Geriatric Patient Flashcards
6 important changes to MSK system that happens with aging?
Loss of muscle mass Loss of bone mass Decreased height Decreased body water Increased fat Change in metabolism
5 common MSK complaints by old people?
3 inflammatory complaints by old people?
Cervical stenosis, OA, OP, Low back pain, and Carpel tunnel.
RA, PMR, and psoriatic arthritis
6 neck pain co morbidities?
CV disease Dizziness Low back pain OA OA Orthostatic hypotension Shoulder pain
What is the leading cause of LE disability in older adults?
What age do patients rapidly get OA or are at more risk?
OA
50
1 common complaint of OA?
What does X ray commonly show?
Goal of medical treatment?
Night pain, its messing up my sleep
Narrowed joint space
Pain relief
Because of the effects on the brain because of aging, what are 3 clinical signs we are worried about?
Memory gone, IQ down, and falls/accidents
6 neurological complaints form old people?
MS, Parkinson, stroke, dementia, sciatic and vertigo.
What reflex may be absent in older adults?
Ankle
What is the fastest growing source of disability due to neurological disorders?
Onset of age?
Risk factor?
Parkinson
Over 40
Old age
5 PE signs of Parkinson’s Disease?
Tremor, slow walk, rigidity, postural instability, shuffle walk
4 meds to give for Parkinson’s?
Levodopa, amantidine, MAO blockers, and anticholinergics
1 pulmonary condition and 1 CV condition to consider for the aging population?
Pneumonia
HTN
HTN is present in most people suffering from what 3 conditions?
Also, what other condition is a major risk factor for HTN?
MI, stroke, and CHF
kidney disease
Patients with Parkinson’s may be more susceptible to somatic dysfunction in what 2 areas?
Cranial/head and cervical regions
What two areas of the body to treat for HTN?
Cervical and thoracic
Talk about the goal of OMT in the elderly patient with pneumonia?
Old people with pneumonia, who can’t move or get out of bed, have a much higher risk of dying.
So we want to get them out of bed and moving, and if they cant get out of bed, then do different lymphatic pumps to mobilize fluid
2 conditions to consider from the metabolic energetic immune model?
Infection and constipation
What is one of the primary reasons why older people are more susceptible to infection and give 2 examples?
Immune system gets weaker as they get older
Declined T cell function and decline in antibody response
What is a concerning fever in healthy older patients and more frail older patients?
100.4 or 38
100 or 37.8 or 1.1 above baseline
Treatment plan for infection in an old person?
Antibiotics
OMT for lymphatic flow, fluid mobilization, and respiratory circulatory
OMT and LT protocol with patients in nursing homes reduced two things?
Hospitalization and medications usage
What was the result of OMT on blood cell counts? 1 thing.
Lowered platelet count
For constipation in a patient, what will the viscerosomatic levels be and Chapman reflexes?
10-12 for colon
Lateral IT band anterior
And l2-l4 posterior
4 things to include in the treatment plan for constipation?
Lifestyle mods, so exercise and fluid increase
Dietary changes, fiber
Laxatives
OMT, mesenteric release and normalize autonomics
