SPECONLEC_S1_L3 - P30-P37 Flashcards
Idiopathic or related to previous meningitis or subarachnoid (SA) hemorrhage
NORMAL PRESSURE HYDROCEPHALUS
NPH can be _ or related to _ or _
idiopathic, previous meningitis, SA
Hallmark signs of NPH
dementia,
gait disturbance,
urinary incontinence along with ventriculomegaly with normal CSF pressures
what gait is found in NPH pts
ataxic gait
“Magnetic gait” as condition worsens for _
NPH
Difficulty in amb that looks like their feet are being magnetized to the floor: what gait
magnetic gait
parkinsons is a _ _ disorder
progressive neurodegenrative
parkinson disease sx:
Ataxia, bradykinesia, tremor, cog-wheel rigidity
PD may have dementia t or f
t
Resting tremor increases with stress in PD pts t or f
t
gait for parkinsons
festinating gait
Resistance training is recommended for PD pts t or f
t
amputation is attributable to _
vascular disease
Attributable to vascular disease
amputation
Life expectancy is shorter after amputation t or f
t
Prognosis for successful prosthetic rehabilitation is
influenced by _ _
number and type of comorbidities
Increased energy demands result in poor outcomes for what condition
amputation
Comorbid respiratory disease affect gait retraining in what condition
amputation
Comorbid _ disease affect gait retraining
respiratory
Limb size can change during _
diaysis
miss rehab
schedules d/t dialysis commitments and frequently affect limb volume
End-Stage Renal Disease (ESRD)
Limb needs to be shaped for _ prescription
prosthesis
what is the more important predcitor of successful prostehtic rehab?
Premorbid function,
More prevalent among those >65 y/o
cancer
cancer is more prevalent among those what year old
> 65 yo
Prevalence increases with increasing elderly population for cancer t or f
t
Cancer treatment considerations:
Comorbidities and cognitive/functional status, cancer type
_ increase the likelihood of death d/t non-cancer related causes
Multiple comorbidities
One of the problems is the _ of the
treatment for cancer
cardiotoxicity
Effects of treatment may compete with the patient’s
interest and wishes t or f
t
recommended activity for cancer pts
Moderate physical activity, 150 mins/week
Moderate physical activity, 150 mins/week decreases
total mortality risk by_ among _ CA survivors & _ among
_ CA survivors
24%, breast
28%, colorectal
Use of multiple drugs is called
polypharmacy
Adverse drug reactions from multiple drug regimens is called
polypharmacy
Common ADRs include _
dizziness, insomnia, confusion,
sedation, nausea, changes in bowel habits, balance problems
it is Hard to differentiate medication side effects from sx
of the pt’s disease t or f
t
_ can be confused as symptoms of
a new illness
Medication side effects
“The prescribing cascade”
polypharmacy
polypharmacy increase the risk for _ and _
falls, delirium
MANAGEMENT ISSUES (8)
● Medication management
● Pain management
● Nutrition
● Physical exercise
● Ambulatory assistive devices
● Orthoses & footwear
● Psychosocial support
● Modifying the environment
physical exercise duration per week
Moderate physical activity (150 mins a week)
ACTIVITY RECOMMENDATIONS IN OLDER ADULTS WITH NO LIMITATIONS
● Moderate-intensity aerobic activity: enough to result in noticeably increased heart rate and breathing for at least 30 minutes 5 days a week.
● Resistance training (calisthenics, weight training): at least one set of 10 to 15 reps of an exercise that trains the major muscle groups on 2 or 3 nonconsecutive days each week
● Flexibility: at least 10 mins of stretching major muscle & tendon groups at least 2 days each week; 10-30 seconds of static stretches and three to four repetitions for each stretch. Ideally performed very day that aerobic & resistance training is performed
● (Possibly) Balance exercise three times a week (ideal type, frequency, and duration has not been defined.)
how intesne is the aerobic activity:
moderate intensity aerobic activity
moderate intensity aerobic activity for how many minutes per day,
how many days per week
at least 30 minutes 5 days a week.
enough to result in noticeably increased heart rate and breathing
Moderate-intensity aerobic activity
Resistance training for elderly
calisthenics, weight training)
Resistance training reps
at least one set of 10 to 15 reps of an exercise, major muscl groups
2 or 3 nonconsecutive days each week
Flexibility, how many minutes
at least 10 mins of stretching major muscle & tendon groups at least 2 days each week
how many secodns of static stretches? and reps?
10-30 seconds of static stretches and three to four repetitions for each stretch.
when is flexibility ideally performed?
Ideally performed very day that aerobic & resistance training is performed
Balance exercise peroformed how many times a week
3 times a week
ideal type, frequency, and duration has been defined for balance exercises t or f
f, ideal type, frequency, and duration has not been defined
