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USAHS Geriatrics > Unit 2: Acute Care > Flashcards

Unit 2: Acute Care Flashcards

1
Q

Why do clients come to acute care?

A

-Injury
-Exacerbation of an existing condition
-New onset of an illness
-Accident

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2
Q

Acute Care

A

General hospital setting that treats all populations who experience: Injury, Exacerbation of an existing condition, New onset of an illness, Accident

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3
Q

Typical Acute Care Trajectory

A

ER Physician > Tests > Admitted > Floor

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4
Q

Acute Care Structure

A

From emergency room may go to:
-General Medical
-Specialty Floor
-Intensive Care
-Surgery

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5
Q

Typical Layout

A

-Cardiology
-Medicine
-Maternity
-Surgical
-Peds
-Lab and Dia
-Emergecy

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6
Q

Specialty Departments in Acute Care

A

-ICU
-Oncology
-Vascular
-Nicu
-Other

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7
Q

Acute Care Patients are treated by

A

-Primary Doctors
-Consults
-Specialists

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8
Q

Length of Stay (Acute Care)

A

3-5 days

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9
Q

When does discharge planning generally begin? (Acute Care)

A

When they arrive, as soon as physician sees them first and figures out referrals
-OT starts thinking about it the first time they see them

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10
Q

OT Role (Acute Care)

A

-Varied
-Educator
-Consultant
-Rehab specialist

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11
Q

OT as Educator

A

-Environmental or personal adaptations to increase ADLs/IADLs
-Precautions/Contraindications
-Safe transfers
-Educate medical terms/family members

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12
Q

OT as Rehab Specialist

A

-ADL/IADL training
-Therapeutic Activities/Exercises
-Cognitive Rehab
-Perceptual Remediation
-Other types of OT intervention

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13
Q

Effects of Immobility on systems

A

-Musculoskeletal
-Cardiovascular
Respiratory
-Metabolic/Endocrine
-Integumentary
-Neurological-Psychological
-Gastrointestinal-Urological

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14
Q

Musculoskeletal (Effects of Immobility on systems)

A

-Weakness
-Muscle and joint contracture
-Osteoporosis
-Exercise intolerance

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15
Q

Cardiovascular (Effects of Immobility on systems)

A

-Deconditioning
-Orthostatic hypotension
-Increased risk for thrombus formation

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16
Q

Respiratory (Effects of Immobility on systems)

A

-Hyperventilation
-Atelectasis
-Increased risk of pneumonia

17
Q

Metabolic/Endocrine (Effects of Immobility on systems)

A

-Decreased metabolic rate
-Impaired protein and fat metabolism
-Bone loss

18
Q

Integumentary (Effects of Immobility on systems)

A

-Pressure Ulcers
-Systemic Infection

19
Q

Neurological-Psychological (Effects of Immobility on systems)

A

-Confusion
-Sensory deprivation
-Depression
-Impaired coping

20
Q

Gastrointestinal-Urological (Effects of Immobility on systems)

A

-Constipation
-Reflux
-Urinary retention
-Reduced peristalsis

21
Q

Evidence-Based Practice Principles

A

Clinical Expertise
-Clinical state & circumstance
-Client Preference
-Research Evidence

22
Q

Too Low (Adult BP)

A

<60/<40

23
Q

Hypotension (Adult BP)

A

<90/<60

24
Q

Borderline Low (Adult BP)

A

90/60

25
Q

Low Normal (Adult BP)

A

110/75

26
Q

Normal (Adult BP)

A

<120/<80

27
Q

Prehypertension (Adult BP)

A

120-139/80-89

28
Q

Hypertension Stages (Adult BP)

A

1: 140-159/90-99
2: 160-170/100-109
3: 180-209/110-119
4: >210/>120

29
Q

Ejection Fraction (EF)

A

Amount of blood that the heart ejects relative to the amount that it receives
-Indicates how well the heart is pumping
-Average adult value = 60%
-<40% usually associated with systolic dysfunction or failure
-WNR with signs and symptoms of CHF = Diastolic Failure
-EF 5-10% have severe heart disease (poor endurance, SOB, LE edema)

30
Q

Normal Heart Rate

A

60-100 bpm

31
Q

Bradycardia

A

<60 BPM

32
Q

Tachycardia

A

> 100 BPM

33
Q

SpO2

A

95-100%

34
Q

Abnormal SpO2

A

<95%

35
Q

Respiratory Rate (RR)

A

12-20 breaths/min

36
Q

Abnormal Respiratory Rate (RR)

A

<12 or >20 breaths/min

37
Q

Mean Arterial Pressure (MAP)

A

70-110 mmHg

38
Q

Abnormal Mean Arterial Pressure (MAP)

A

<65 mmHg indicates impaired perfusion of vital organs

39
Q

OT as Consultant

A

We consult with the health care team and offer our unique perspective as OTs in order to make recommendations about where we think the next optimal level of care would be for the clients we serve

USAHS Geriatrics (2 decks)

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