Highlights Flashcards
5 principles of care
Decreased physiologic reserve Functional and Cognitive Status Goals of Care and Prognosis in CDM Societal Context of Care Impact of Multiple Conditions, Rx's, and Settings of Care.
Functional and Cognitive Status - principle
ADLs/IADLs
Dementia, forgetfulness, errors, activities of daily living
Goals of Care and Prognosis in CDM - principle
Focus clinical encounter on diagnostic/therapeutic plans based on needs/goals of patient/caregivers/surrogate decision makers.
Lower physiologic reserve indicates?
More rapid decline when faced with illness
Lower physiologic reserve contributors - principle
DECREASES in Senses. Thirst and nutrition, BMD, Muscle mass and strength, PT capacity Respiratory function, Immune responses.
Predominant geriatric challenges
UnderDx
>2 in Frail pts (burden on everyone)
examples - (Falls - is it BBs or PAD or both?)
Accurate predictors of health, morbidity, mortality, and institutionalization?
Cognitive and physical functional status
Cognitive status highlights
executive function, memory, mental status, and clinical decision-making ability.
Functional status highlights
physical requirements necessary to maintain independence in one’s own environment. (ADLs/IADLs)
ADLs are?
Activities of daily living -Personal care: - GT DEBT G- Grooming T- Transferring D- Dressing E- Eating/feeding B- Bathing T- Transferring
IADLs are?
Instrumental Activities of Daily Living (mental capacity) -Independent living: - SCUM S- Shop C- Cook/Clean U- Using telephone/transport M- Manage money/meds
Societal Context of Care - principle
older adult’s family, friends, and community
is taken into account.
Impact of Multiple Conditions, Rx’s, and Settings of Care - principle
The older adult care is complex due to comorbids, sloppy handoffs between settings of care, and polypharmcy.
Common tool used to assess functionality?
Timed up-and-go test
Timed up-and-go test is?
A simple physical performance measure assessing transfers and ambulation.
