Gerontological

Question 1

what is cascade latrogenesis

Answer 1

Sequence of adverse events that are triggered by an initial medical intervention.
occur frequently among oldest patients
Research examined characteristics in triggering events
May cause a decline where the patient cannot return home

Question 2

interviewing the older adult - cultural

Answer 2

respect sets tone (formal name, body language, eye contact, touch, educational background)

Question 3

interviewing older adult - environment

Answer 3

room facilitates optimal communication (hearing aids, visual aids)

Question 4

interviewing older adult - cognitive

Answer 4

3 D’s
depression - pseudo-dementia: depression+cognitive impairment=looks like dementia
delirium - acute confusion
dementia

Question 5

interviewing older adult - time

Answer 5

can take longer for assessment - allow for

Allow for reminiscence build that into time set

Question 6

interviewing older adult - fatigue

Answer 6

may need to assess more than once, different times throughout the day
allow time for response

Question 7

interviewing older adult - self reporting

Answer 7

describe a typical day
what functions are important for you to do
independence - may fear “as long as I can take care of myself”

Question 8

interviewing older adult - psycho-social-economic

Answer 8

burden (financial)
long term care (cost)
end of life (DNR)
grief
isolation
abuse

Question 9

what is a geriatric syndrome

Answer 9

Clinical conditions that do not fit into discrete disease categories
impairments in multiple systems
increased vulnerability to situational challenges
associated with increased morbidity and mortality

Question 10

examples of geriatric syndromes

Answer 10

sleep
malnutrition
confusion
falls
frailty
incontinence
pain
skin breakdown

Question 11

risk of falls (geriatric syndrome)

Answer 11

increases with age
>65 1/3 of all & 6% are severe
>85= 5x’s greater

Question 12

causes of falls (geriatric syndrome)

Answer 12

Accumulated effects
Neuro: memory/sensory losses
Cardiovascular: orthostatic hypotension
Respiratory: dyspnea
GI: poor nutrition, weakness
GU: urgency
Musculoskeletal: changes in posture and proprioception

Question 13

screening tools for geriatric syndrome

Answer 13

SPPICES

HARP (Hospital Admission Risk Profile) PREVENTS CASCADE IATROGENESIS

Question 14

SPPICES

Answer 14

Sleep
Problems with eating or feeding
(Pain)
Incontinence 
Confusion 
Evidence of falls 
Skin breakdown

Question 15

A geriatric syndrome characterized by: weakness, weight loss, low activity, decreased physiologic reserves, limited homeostatic capability.demonstrable vulnerability to stressors

Answer 15

FRAILTY

Question 16

Definition of Health for the Aging Adult

Answer 16

Ability to live and function in society

to exercise self-reliance and autonomy to the maximum extent feasible, but not necessarily in total freedom from disease

Question 17

MORSE Falls Risk Assessment

Answer 17

45 and up = high
25-44 = moderate
0-24 = low

Question 18

Hospitalized frail elderly are discharged more frail than when admitted t or f

Answer 18

true

Question 19

Frailty must be viewed as preventable or modifiable t or f

Answer 19

true

Question 20

age related changes (risks)

Answer 20

absorption - gastric=less absorption
distribution - increased activity
metabolism - prolonged activity
excretion - more remaining in circulation