Geriatric Pt

Question 1

What are the subgroups of geriatric pts?

Answer 1

young-old: 65-75

older-old: 75-85

old-old: 85+

Question 2

What are biomechanical aspects of aging?

Answer 2

Question 3

What are nervous system aspects of aging?

Answer 3

Question 4

Osteoarthritis is an example of what model? parkinson?

Answer 4

OA - biomechanical

P - neurologic

Question 5

Study on OMT and PD showed what?

Answer 5

those treated with OMT had significant increases in stride length, cadence, and the maximum velocities of upper and lower extremities.

Question 6

What are resp/circ aspects of aging?

Answer 6

ex. pneumonia, HTN

Question 7

What did a study show OMT’s effect on HTN was?

Answer 7

• Soft tissue to cervical and thoracic spine
  
  • <bp>
    <li>Decreased hemoconcentration</li>
    <li>Increased fibrinolytic activity</li>
    <li>Decreased fibrinogen concentration</li>
    </bp>
  </bp>

Question 8

OMT helps pneumonia pts by…

Answer 8

reducing the length of hosptial stay when added to standard antibiotics tx

Question 9

What are met/eng/immune aspects of aging?

Answer 9

ex. constipation (met), increased infection (immune), osteoporsis (met), altered pharmacokinetics (energetic)

Question 10

In pts with LE ulcers, how can OMT help?

Answer 10

decrease wound size, mean leg volume decrease, reduced edema, reversed trend of wound growth

Question 11

How can OMT help with constipation?

Answer 11

1. Viscerosomatic changes - T10-L2
2. Chapman’s reflexes - antero-lateral thigh along IT band, TP L2-4

OMT will increase colonic motility and normalize autonomic system

Question 12

What are behavioral aspects of aging?

Answer 12

Question 13

Can OMT tx depression?

Answer 13

yes - use any form of OMT to tx SD, sym, and para