Other topics Flashcards
What is the physiological triad for frailty?
Sarcopenia: bone loss
Immune dysregulation
Neuroendocrine dysregulation
What are the signs of frailty? (5)
Low level physical activity
Slow walking speed
Unintentional weight loss
Weakness (hand grip strength)
Self-reported exhaustion
Define frailty
term used to denote a multidimensional syndrome of loss of reserves(energy, physical ability, cognition, health) that gives rise to vulnerability
Define vulnerability
outcome of complex interactions of discrete risks, namely of being exposed to a threat, of a threat materializing and of lacking the defences or resources to deal with a threat
What is compression of morbidty?
compression of morbidity occurs if the age at first appearance of aging manifestations and chronic disease symptoms can increase more rapidly than life expectancy.
Compression of Morbidity is a term that means reducing the length of time a person who is close to the end of life spends sick or disabled
What are the geriatric giants?
group of conditions that lead to significant mortality and morbidity and contribute to the complexity in treating geriatric patients
what is included in geriatric giants?
falls
confusion
incontinence
impaired homeostasis
iatrogenic disorders
What are the geriatric spices?
sleep disorders
problems with eating and feeding
incontinence
confusion
evidence of falls
skin breakdown
what are the 3 systems that chronic care takes place within?
entire community – resources, public and private policies
The health care system – includes payment structures
The provider organization – integrated delivery system, small clinic or loose network of physician practices – Coordination is the key
What are the elements for enhanced chronic care management? (6)
the community
the health system
self-managed support
delivery system design
decision support
clinical information systems
Difference between old and new chronic care model
Old model was “Tell the patient what to do and it is up to them to follow my advice”
New model is “What can I do to involve my patients in their care and empower them to manage their disease”
The goal is function and comfort, not cure (quality of life)
The role of the health provider changes from primary caregiver to teacher and partner
The sites of care change from hospital and clinics to community
The role of the patient changes from passive to active participant
Define competency
Refers to the ability to fulfill one’s role and handle one’s affair in a responsible manner
What is decision making capacity?
ability to understand, make, and be responsible for the consequences of health care decisions
What does decision making capacity require?
Ability to understand, process information relevant to decision regarding diagnosis, prognosis and treatment options
Ability to understand risks versus benefits and apply personal values
Communicate decision to others
What are the 4 ethic principles?
Beneficence
nonmaleficence
autonomy
justice
Define beneficence
Healthcare workers have a duty to refrain from maltreatment, minimize harm, and promote good towards patients
Define nonmaleficence
Patients have a right to no harm
Define autonomy
Each patient has the right to make their own decisions based on their own beliefs and values
Define justice
All patients have a right to be treated fair and equally by others
