What special challenges do older persons face when they are hospitalized?

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During a hospitalization, older persons may be at risk for secondary complications. Compared with young and middle-aged adults, they face an increased risk of functional impairment, the risk of immobility and falls, and a risk of delirium. Older persons are additionally more likely to experience adverse drug reactions, depression, threats to optimal communication, and errors as they transition from one setting to the next. Any one of these risks may precipitate a cascade of additional complications, the culmination of which could result in additional post-hospital care and eventually long-term institutionalization.