Aged Care Flashcards
1
Q
Describe the difference between standard medical assessment and comprehensive geriatric assessment (GCA).
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2
Q
Appreciate who benefits most from Comprehensive Geriatric Assessment (CGA).
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3
Q
List the key domains of Comprehensive Geriatric Assessment (CGA).
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4
Q
Understand the role of Comprehensive Geriatric Assessment (CGA) in the assessment of frailty in a CGA team.
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5
Q
List the potential members of a Comprehensive Geriatric Assessment (CGA) team.
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6
Q
Identify the various settings where Comprehensive Geriatric Assessment (CGA) may be applied.
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7
Q
Understand the goals and outcomes of Comprehensive Geriatric Assessment (CGA).
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8
Q
Appreciate the evidence of the Comprehensive Geriatric Assessment’s (CGA) effectiveness.
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9
Q
Cognitive Assessment Case?
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10
Q
Identify pre-existing and in-hospital risk factors for delirium and have an understanding of the degree of delirium risk in a given individual.
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11
Q
Assess a patient for the clinical features of delirium, with the aid of an instrument such as the Confusion Assessment Method (CAM).
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12
Q
Formulate an investigation and management plan for a patient with delirium.
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13
Q
Understand the principles of non-pharmacological and pharmacological treatment for delirium.
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14
Q
Recognise the features of good hospital care that may reduce delirium risk.
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15
Q
Understand the prognosis of delirium and how this affects discharge planning.
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16
Q
Describe the essential features of dementia.
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17
Q
Describe conditions that resemble dementia (particularly depression, delirium and drug side effects).
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18
Q
List the most common risk factors for dementia.
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19
Q
Describe the most common causes of dementia.
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20
Q
Understand how to evaluate a person with possible dementia.
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21
Q
Explain how to manage the care of a person with dementia.
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22
Q
Understand the factors to consider in the assessment and management of Aboriginal and Torres Strait Islanders with dementia, and those of other diverse cultural backgrounds.
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23
Q
Understand the control of balance/postural stability.
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24
Q
Identify multiple risk factors for falls (intrinsic, extrinsic and behavioural).
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25
Perform simple bedside measures of balance and gait.
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26
Develop a list of risk factors and treatment recommendations for a patient with falls/balance disorder.
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27
Identify ways to reduce falls injuries.
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28
Understand the concept of 'capacity' and its relevance to decision-making by older patients, including decisions regarding powers of attorney, wills, medical and lifestyle matters.
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29
Understand the separate types of powers of atoner, covering financial, medical and lifestyle matters.
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30
Understand the legal framework for guardianship and administration in Victoria.
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31
Understand the legal framework for medical decision-making, including decisions about limitation of medical treatment and advance care planning.
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32
Appreciate the significance of elder abuse, along with risk facts for abuse and interventions.
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33
Appreciate issues associated with ageing which can affect fitness to drive.
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34
Demonstrate an understanding of orthogeriatric care and how this differs from standard orthopaedic or geriatric care, and why orthogeriatric care is now considered best practice care of patients with hip fractures.
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35
Discuss the management of patients with hip fractures- especially the acute peri-operative management.
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36
Demonstrate an understanding of the importance of assessment of falls and fracture risk and development of a prevention plan (primary or secondary).
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37
Appreciate the importance of the multidisciplinary team and their involvement in early setting of goals, rehabilitation and discharge planning.
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38
Understand the definitions and concepts of polypharmacy, risk factors and its common nature among the elderly.
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39
Understand its importance as related to potential and actual negative clinical outcomes specific to aged care.
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40
Understand the specific factors in the elderly population that makes them particularly vulnerable to polypharmacy and its potential negative outcomes- includes physiologic, disease processes and the health system which all contribute to the problem.
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41
Appreciate the importance of patient medication reviews, and understand the performance process of medication reconciliation.
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42
Understand the concept of deprescribing.
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43
Recognise the most common medications prescribed in the aged population and be familiar with their adverse effects and contraindications.
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44
Identify the medications that are most commonly associated with significant side effects in the elderly.
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45
Identify resources to assist medical personnel in recognising, evaluating and, preventing this problem.
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46
Reflect on the examples of ageism discussed in the tutorial and consider other examples of ageism in the media and general conversation.
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47
Reflect on the issues of sexuality in older people and how this subject is discussed with older people, and their carers.
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48
Discuss incontinence in relation to pathophysiology of the lower renal tract.
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49
Discuss the causes of incontinence.
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50
Take and interpret a history of lower urinary tract symptoms.
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51
Interpret a bladder diary.
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52
Develop an assessment and management plan for a patient with incontinence.
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53
Understand how palliative care physicians describe the specialty.
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54
Know what services palliative care units provide to patients and their family members.
