Aspects of care of the elderly Flashcards
What are the general principles of end of life care
Let them live as good a quality of life as possible, and die with dignity.
What is palliative care
Making a patient as comfortable as possible. Management of pain and other symptoms.
What is frailty
State of increased vulnerability resulting from ageing associated decline in reserve and function across multiple physiologic systems such that the ability to cope with everyday or acute stressors is compromised.
What are the four main geriatric giants
Instability
intellectual impairment
immobility
incontinence
What are the 5Ms of geriatrics
Mind mobility medications multi-complexity matters most
What is Acopia
A patient’s inability to cope with ADLs
What is involved in a comprehensive geriatric assessment
Medical assessment
Functional assessment
Psychological assessment
Social and environmental assessment
Who carries out a medical assessment in a CGA
Doctor, nurse, pharmacist, dietician and SaLT
Who carries out a functional assessment in a CGA
OT, PT, SaLT
Who carries out a psychological assessment in a CGA
Doctor, Nurse, OT, Psychologist
Who carries out a social environmental assessment in a CGA
OT, SW
What is involved in a medical assessment in a CGA
Problem list
Co-morbid conditions and disease severity
Medication review
Nutritional status
What is involved in a functional assessment in a CGA
Activities of daily living
Activity/exercise status
Gait and balance
What is involved in a psychological assessment in a CGA
Cognitive status testing
Mood/depression testing
What is involved in a social and environmental assessment in a CGA
Informal support needs and assets
Eligibility/need for carers
Home safety
