Five domains of evaluating older adults Flashcards
What is the first step in evaluating an older adult’s medical condition according to the five domains?
- A) Review their prognosis
- B) Perform a chart review and assess their current medical conditions
- C) Begin treatment immediately
- D) Create a prognosis based on age
- B) Perform a chart review and assess their current medical conditions
Which of the following is an example of interpreting the evidence in the context of older adults?
- A) Advising a patient to continue a medication simply because they’ve been taking it for years
- B) Applying evidence-based guidelines without considering the patient’s individual condition
- C) Presenting evidence that suggests an 84-year-old man may discontinue statin therapy due to lack of benefit in primary prevention
- D) Recommending invasive treatments based solely on the patient’s request
- C) Presenting evidence that suggests an 84-year-old man may discontinue statin therapy due to lack of benefit in primary prevention
- What is a key consideration when assessing patient preferences in the five domains of management?
- A) Adhering strictly to clinical guidelines regardless of the patient’s input
- B) Ensuring the patient’s cultural and personal values and preferences are prioritized
- C) Using the same treatment approach for all patients
- D) Ignoring patient input if the provider believes the treatment is correct
B) Ensuring the patient’s cultural and personal values and preferences are prioritized
Prognosis in older adults should take into account:
- A) The patient’s preferences, functional status, life expectancy, and quality of life
- B) Only the patient’s life expectancy
- C) The cost of the treatment
- D) The provider’s estimation of how long the patient will live, without patient input
- A) The patient’s preferences, functional status, life expectancy, and quality of life
Why is clinical feasibility important when deciding on a treatment plan for an older adult?
- A) It ensures that all possible treatments are pursued regardless of cost
- B) It considers whether the patient can realistically adhere to and tolerate the treatment regimen
- C) It focuses only on the patient’s ability to afford the treatment
- D) It guarantees that the treatment will completely cure the patient
- B) It considers whether the patient can realistically adhere to and tolerate the treatment regimen
- Which of the following is an example of improving clinical feasibility?
- A) Prescribing multiple complex treatments without considering the patient’s cognitive ability
- B) Reducing the number of medications for an 87-year-old man with dementia who is prescribed 16 medications and frequently forgets his doses
- C) Increasing the complexity of the medication regimen to cover all chronic conditions
- D) Ignoring the patient’s complaints about medication side effects
- B) Reducing the number of medications for an 87-year-old man with dementia who is prescribed 16 medications and frequently forgets his doses
Optimizing therapies and care plans involves:
- A) Maximizing benefits while minimizing harm and considering quality of life
- B) Maximizing the number of treatments prescribed
- C) Prioritizing invasive treatments over nonpharmacologic interventions
- D) Following guidelines strictly without patient input
- A) Maximizing benefits while minimizing harm and considering quality of life
What is the goal of optimizing therapies for older adults with multimorbidities?
- A) To reduce the number of treatments regardless of patient needs
- B) To minimize harm and maximize benefits while improving quality of life
- C) To treat each chronic condition separately without considering interactions
- D) To prioritize pharmacologic interventions over all other options
- B) To minimize harm and maximize benefits while improving quality of life
How should healthcare providers address patient preferences in the five-domain model?
- A) Providers should make all decisions without discussing options with the patient
- B) Providers should present all the evidence, risks, and benefits and let the patient make an informed decision
- C) Providers should avoid discussing preferences to prevent confusion
- D) Providers should give treatment options only if the patient asks
B) Providers should present all the evidence, risks, and benefits and let the patient make an informed decision
In what way does prognosis inform treatment decisions in older adults?
- A) It dictates the treatment plan based solely on the patient’s diagnosis
- B) It considers the patient’s life expectancy, functional status, and quality of life to guide treatment decisions
- C) It determines treatment based on the patient’s ability to pay for the care
- D) It assumes all patients with the same diagnosis will have the same outcome
- B) It considers the patient’s life expectancy, functional status, and quality of life to guide treatment decisions
