final- Geriatric Techniques Flashcards
What is on a wish list of an older patient
less pain
less meds
more control of health
independence
what are normal changes in an aging patient
decreased muscle mass
decreased bone density
increased capillary, skin, and bone fragility
atherosclerosis
decreased elasticity of ligaments/tendons
Malpractice claims against DCs in patients over 65
rib fracture failure to dx falls (off table, in office) burns with ice/heat injury to shoulder injury to hip prosthesis (rare) stroke (rare)
things to consider to decrease injuries
orthostatic hypotension muscle mass bone density pathology odds technique
decreased muscle mass means
decreased resistance
lighter thrust
who is at risk of OP
fair skinned post-menopausal small-framed family hx hysterectomy at early age
Contraindications to adjust in elderly
presence of aneurysms presence of stroke risk factors presence of heavy vessel plaque presence of ant spurring in lumbars moderate to adv op knee of hip pathology active bone or joint pathology
advantages of instrument assisted adjustments
Choice of force applied
Quick: No fight with patient’s muscle tension
Patient adjusted in prone/supine position (no twisting/rotational moves)
Wide comfortable table with no sections
Easy on the DOCTOR!
advantages of logan basic
low force non osseous contact no rotary moves gentle addresses ligamentous component of pelvis
advantages of drop assisted techniques
less force no need to take to tension no twisting cant go past rom easy on doctor
advantages of pelvic blocking
gental lower force less risk of fx broader contact addresses occipital area easy on doctor
advantages of flexion distraction
increase joint motion
increase pliability of tissues
option for OP patients
easy on doc
advantages of upper cervical techniques
lower force no twisting very specific safe variety
advantages of manual techniques
motion into joint space
frees up restrictions
hands on
results quicker
issues with geriatric facilities
carpet steps handrails lighting doors
issues with geriatric surroundings
location bus route near other facilities stairs sidewalks parking close
issues with geriatric equipment
tables
chairs
bathrooms
doors
issues with geriatric lighting sound
no music
no mood lighting
aware of glare
issues with geriatric forms
make sure large and easy to see
who is hawk
chiropractic research leader
1st PI on government funded grant
who is schneider
leader in clinical care research
who is doughtery
NYCC
VA doc
long term care doc
oversees chiro geriatric research in Ny
who is gleberzon
co-author of chiro care of the older adult
red flags for geriatric patient for immediate referral
new gait disturbance acute confusion new progression of CVA positive nerological signs progressively weaker suicidal indication substance abuse unexplained injuries recurrent fever
