Geriatric Health Promotion and Disease Prevention

Question 1

Name some precursors to disability

Answer 1

1. Difficulty walking
2. Cognitive impairment
3. Visual impairment

Question 2

Primary prevention

Answer 2

intervention to prevent disease or injury occurrence

Question 3

Secondary prevention

Answer 3

Intervention early on to prevent complications

ex. getting someone with arterial disease to stop smoking

Question 4

Tertiary prevention

Answer 4

Attempting to minimize the progression of disease to disability

Question 5

Benefit of prevention is dependent on what 2 factors?

Answer 5

1. Prevalence of the problem

2. Likelihood of an effective intervention

Question 6

Examples of tertiary prevention

Answer 6

• Foot care
• Dental care
• Dietary protein
• Exercise
• Rehabilitation
• Comprehensive geriatric assessment

Question 7

Examples of primary prevention

Answer 7

• vaccines
• exercise
• cholesterol
• sodium restriction
• seat belts
• oral care
• blood pressure monitoring

Question 8

Examples of secondary prevention (screening)

Answer 8

• mammography
• colonoscopy
• vision
• oral cavity
• tuberculosis
• skin care

Question 9

Health People 2020 -Most relevant for older adults

Answer 9

• minimize functional limitations
• Reduce number of people with dental caries
• Reduce number of people with new or antibiotic resistant PNA
• Increase number of older people with healthy weights
• reduce hip fracture hospitalizations

Question 10

USPSTF current recommendations

Answer 10

• welcome to Medicare Visit
• periodic screening for conditions in asymptomatic patients
• For 65+, screening, counseling, and immunizations

Question 11

Welcome to Medicare Visit

Answer 11

• medical history
• family history
• BP, vision, weight, height
• Status on vaccines and cancer screenings
• give patient checklist with the screenings and preventative services they need

Question 12

Annual Wellness Visit

Answer 12

• complete health risk assessment
• review provider list
• review medical and family history
• review risk factors for depression, safety
• Height, weight, BMI, BP, cognitive status
• Provide education/refer

Question 13

Physical activity recommendation

Answer 13

150 min/week

Question 14

What is the most preventable problem in older adults

Answer 14

iatrogenesis

Question 15

What is the leading iatrogenic event in LTC facilities?

Answer 15

learned dependence

Question 16

Management of older adult who falls

Answer 16

• PT and OT
• Gait training
• Muscle strengthening
• Change the environment to improve safety
• Hip protectors in LTC facilites