geri Flashcards
most common causes for falls
DAME
- Drugs and alcohol
- Ageing processes
- Medical conditions
- Environmental factors
cardiac carrythmias care commonly caused by which drugs in the geriatric population
- TCAs
what time is appropriate in the timed up and go test for adults to complete the assessment
<15s
what is the turn 180 test
- number of steps needed to turn 180 degrees
- more than 4 = assess
what spirometry changes occur in the ageing process
- increased FRC
- Increased RV
because reduced elastic recoil and stiff wall so air is trapped.
there fore VC goes down and reduced pressure generation . FEV1 goes fown as well as FVC /
in alzheimers dementia - what other signs may you see than memory loss
- visuospatial changes due to parieta;/occipital involvement;
- neglect
- colour
- motion
- apraxia
in lewy body dementia - what psychaitric syndrome can occur in addition to hallucinations
- capgras syndrome; delusion that someone they love has been replaced by an imposter
WHO definition of disability
- impairments
- activity limitations
- participation restrictions
passive faecal incontinence involves dysfunction of which sphincter
- internal
urge faecal incontinence involves dysfunction of which sphincter
- external
what are the characteristics declining in the phenotype model of frailty
- unintentional weigh tloss
- reduced msucle strenght
- reduced gait speed
- self reported exhaustion
- low enery expenditure
in frail patients on htn drugs, when should you reduce meds
when BP <140 systolic
STOPP criteria for geris - what is it
- screening tool of older people potentially inappropriate prescriptions
what drugs cause frail people to fall
- opioids
- neuroleptics
- benzos
- vasodialtors/ hypotensives
- first gen sedative antihsitamines
what are the 5 components of a comprehensive geri assesment
- physical exam
- meds review
- nutrition assessment
- bone health assesment
- paina ssessment
