Basic Gero Flashcards
How do absorption, distribution, metabolism, and excretion of drugs differ in the older population?
Absorption = slow GI
slower gastric emptying
Distribution = a higher percentage of fat and a lower percentage of water
Fat-soluble drugs may stay in the body longer, and water-soluble drugs may have more concentrated effects.
Metabolism = Liver function decreases
slows the metabolism of medications, causing drugs to stay in the body longer, increasing the risk of side toxicity
Excretion = Kidney function declines
reducing the ability to eliminate waste and drugs from the body
Martial Status/Living Arrangements
How many women are widowed?
Who lives longer? men or women?
How many percent of older adults live in a nursing home LONG TERM?
How many older adults will be in a nursing home SHORT TERM (one in their life)
½ women over 65 widowed (women live longer)
Less than 5% of older adults live in a nursing home/assisted living long-term
1 in 4 older adults will spend a short term in a nursing home once
What are the 5 Ms of Geriatrics
Matters Most
Mobility
Medication
Mind
Multi-complexity
