Ethics

Question 1

How is history taking different in the elderly?

Answer 1

deaf, confused, drowsy, confabulation, collateral history
long pmh and dhx
social history long and focus on home is life

Question 2

What are the roles of the different people on COTE?

Answer 2

PT-mobility  
Salt-swallow  
OT- ADL and function  
Dietician- get them nutritionEd  
Pharmacist- drug interaction
Healthcare assistant  
Transfer of care nurses 
OPLP-older people liaison psychiatry

Question 3

Why is it sometimes harmful for geriatrics patients to be kept in hospital when they are fit for discharge?

Answer 3

pick up infections whilst waiting for discharge due to extra social care needs and waiting
Eg pneumonia, influenza, UTI, c diff
In patient falls

Question 4

What disacharge routes are available in COTE?

Answer 4

route 2 
Fast track  
offsite 
Intermediate care bed  
Care package

Question 5

What is lasting power of attorney?

Answer 5

A lasting power of attorney is a legal document that lets someone appoint one or more people (known as ‘attorneys’) to help the patient make decisions or to make decisions on their behalf.
The LPOA must be set up by the patient when they have capacity and rhey can only choose options from what the doctor offers.