Geri History Flashcards
0
Q
What red flags would make you consider doing a geriatric assessment?
A
> 75 Live alone History of falls Delirium/confusion Need help with ADLs Incontinence Regular acute hospitalisations
1
Q
What should be asked in any geriatric history?
A
Medical history
Medications
Current living situation and social supports
Basic and instrumental ADLs
Vision/ hearing/mobility/bowels/bladder/diet
Cognitive status
Emotional status
2
Q
Ageing changes?
A
Poor temperature regulation
Fluid homeostasis imbalance
Loss of lens accommodation (presbyopia)
Presbyacusis (lost sound frequencies)
Stiffer chest wall, increased dead space
Increasing insulin resistance
Arterial wall stiffening, reduced LV compliance
Reduced LES tone
Everything slows down-sexual dysfunction
Weight decreases, body fat increases, sarcopenia
Decreases and loss if cortical neurons
Less sleep required but sleep latency increased
