GCA and metabolic differences in the elderly

Question 1

What is included in a GCA?

Answer 1

Medical: problem list, cormorbid conditions and disease severity, medication review, nutritional status
Psychological: mental status, cognitive function, mood/depression testing

Question 2

What is the role of the GCA?

Answer 2

reduces mortality and need for nursing home admission

Question 3

What are the physiological differences that old people have?

Answer 3

little homeostatic reserve
BP drops early
mask certain disease
often present delerious

Question 4

What is the reccomended excercise level for old people?

Answer 4

150 minutes of moderate exercise a week

muscle strenghtening excercise 2 times a week

Question 5

What is sarcopenia?

Answer 5

age related loss of muscle mass and function = increased fat

Question 6

What is osteopenia?

Answer 6

age related loss of bone mass

exacerbated by immobility

Question 7

What does increased fat and loss of muscle lead to?

Answer 7

insulin resistance
metabolic syndrome
CVD disease

Question 8

What does bed rest cause?

Answer 8

decrease in blood volume
cardiac deconditioning
DVT
postural hypotension
increased risk of pneumonia and infections
UTIs
pressure sores
constipation
loss of strength 
loss of bone density 
risk of contractors