Assessment of Elderly Patient Flashcards
1
Q
List the 5 I’s of the Geriatric Giants.
A
- Immobility (off feet)
- Intellectual Impairment (dementia/delirium)
- Incontinence (UTI)
- Instability (falls)
- Iatrogenesis (drugs/polypharmacy)
2
Q
Give 4 reasons why elderly people present differently.
A
- Age-related physiological response
- Loss of physical and functional reserve
- Co-morbidities/interactions
- Under-reporting of symptoms
3
Q
List some ways in which brain physiology affected.
A
- Cerebral atrophy
- Ischaemia
- Amyloid, tau
- Temperature regulation
- Pain perception
- Thirst
- Sleep-wake
- Mood disorders
4
Q
List some ways in which physiology of the senses is affected.
A
- Presbyopia
- Cataract
- AMD
- Glaucoma
- Presbyacusis
- Impacted ear wax
- BPPV
- Reduced taste or smell
5
Q
List some ways the physiology of the lungs is affected.
A
- Smoking
- Kyphoscoliosis
- Reduced gas exchange
- Fibrosis
- Emphysema
6
Q
List some ways in which the heart, liver and kidneys are affected.
A
- Atherosclerosis
- AF
- HTN
- Aortic stenosis
- Diastolic dysfunction/ CCF
- Decreased drug clearance
- (Alcohol)
- CKD
7
Q
List some ways in which the bowel is affected.
A
- Constipation
- Diverticular disease
- Presby-esophagus
- Vaginal prolapse /stress
- BPH
- UTIs
- Postmenopausal vaginal atrophy
- Reduced bladder capacity (OAB)
8
Q
List some ways in which bones are affected.
A
- Osteoarthritis
- Osteoporosis and fractures
- Posture + gait
- Calcification/ calcinosis
- Vitamin D deficiency
- Sarcopenia
9
Q
How is frailty defined? (Age just a number!!)
A
- Reduced muscle strength and tolerance
- Sarcopenia
- Reduced gait speed
- Low energy / low physical activity
- Unintentional weight loss
10
Q
How is frailty qualitatively assessed?
A
- PRISMA-7 (3 or more ‘yes’ answers = frail)
11
Q
Outline the PRISMA 7 Questionnaire
A
12
Q
Outline the features of a Comprehensive Geriatric Assessment.
A
