Lecture 11- New trends in geriatrics

Question 1

The Interdependence at home project is trying to do what?

Answer 1

• Explore the effectiveness of comprehensive primary care delivered to older adults in their homes
• trying to keep people at home longer- people happier there

Question 2

Percentage of annual traffic fatalities that are over age 65

Answer 2

17%

Question 3

New collaborative best practice guidelines that are supported by AGS and American College of Surgeons is called…

Answer 3

Perioperative Guidelines for Geriatric Surgical Patients

Question 4

Tooth loss can be a signal to identify people at risk for ____ and ______

Answer 4

Memory loss and Physical problems

Question 5

Vitamin D and falls

Answer 5

• Conflicting effectiveness of Vitamin D for preventing falls
• Newer studies say high-dose vit D increases fall risk

Question 6

New recommendation for diabetes screening is…

Answer 6

make it a part of cardiovascular risk assessment in adults 40-70 years old

• esp with BMI over 25
• Screen every 3 years
• the tests to run are plasma glucose and glycated hemoglobin

Question 7

Beta Blocker Therapy

Answer 7

Reduces Mortality in patients with heart failure with a reduced ejection fraction

Question 8

Revascularization for older patients

Answer 8

• no significant indication one way or another on this- usually patients who are active have the best results

Question 9

Vaccines recommended for geriatrics

Answer 9

• PPSV23, or PPSV13 (against pneumococci)

at least 1 year!

Question 10

Carotid Artery Stenting

Answer 10

• Older adults have worse outcomes with carotid artery stenting compared to carotid endarterectomy
• Risk of stroke and death significantly increased for patients with this stenting

Question 11

Proton Pump Inhibitors

Answer 11

• possible link between them and dementia

- also PPI’s assoc. with vit b12 deficiency and amyloid beta deposits in the brain

Question 12

Is the incidence of dementia increasing or decreasing?

Answer 12

In high income countries- some decline

Question 13

Should Vit D be used to treat osteoarthritis

Answer 13

• have mixed results

- many are changing recommendations to no longer recommend this as a treatment

Question 14

Those that remain stable through their 70’s and 80’s share what characteristics?

Answer 14

• stable long-term relationship
• Maintained ideal body weight- exercise
• Moderate to no alcohol use
• Developing adaptive coping skills
• Sense of humor and resilience