

  • Respiratory disease in older adults centres on the two highest-burden conditions - chronic obstructive pulmonary disease (progressive airflow limitation, typically smoking-related) and pneumonia (including aspiration pneumonia, disproportionately common in frail/dysphagic older patients) - both requiring age-adjusted assessment given atypical presentation (reduced fever response, confusion as a presenting feature) common in this population
  • Aspiration risk assessment (swallowing function, positioning, oral care) is a distinct, age-specific preventive consideration not typically emphasised to the same degree in younger patients with pneumonia

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