Geriatric medicine Flashcards
What are the components of a comprehensive geriatric assessment
Medical assessment
Functional assessment
Psychological assessment
Social assessment
Environmental assessment
What are the stages of the clinical frailty score
1 - very fit
2 - well
3 - managing well
4 - vulnerable
5 - mildly frail
6 - moderately frail
7 - severely frail
8 - very severely frail
9 - terminally ill
What should be done as part of a falls assessment
Good history and examination
Look for injuries
ECG
Lying/standing blood pressure
Medications review
Gait/functional assessment
Bone health review
Consider fear of falling/loss of confidence
Exercise programmes
What should be done as part of a continence assessment
Detailed continence history
Review of bladder and bowel diary
Abdominal examination
Urine dip and MSU
PR examination
External genitalia review
Post-micturition bladder scan
Give an overview of fragility fractures
Fractures from falling from standing height or lower, at walking speed or slower
Common sites: spine, hip, wrist, humerus, pelvis, ribs
Assessment in: women > 65, men > 75
Risk factors: previous fracture, parental fractured hip, smoking, steroids, rheumatoid arthritis, osteoporosis, alcohol, low bone mineral density
Prevention: calcium and vitamin D supplements, bisphosphonates, monoclonal antibodies
What are the screening tools for pressure ulcers
Braden scale (sensory perception, nutrition, friction and shear, mobility, moisture, activity, lower score = higher risk)
Norton scale
Waterlow scale
