geriatrics overview Flashcards

1
Q

Failure to Thrive (failty), what is it?

A

declining:

  1. independence
  2. functioning
  3. energy
  4. vigor
  5. weight
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2
Q

what causes Failure to Thrive?

A
  1. malnutrition

2 functonal impairment

  1. cognitive impairment
  2. depression
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3
Q

Four sydromes of Failure to Thrive? (My Pa Cant Drive)

A

Malnurtion

Physical impairment

Cogntive impairment

Depression

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4
Q

Functional assessment (acrynom for ADLs)

A

ABCDE-TT

Ambulating

Bathing

Continence

Dressing

Eating

Transfering

Toileting

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5
Q

Functional Assessment of IADLs (acrynom)

A

SHAFT-TT

Shopping

Housework

Accounting/ managing finances

Food prep

Transportation

Telephone

Taking medications

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6
Q

Key physical findings of Clients who have falls or near falls (acrynom “I HATE FALLING”)

A
  • 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
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7
Q

Etiology of Malnutrition in the Elderly (acroynm-MEALS ON WHEELS)

A
  • 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
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8
Q

Transcient Causes of Incontinence (acroynm DIAPERS)

A
  • Delirium
  • Infection
  • Arphic urethritis/vaginitis
  • Pharmaceuticals
  • Excessive urinary output
  • Restricted mobility
  • Stool impactation
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9
Q

Approach to a Medication Review in the Elderly (NO TEARS)

A
  • Need and indication
  • Open ended questions
  • Tests and monitoring
  • Evidence and guidelines
  • Adverse events
  • Risk Reduction
  • Simplification/Switches
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