Geriatric Patient Flashcards
What are the 3 subgroups for OS Geriatric patients?
- Young Old 65-75
- Older-old 75-85
- Old-Old 85+
What are some Biomechanical Diagnoses as we age?
- Cervical stenosis
- Osteoarthritis (BOLDED)
- Osteoperosis
- Gait Changes
- Low back pain
- Carpal Tunnel Syndrome
- Inc. Fall Risk
What are 3 goals of Geriatric treatment?
- Optimize function
- Avoid institutionalization
- Maintaining community involvement
When do we see a Rapid increase in Osetoarthritis (OA)?
Rapid inc >50 years of age, levels around 80 yo
What are some common symptoms to OA?
- Initial symptoms: pain in one joint
- Progress to involve multiple joints
- Deep ache, with use
- Joint stiffness after periods of inactivity – Just after waking up – Sitting
- Night pain, interference with sleep
Phsyical Exam Findings with OA?
• Tenderness over joint line • ROM reduction • Bony swelling • Joint deformity • Instability • X-ray: Osteophytes, narrowed joint spaces
How do we treat OA?
PAIN RELIEF: strengthening, OMT, oral meds, injections
PREVENTION
What is the fastest growing Disability due to Neurological DO?
Parkinson’s DZ (PD)
Who is affect for Parkinson’s age wise?
> 40 yo
What are some physical exam findings for Parkinson DZ?
- Pill rolling
- Bradykinesia
- Cogwheel rigity
- Postural instability
- Shuffling Gait
What are some Nonmotor symptoms for Parkinson DZ?
- Cognitive dysfunction
- Dementia
- Mood Disorders
- Sleep DO
- Fatigue
- Pain
What is the 5th leading cause of death in the elderly?
Pneumonia
What are some Risk Factor for Pneumonia?
- COPD
- Immunosuppression
- Smoking
- Congestive Heart Failure
- Diabetes
- Malignancy
When an elderly person imobile their risk of pneumonia increases…
9 Fold!
Why should you be cautious in giving Antibiotics to the elderly?
C- Difficile infections more likely w/ overuse
What is a common practice for GI issues in a nursing home?
Laxatives! 74% use em daily
What is the leading cause of injury among older adults?
FALLS
What does the Get up and Go test assess?
Balance and Ambulation
What are some Risk Factors to falling?
- Vit D Deficency
- Decreased strength/coordination
- Depression
- Medications
- Hazards at home
- SD! always!
The suicide rates for older adults are how many times higher?
What population is it highest for?
- 2X Higher than general
- Highest for White Male > 85 Yo
What are the interpretation of scores for Mini Mental State Exam?
Max 30
Mild 21-29
Moderate 10-20
Sever <9
For a geriatric patient OMT it is important to keep them in…
A Single Position for all treatment modalities
What is the amount of time that would increase a Fall risk with the Get up and Go test?
> 12 sec = Increased Fall risk
A deconditioning Gait = Waddling Gait means …
Pelvis Weakness
If there are mechanical changes in lower nack/pelvis/lower extremities this causes…
Antalgic Gait (Avoiding Gait)
What are 3 gaits associated with Nerocompromise?
- Hemiparetic Gait (post stroke)
- Steppage Gait (Foot drop)
- Shuffling Gait (Parkinsons)
