Geriatric Home Health Inpatient Flashcards
sudden severe confusion due to rapid changes in brain function that occurs with physical or mental illness
delirium
not a disease but a group of symptoms resulting in ex: confusion, memory loss, that is slower in onset and progressive
dementia
___ in 4 older adults have depression
1 in 4
mini mental and the moca assess what in the older adult
cognition
what are some possible reasons for malnutrition in the older adult
depression
dementia
medication side effects
fatigue
pathology
what are some sx of malnutrition
wt loss
lethargy
confusion
weakness
orthostatic hypotension
Increased BMI is related to
decreased strength
decreased gait velocity
decreased self reported physical function
other health issues: DM heart disease
increased risk of cancer
if an older adult has a BMI that is greater than 25 then they have a decreased risk of what?
osteoporosis
__/__ of people over the age of 65 fall each year
1/3
what is the leading cause of fatal and nonfatal injuries in older adults
falls
1 in 5 who fracture hip when fall ___ within 1 year
die
what is the 2nd most common reason older adults are admitted to LTC
incontinence
polypharmacy is defined as
2-5 prescribed medication
What are some of the most common sx of cancer
unplanned wt loss
pain unaffected by movement
night pain night sweats
sarcopenia
loss of strength
loss of motor units
decrease in fast twitch muscles
How do you test for thoracic spine fracture
wall-occiput distance
How do you test for lumbar spine fracture
rib-pelvic distance
how can PT help prevent complications related to osteoporosis
education
exercise
fall prevention
What exercise may be contraindicated for a patient who has osteoporosis
flexion
How will a patient qualify for home health
pt must be home bound and they do not leave their home its our goal to get them strong/endurance increased enough to have them be able to leave their home
in home health you need outcome measures to show skilled need and progression
true
What is the standard for initial examination documentation and serves to open the case
OASIS
