Geri Syndromes Flashcards
risk factor combination - geri syndromes
risk factors can start to combine
but treatment can intervene and hepl before a phenotype is manifested
what is included in geri syndromes
fragility
falls
delrium
dementia
incontinence
sleep disorders
what are common risk factors seen in more geri syndromes
older age
baseline cog deficits
baseline function deficits (adl/Iadls)
mobility impairments
is urine or fecal incontinence more prevelent
urine
what is the more prelevent type of incontinence
stress > mixed > urge
what is functional incontinece
you cannot get to the toilet in time
what is stress incont
when there is increase abd pressure due to stress that causes incont
what I surge incont
involuntary contraction of the bladder muscles
what are associated conditions seen with incont
DM - polyuria, neuropathic bladder
arthritis - impaired mobility
CH
chronic pulm disease - chronic cough creates stress UI
if pt is experienceing UI where can we send them
pelvic PTs
what age do pressure injuries increase
70
what cause pressure injuryies ni the older population
decreased mobility
shear forces
mositure
impaired sesnation
imparied nutrition
what is the primary treatment for pressure injuries
relieve the pressure - maintain mobility and or position appropriately
what precent of older adults are effected by sleep disorders
40 - 70%
what are the most freq sleep disorder seen in the adult pop
insomnia
sleep disorder breathing
restless leg syndrome
rapid eye movement sleep behavior disorder
what is rapid eye movement sleep behavior disorder
this is the result from absent of normal muscle atonia that is a feture of REM sleep
what is the difference between mobility limitation and disability
limitation: hard time walking 1/4 mile or climbing 1 flight of stairs
- hard time completing basic ADLs
disability: unable to amb without a lot of assistance
- remeber this is a personal experience what may disable one person may not effect then next
is walking disability a sub set of mobility limitations or vice versa
is walking disability a sub set of mobility limitations
does one thing cause mobility issues
one thing can cause these issue but they can also be a conseqeunce of many things
what is the key feature of normal gait
the trailing limb extends
what movement in the leg is occur when the trailing limb extends
foot PF to push off
hip and knee extend
what muscle strength do we need to walk
> 2/5
how can cog chnage impact walking
planning
processing
if motor planning is off how can this effect walking
central pattern gen
agonist and antagonist activation
what happens to the trunk when the trailing limb extends
the trunk remain vertical
bisecting line line between the thighas at heel strike
when the trailing limb is extended what two action occur at the same time
push off and heel strike
do we want or walking to varible
nope
do not want changing step length
what is gait speed predictive of
falls
nursing home admission
debility - need for AD for ADLs
early death
what change is gait speed is deemed clinically signifigant
.1 m/s
what is community amb speed
1.2
do we want walking to cost a lot of energy
nope
if we slow down something in the system is not working
