geri giants Flashcards
1
Q
5 geri giants
A
- frailty
- del and dementia
- falls
- meds
5 incontinence
2
Q
def. frailty
A
variable susceptability or vulrnerability to adverse health outcomes despite having the same chrono age
3
Q
2 models of frailty
A
- phenotype model
2. cumulaitve co-morbidity model
4
Q
def. phenotype model
A
3 of: - unintentional weight loss - muscle weakness - slow walking - feeling exhausted - low phys. activty leads to: - falls - funct. decline - hostpilization
5
Q
7 leveks in clinical failty scale
A
- very fit
- well- without active disease
- well- treated comorbid disease
- apparent vulnerabilty - slowed
- mildyl frail - limited dep for IADLs
- mod. frail - help needed for IADLs and ADLs
- severe - completely dep
6
Q
what does clincal frailty predict
A
survival and institutionalization
7
Q
how to deal with frailty
A
comp. geri assessment
8
Q
def. confusion assessment method (CAM) for delirium
A
1 and 2 and 3 or 4
- acute changes in mental status with fluctuating course
- inattention
- disorganized thinking
- altered level of consciousness
9
Q
how is delirium differ from dementia
A
- acute v chroinc
- fluctuating v progressive
- variable consc. v. normal LOC
- distrubed sleep v. variable
- impaired orientation v. normal
- hallucination v. maybe
- disorganized rich thinking v. paucity
10
Q
4 hypotheses for cause of delirium
A
- cholinergic failure
- DOPA excess
- stress response
- inflammation
11
Q
predisposing facotrs for delirium
A
- age
- dementian or CNS issues
- comorbidities
- imparied vision hearing
- dehydration
- meds
12
Q
*** precipitant causes to rule out
A
DIMS Drugs - too many, too few Infections, Inflammation, Infarction Metabolic Structural
13
Q
3 methods to Tx del
A
- Tx underlying cause
- conservative strats - family, aids
- pharma
- if risk
- can’t do med therapy
- patient suffering
14
Q
main class of meds
A
neruoleptics - start low and go slow
- haloperidol
- risperidone
- olanzipine
- quetiapine
15
Q
2 parts of mechanics of falls
A
- perturbation of balance
2. failure to adequately respond
