2.1 Functional Capacity Assessment and the older adult Flashcards
What is in the SPPB subscale?
Walking speed
5x sit-to-stand
Balance progression - lowest reliability
The SPPB assess LE physical performance and predict:
Future hospitalization, disability, and mortality
The SPPB will likely have a ceiling effect in:
75 year old female living alone
Gait speed alone and the SPPB have predictive value for the overall health of older adults. In which of the following scenarios does the SPB offer a better predictive value?
Incident disability over a 1-year period
What is the most important factor that we can help/impact in cardiopulmonary patients?
Physical activity
Cardiorespiratory fitness
Impact the overall health of our patients!
Decrease risk/onset/severity of future events!
What can aerobic fitness help decrease?
All cause of mortality
Incidence of CAD or CVD events
At what MET level significantly decreased rates of mortality and/or CAD/CVD events?
> 7.9 METS
How much a reduction in mortality per 1-MET increase in exercise? %
10-25% decrease in mortality
Can see 30% decrease in poorly fit patients!!
Aortic stenosis causes what symptoms he may have during physical activity?
SOB, dyspnea during exercises!!
When would you not do an open heart for CAD?
If there’s still blood flow in heart… unless there’s S&S of angina…
Coumadin would NOT be used in what types of patients?
Fall risks!
What might impact balance/strength falls?
Think musculoskeletal as well for increase of falls.
How does paroxysmal afib impact us?
He’s post-op so this is a complication… Think about and get ready for this!
After post-op what should we look for in the indirect chart?
Why is the patient in the hospital? Surgical procedures MD note on dat of PT eval/Rx Post comp complications? Diagnostic imaging? CMC, chemistry panel, troponin, BNP Vital signs/ECG trends
TALK TO THE NURSE:
Anything I need to know that isn’t in the chart
Falls, syncopal events, adverse symptoms, ECG changes
Has he been functional?
TAVR procedure
Goes from femoral a. then goes up to the heart valves and does the repair…
What does additional time to wean from the ventilator tell you?
Social history?
Medical history?
What does decrease CBC tells us?
Decreased aerobic capacity!
Sill work with them!!
BUN tells you?
Kidney issues