geriatrics Flashcards
cardio vascular changes
cardiac outputs declines
arteriosclerosis
decrease efficiency
valve degeneration
kidneys changes
blood flow reduce by 50%
imbalance of electrolytes
decreased thirst
renal changes
bowel and bladder incontinence.
digestive changes
decrease of taste buds
reduction of saliva
slower gastric motility
detoxification of drugs declines
bones changes
decrease in bone mass
brittle and break more easily
arthritis
nervous system
slow responses
changes in thinking speed, memory
brain decreases in weight
sense of body position
hearing loss
proprioception— increased tendency to fall
DELIRIUMS mnemonic
Drugs
Emotional
Low PaO2
Infection
Retention of stool or urine
Ictal
Undernutrition or Underhydration
Metabolism
Subdural Hematoma
immunological
more prone to infections
30% of elder may have a serious infections without a fever
Pneumonia leading cause
integumentary
wrinkling and loss pf resiliency
thinner skin
bruising more common
dryer skin
cellulitis
Cellulitis
acute inflammation in the skin
bacterial infection
lower extremities
fever, chills and general malaise
Osteoporosis
decrease in bone mass, reduced in bone strength greater susceptibility to fracture
Osteoarthritis
progressive disease of the joints
destroys cartilage
Trauma
one of the leading causes
slower reflections
visual and hearing deficits
equilibrium disorders
FALLS
toxicology
medications
changes in drug metabolism
diminished renal function
changes in body composition
GEMS
G— geriatric patient
E– environmental assessment
M—medical assessment
S– social assessment
oncology
branch of medicine that deals with cancer diagnosis,treatment
terminal illness
Disease that will result in the death of a patient
consent
granting permission to treat. can be expressed implied or involuntary
advanced directive
a set of written instructions that specifies what actions should be taken for a persons health if they become incapacitated
power of attorney
a written authorization that empowers an individual to represent or act on another’s behalf in private, business or other affairs
goals of care
a medical order used to describe and communicate the general aim or focus of care including locations of care
valid DNR
written by hand,computer generated or medical form signed by patient physician and dated
