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PHTH 524 > GERIATRIC AND MEDICAL PATIENTS > Flashcards

GERIATRIC AND MEDICAL PATIENTS Flashcards

1
Q

What is considered a “fall”

A

patient fell and sustained an injury enough to limit their daily function

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2
Q

Falls account for ___% of admissions in hospital

A

~62%

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3
Q

What should a subjective assessment of a geriatric population include

A
  • complete understanding of home and/or potential discharge destination environment
  • Complete understanding of previous level of function
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4
Q

what should an objective assessment of a geriatric population include

A
  • Chest assessment
  • ROM
  • Strength
  • balance
  • Bed mobility
  • Transfers
  • Ambulation
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5
Q

What is hemodynamic monitoring include

A

HR
SPO2
BP
RR

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6
Q

What is the elderly mobility scale

A

7 item performance based test which includes transfer, gait, and balance activities related to ADL function in the frail elderly

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7
Q

What does the chair stand test assess

A

leg strength and endurance

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8
Q

What is a chair stand test useful

A

may show increased gains not seen with manual muscle testing and is more functional
Can indicate risk of falling

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9
Q

What does the TUG assess

A

mobility, balance, ambulation and falls risk in older adults

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10
Q

Is the TUG standardized?

A

yes in the frail elderly and community patient population

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11
Q

What is gait speed correlated with

A

survival

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12
Q

What are some pros to using gait speed as an assessment tool for frail and elderly

A

Quick, inexpensive, reliable measure of functional capacity, high interrater and test-retest reliability

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13
Q

What is comfortable gait speed for women and men age 70-79

A

women - 1.13 m/s

men - 1.26 m/s

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14
Q

what is comfortable gait speed for men and women age 80-89

A

men - 0.97 m/s

women - 0.94 m/s

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15
Q

A gait speed of ___ m/s is a predictor of poor clinical outcomes

A

0.8 m/s

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16
Q

a gait speed of ___ is a threshold to predict further functional decline in those older adults already impaired

A

0.6 m/s

17
Q

When do you start and stop the time for gait speed assessments

A

when the patients foot crosses the start and finish lines

18
Q

How many times do you repeat gait speed tests

A

3x

19
Q

how do you get the final score of gait speed tests

A

average the results

20
Q

A 4m gait speed test needs how many meters of clear space? 10m gait speed test?

A

6m

14 m

21
Q

walking speed correlates with ___

A

function - see table in notes

22
Q

What is the minimum to be designated an independent ambulator

A

able to ambulate a minimum of 46m

23
Q

What is the recommended walking speed to safely cross an intersection

A

1.2 m/s

24
Q

What is the FITT recommendation for aerobic exercise in older adults

A

F: 3-5 x wk
I:5-6 RPE on a 1-10 RPE scale
T: 30-60 minutes per day
T: varies

25
Q

What is the FITT recommendation for strength training for older adults

A

F: 2 x wk
I: 40-50% 1RM
T: major muscle groups, 8-10 exercises, 10-15 reps each

26
Q

What are recommendations of an exercise prescription for individuals with a fall history (not a FITT)

A
  • Activities that combine balance, agility, proprioceptive training
  • Min 2-3x/week of exercise
  • Progress difficulty in postures while reducing base of support
  • Dynamic movements; closed chain
  • Stress on postural muscles
  • Reducing sensory input
27
Q

What are 3 possible discharge destinations for geriatric populations

A
  • Home
  • Rehab
  • Facility
28
Q

What are 3 cares levels for elderly patients getting discharged home

A
  • No supports
  • Home care PT/supports
  • Community program
29
Q

What are the 3 forms of rehab a geriatric patient may be discharged to

A
  • Subacute
  • Holy family hospital
  • Transition care unity
30
Q

What are the 2 forms of facility a geriatric patients may be discharged to

A
  • Community hospital

- LTC

PHTH 524 (15 decks)

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