Care of the Eldery Flashcards
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
ageing-> functional decline -> increased vulnerability -> less ability to cope
What are the geriatric giants
- instability
- immobility
- incontinence
- intellectual impairment
What comprises a geriatric assessment
- medical
- functional
- physiological
- social and environmental
Who is involved in a medical assessment and what does it contain?
Dr, Nurse, Pharm
Problems list, co-morbs, med review, nutritional status
Who is involved in a functional assessment and what does it contain?
OT, PT, SaLT
AODL, exercise, gait and balance
Who is involved in a psychological assessment and what does it contain?
Dr, nurse, psychologist
cog status, mood/depression testing
Who is involved in a social and environmental assessment and what does it contain?
OT, SW
home safety, support needs, careers
What is rehab
process of restoring pt to max function
What is abuse
single or repeated act or lack of appropriate action that occurs in relationship, wherer theres an expectation of trust which causes harm or distress
What is dementia?
Progressive global decline in cog function without impairment of consciousness
what are the symtoms of dementia?
1st
- memory loss: short term
- emotional disturbance
- behavioural changes (delusions, aggression, loss of normal scoial behaviour)
2nd
- self neglect
- personality changes
- motor/sensory abnorm
- seizures
3rd
- parkinsonisms
- wasting
- incontinence
- mute
How do you diagnose dementia?
- decrease in memory and learning (MMSE)
- decrease in one of: lanuage, motor, recog, function
- gradual onset and continuous decline
- interefers with social or work functioning
- not caused by: organic or delerium
What are the types of dementia?
Alzheimer’s: general brain atrophy, particularly frontal and temporal
Vascular: multiple small infarcts, stepwise progression
Lewy Body: in brainstem and neocortex, fluctuating sypmtoms, halls, sleep disturbance
Fronto-temporal: FT atrophy without Alzheimer’s Hx, massive disinhibition
What invesitgations would you do in ?dementia and why?
- TFT
- U&E: renal failure
- LFT: cirrhosis, carcinoma
- Glucose: db
- CT: tumour, SD haematoma
Non medical management of dementia?
- mental capacity
- advanced care planning
- DVLA
- music/art therapy
- support groups
