Exam #2: Preventative Geriatrics Flashcards
What is the purpose of Geriatric Prevention?
- Improve function (ADLs, IADLs)
- Improve quality of life
What are the three types of disease prevention?
- Primary
- Secondary
- Tertiary
What is an example of primary disease prevention?
Immunization
What is secondary disease prevention?
Screening & detection of asymptomatic conditions
What is the USPSTF?
US Preventative Services Task Force
What does the USPSTF do?
Determines the efficacy of preventative service & offers screening recommendations
What does A or B recommendation from the USPSTF mean?
Recommended
What does C recommendation from the USPSTF mean?
Physician-decision
What does D recommendation from the USPSTF mean?
Do NOT do
What does I recommendation from the USPSTF mean?
Not enough evidence to say on way or another
When is a woman most likely to die from breast cancer?
More than half of breast cancer deaths occur after the age 65
What are the screening recommendations for women 50- 74 for breast cancer?
Biannual screening with mammography (Grade B)
What are the screening recommendations for women >74 for breast cancer?
Grade I
What are the USPSTF recommendations for teaching self-breast exam to women?
Grade D
What are the USPSTF recommendations for clinical breast exam in women older than 40?
Grade I
What are the USPSTF recommendations for cervical cancer screening in 65 year olds w/ otherwise had adequate prior screening & are NOT high risk?
Do NOT screen
What are the USPSTF recommendations cervical cancer screening in patients s/p hysterectomy & no hx of high grade cervical lesion?
Do NOT screen
Why does COPD put patients at risk for osteoporosis?
Chronic steroids
What are the major risk factors for osteoporosis?
- Low weight
What are the USPSTF recommendations for DEXAscan?
Women 65 y/o & older should screening
*****Note that in men, screening is Grade I
What are the major risk factors for prostate cancer?
- First degree relative with prostate cancer
- African American
Why is there controversy surrounding PSA-screening?
- It is not known if screening reduces risk of death
- PSA is nonspecific- can be elevated in prostatits & BPH
What are the USPSTF recommendations for PSA screening?
Grade D
What is the harm of PSA screening?
For every 3,000 PSA tests
- 120= ED for incontinence due to tx
- 6 CV events due to tx
- 3 DVT due to tx
- 1 death from surgical tratment
What patient population is colon cancer highest in?
African American
What are the USPSTF screening recommendations for colon cancer?
- Occult blood testing
- Sigmoidoscopy
- Colonoscopy
Any of these at 50 years old & continuing until 75 years is Grade A
When does the USPSTF recommend AGAINST colon cancer screening?
85 years old, or older
