Ch 3 Geriatric syndromes

Question 1

SPPICES

Answer 1

Pneumonic for Geriatric Syndromes
•	Sleep Disorders
•	Problems with Eating or Feeding
•	Pain
•	Incontinence
•	Confusion
•	Evidence of Falls
•	Skin Breakdown

Question 2

Pain medications to use cautiously in the elderly

Answer 2

meperidine (Demerol)
proproxyphene
mixing of agonist/antagonist analgesics with agonist analgesics
NSAIDs are also to be used cautiously

Question 3

Urge incontinence

Answer 3

due to detrusor irritability and abnormal bladder contractions

Question 4

Stress incontinence

Answer 4

due to reduced sphincter resistance and a sudden increase in abdominal pressure

Question 5

overflow incontinence

Answer 5

over distention of the bladder that exceeds the outlet resistance

Question 6

functional incontinence

Answer 6

here is a physical or psychological inability to reach toileting facilities

Question 7

3 D’s

Answer 7

Delirium, Depression, Dementia

Question 8

dementia definition

Answer 8

organic mental disorder with slow loss of intellectual abilities that interfere with functioning

Question 9

delirium definition

Answer 9

reversible abrupt impairment of global cognitive impairment

Question 10

delirium causes

Answer 10

	Drug use
	Electrolyte imbalance
	 Lack of drugs (withdrawal or pain)
	 Infection
	Reduced sensory input
	Intracranial events
	Urinary incontinence/fecal impaction
	Myocardial infarction