geriatrics overview Flashcards
Failure to Thrive (failty), what is it?
declining:
- independence
- functioning
- energy
- vigor
- weight
what causes Failure to Thrive?
- malnutrition
2 functonal impairment
- cognitive impairment
- depression
Four sydromes of Failure to Thrive? (My Pa Cant Drive)
Malnurtion
Physical impairment
Cogntive impairment
Depression
Functional assessment (acrynom for ADLs)
ABCDE-TT
Ambulating
Bathing
Continence
Dressing
Eating
Transfering
Toileting
Functional Assessment of IADLs (acrynom)
SHAFT-TT
Shopping
Housework
Accounting/ managing finances
Food prep
Transportation
Telephone
Taking medications
Key physical findings of Clients who have falls or near falls (acrynom “I HATE FALLING”)
- Inflammation of joints
- Hypotension
- Auditory and Visual abnormalities
- Tremor
- Equilibrium (balance) problem
- Foot problems
- Arrhythmias, heart block or valvular disease
- Leg-length discrepency
- Lack of Conditioning (general weakness)
- Illness
- Nutrition
- Gait Disturbances
Etiology of Malnutrition in the Elderly (acroynm-MEALS ON WHEELS)
- Medications
- Emotional Problems
- Anorexia
- Late life paranoia
- Swallowing disorders
- Oral issues
- Noscomial infection
- Wandering/dementia related activities
- Hyperthyroid/Hypercalcemia/
- Hypoadrenalism
- Enteric Disorders
- Eating problems
- Low- salt/Low-fat Diet
- Stones
Transcient Causes of Incontinence (acroynm DIAPERS)
- Delirium
- Infection
- Arphic urethritis/vaginitis
- Pharmaceuticals
- Excessive urinary output
- Restricted mobility
- Stool impactation
Approach to a Medication Review in the Elderly (NO TEARS)
- Need and indication
- Open ended questions
- Tests and monitoring
- Evidence and guidelines
- Adverse events
- Risk Reduction
- Simplification/Switches