GERIATRIC SYNDROMES

Question 1

Are as prevalent among older adults
- are strongly associated with functional decline

Answer 1

GERIATRIC SYNDROMES

Question 2

is considered to have occurred when a person comes to rest inadvertently on ground or lower level.

Answer 2

falls

Question 3

causes of falls

Answer 3

Intrinsic factors:
-sensory impairment
-gait, balance, and mobility
-medical conditions/medications
-incontinence
-behavioral problems
-footwear

Extrinsic factors:
-clutter in the environment
-slippery floors
-dark passages
-staffing issues
-lack of mobility aids
-equipment issue

Question 4

interventions for falls

Answer 4

-patient centered
-treatment of medical condition
-physical therapy
-review medications
-patient education
-treat dementia
-gait training
-balance exercise
-sleep management

Question 5

factors contributing to falls

Answer 5

• Gait disturbances
  -foot deformities
  -postural and postprandial hypotension
  -cognitive impairment
  -vision and hearing
  -environment hazards
  -equipment issue

Question 6

consequences of falls

Answer 6

• hip fracture
  -traumatic brain injury
• fallophobia

Question 7

restraints and side rails:
any manual method, physical or mechanical device, material or equipment that immobilizes or reduce the ability of a patient to move his body.

Answer 7

Physical restraint

Question 8

restraints and side rails:
medication used to manage behavior or restrict patient’s freedom of movement.

Answer 8

Chemical restraint

Question 9

restraints and side rails:
injuries occur as a result of the patient attempting to remove the restraint or attempting to get out of bed while restrained

Answer 9

Consequences of Restraints

Question 10

restraints and side rails:
standard of practice and indicators of quality

Answer 10

Restraint-free care

Question 11

accidents that occur with bed rails:

Answer 11

• injuries
  -falls
  -entrapment

Question 12

Reliable predictor of general decline in health

Answer 12

Frailty

Question 13

signs and symptoms of frailty

Answer 13

-weakness
-slow walking speed
- low level of physical activity
- unintentional weight loss
-exhaustion

Question 14

frailty predictor outcomes

Answer 14

• falls, fractures
• hospitalization
  -mortality
  -institutionalization

Question 15

clinical effects of malnutrition

Answer 15

-ventilation: loss of muscle and hypoxic responses
-psychology: depression and apathy
-immunity: increased risk of infection
- decreased cardiac output
-renal function: loss of ability to excrete Na and h2o
-hypothermia
-loss of strength
-anorexia
-impaired gut integrity and immunity
-impaired wound healing
-liver fatty change, functional decline necrosis, fibrosis

Question 16

-Loss of urine control
- that results from genitourinary pathology, age related changes, comorbid conditions, environmental concerns or a combination

Answer 16

URINARY INCONTINENCE

Question 17

URINARY INCONTINENCE: INTERVENTIONS

Answer 17

-UA/C&S—-cause
- check residual urine
-check contipation
-Hx of FC
- bedside commode
-bedside sitter/caregiver