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55
Appreciate the difference between a palliative approach to patients and the provision of palliative care to patients in a specialised palliative care unit.
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56
Understand that pain is a sensory and emotional experience.
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57
Discuss the differences between acute and chronic pain.
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58
Discuss the reasons for age related differences in perception and reporting of pain.
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59
Be familiar with a range of pain assessment scales.
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60
Discuss the roles of pharmacological and non-pharmacological therapies.
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61
Evaluate the response of patients to the pain management strategies used.
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62
Set patient centred goals for the management of pain.
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63
Discuss the reasons older people may need dose modification of medications.
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64
Undertake a detailed pain assessment of a patient, and record the findings.
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65
Understand the need to achieve 'steady state' blood levels by regular analgesic administration.
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66
Understand the principles of opiate prescribing, including prescribing for the opiate naive patient, the role of titration and the need for breakthrough prescriptions.
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67
Describe the basic principles of the treatment of neuropathic pain.
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68
Recognise the misery caused by these common symptoms.
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69
Describe the pathophysiology of nausea and vomiting.
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70
Describe the aims of bowel care.
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71
Discuss the pharmacology of commonly used anti-emetics.
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72
Provide a plan for the investigation of malignant bowel obstruction.
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73
Discuss the principles of surgical management of malignant bowel obstruction and the indications for surgical intervention.
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74
Discuss the principles of non-surgical management of malignant bowel obstruction.
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75
Acknowledge the natural dying process.
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76
Recognise the dying patient.
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77
Describe the common dying process.
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Prioritise the dignity and comfort of dying patients.
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79
Recognise the common symptoms of dying patients and prescribe appropriate medication for prevention and management of these symptoms.
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Accompany and support patients and family members during the dying process.
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Confirm the death of a person in a timely and dignified manner.
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82
Understand what patients and their family members understand when resuscitation is discussed.
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83
Consider the appropriate ways to discuss resuscitation and not for resuscitation orders in older patients in hospital.
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84
Consider how doctors, nurses, patients and family members use the words death and dying, and how this might impact on a patient's understanding of how close to death they are.
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85
Feel comfortable discussing ethical issues that arise in Palliative Care and other rotations.
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86
Be aware of the issues that referral to Palliative Care or discussions of death and dying may provide for Aboriginal patients and their families.
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87
Conduct and present a basic psychiatric assessment of an older person.
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88
Demonstrate an understanding of the common presentations of BPSD.
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89
Discuss the significance of these symptoms.
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90
Discuss the management strategies used for BPSD.
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91
Recognise depression in an older person and appreciate its significance, epidemiology and associations.
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92
Initiate management of mild to moderate depression in late life.
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93
Be aware that much late life depression is treatable.
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94
Demonstrate a basic understanding of the nature, significance and management of schizophrenia and related disorders in late life.
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95
Describe management options for patients with schizophrenia and related disorders in late life.
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96
Define rehabilitation.
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97
Recognise learning opportunities on the inpatient rehabilitation ward and in the outpatient/community based rehabilitation setting.
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98
Understand the concepts of impairment, activity limitation (disability) and participation restriction (handicap) as defined by the World Health Organisation's International Classification of Function and Disability (ICF).
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99
List the impairments, functional consequences (activity limitations) and social consequences (participation restrictions) associated with chronic illness and acute medical conditions.
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100
Identify patients who will benefit from a rehabilitation program, and grasp the concept of rehabilitation assessment and triage.
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101
Have an overview of rehabilitation process issues and service delivery.
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102
Understand how a rehabilitation program fits into the patient's journey through the health care system.
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103
Appreciate the interdisciplinary approach.
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104
Understand the value of patient education, prognosticating and predicting functional outcome, and community reintegration.
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105
Know what is involved in rehabilitation post discharge follow up and ambulatory clinics.
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106
Be familiar with common stroke presentations/syndromes.
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Be familiar with secondary stroke prevention.
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108
Be able to identify common complications of stroke.
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109
Be aware of outcomes, recovery and prognosis of common stroke presentations.
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110
Understand the multidisciplinary team's role in achieving optimal outcomes.
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Understand the organisational role (stroke units, variety of rehab settings) in achieving optimal outcomes.
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112
Be able to generate rehabilitation goals for a patient post stroke, based on principles of impairment, activity and participation.
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113
Understand the presentation of Post Traumatic Amnesia (PTA) and its appropriate management and management setting.
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114
Have knowledge of Traumatic Brain Injury (TBI) severity and outcome prediction.
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115
Discuss the most frequently observed medical complications in TBI.
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116
List key issues in management of TBI in the longer term, e.g. return to work/study, behavioural management, independent living abilities, relationship, services.
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117
Recognise the role of neuropsychology and other allied health in assessment and management of TBI.
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