Chapter 11 Flashcards

1
Q

What is Geriatrics?

A

Branch of medicine dealing with the aged and the problems of aging
Mature Adult

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2
Q

10 Chronic Conditions of people older than 65 years

A
Arthritis
Hypertension
Hearing Impairment
Heart Disease
Cataracts
Deformity or orthopedic impairment
Chronic sinusitis
Diabetes
Visual impairment
Varicose veins
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3
Q

Heart disease, cancer and strokes are the cause of

A

80% of deaths in persons over the age of 65. (need to know the number)

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4
Q

Heart disease, cancer, and stroke account for

A

7 out of every 10 deaths among people older than 65.

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5
Q

Most Common Health Complaints of The Elderly

A
Weight gain
Fatigue
Loss of bone mass
Joint stiffness
Loneliness
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6
Q

One of five people older than age 65 in a community will show signs of

A

Clinical depression

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7
Q

Patient with dementia or depression may not

A

Be able to understand or retain directions

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8
Q

Dealing with Patient with dementia or depression

A

Explain to the patient about the procedure
Repeat same instructions a number of times
Assist the patient in following the directions

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9
Q

What is an Integumentary System?

A

The skin and its derivatives (sweat & oil glands, hair & nails) make up a very complex set of organs that serves a number of functions

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10
Q

1st apparent sign of aging

A
Skin wrinkles
Skin on back of hands and forearms thin & fragile 
Easily traumatized
Skin looks pale
Hair becomes thin & more brittle
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11
Q

Responsibility for pt with Integumentary System

A

Not damaged during positioning

Provide a pad on the table for the patient to lay on

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12
Q

Head & Neck Areas

A

Adaptation from light to dark areas is diminish (lose ability on dark)
Loss of ability to focus on nearby objects
Hearing loss is common (men)
Forward upper thoracic curvature – kyphosis
Sense of taste & smell decreases

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13
Q

Responsibility with pt of Head & Neck Areas

A

Assist patient to table
Speak loudly enough to be heard
Not all patients are hard of hearing
Use a table pad

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14
Q

What is the most frequent lung infection and a leading cause of death in the elderly?

A

Pneumonia

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15
Q

Pneumonia causes

A

Normal respiratory defense mechanism is reduced

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16
Q

Lung capacity diminishes

A

Become breathless & fatigue more easily

17
Q

Dyspnea can result from

A

laying flat on radiographic table for long period of time

18
Q

Most common cause of death worldwide

A

Cardiovascular System

19
Q

What causes Cardiovascular System

A

Heart rate during exercise decreases with age (Short of breath & Tire easily)
Increase systolic BP (Risk for heart disease/stroke)
Decline in coronary blood flow (Complaints of feeling cold)

20
Q

Postural or orthostatic hypotension

A

Assist patient to sitting position for several minutes before standing
Rapid position change can result in dizziness and can lead to the patient falling
A drop in systolic pressure of 20-30 mmHg

21
Q

Gastrointestinal System

A

Esophageal and gastric motility declines
Dentures (Need to removed)
Loss of sphincter control

22
Q

Musculoskeletal System

A

Bone mass is reduced resulting in weaker bones (women 4X)
Muscle strength decreases (Difficulty in maintaining positions for procedures. Use positioning sponges to facilitate position)

Intervertebral discs shrink / vertebrae collapse

23
Q

Urinary System

A

Changes in bladder capacity

24
Q

Enlarged prostate (benign prostatic hyperplasia)

A

Affect up to 70% of men older than 70 years

25
Q

Prostate cancer

A

More than 80% of tumors are found in men older than 65 years

26
Q

3rd most common cause of cancer deaths in men

A

Prostate cancer

27
Q

Neurologic System

A

Process information and directions in a slower fashion

Allow patient more time to execute moves

28
Q

Visual problems

A

May not see step stool to know where to place feet when placed at radiographic table
Assist patient

29
Q

Skin is more susceptible to

A

bruising, tears, abrasions, and blisters (careful using tape)
Be careful of using adhesive tape

30
Q

Pressure sores

A

Decubitus ulcers

Heels, ankles, elbow and lateral hips

31
Q

Physical abuse/Violence

A

The use of physical force that result in bodily injury, physical pain or impairment

32
Q

Sexual abuse

A

Nonconsensual sexual contact of any kind w/elder

33
Q

Emotional or psychological abuse

A

Elderly is withdrawn or secretive ot hesitant to talk freely around caregiver
family member or caregiver isolate elder
Elder verbally reports mistreament

34
Q

Neglect abuse

A

Poor hygiene
Medical conditions that go untreated
Malnutrition or dyhydration

35
Q

Financial abuse

A

occur when anyone take or keep an elder property w/the intent to defraud