Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Geriatrics Eval > Week 1 > Flashcards

Week 1 Flashcards

1
Q

name 5 aspects of geriatric syndromes.

A
  1. falls
  2. frailty
  3. incontinence
  4. functional decline
  5. delirium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe Medicare guidelines for OTRs and COTAs.

A
  • OTR is responsible for evaluation and reevaluation.
  • COTA must be supervised
  • general supervision required except for private practice which requires direct supervision
  • in clinics, rehab agencies, COTA must have on site supervision at least every 30 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which 3 guidelines should an OT consider for OTR and COTA responsibilities/guidelines?

A

-AOTA guidelines
-state guidelines
-Medicare guidelines
(follow most stringent guidelines)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • purpose is to understand what is important and meaningful to the client.
  • determines occupational history, experiences, patterns of daily living, interests
  • uncover what client needs or wants to do in the present and future
  • client’s select their own goals and priorities
  • promotes client-centered practice
  • guides evaluation, intervention planning and intervention implementation
A

occupational profile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

name the 2 methods of developing the occupational profile.

A
  • formal interview

- informal conversation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • multi-dimensional, interdisciplinary assessment

- considers mental health, physical health, functioning and social situation

A

comprehensive geriatric assessment (CGA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • establishes a baseline

- assesses effects of depression, substance abuse and adverse effects of medications should be considered.

A

mental status testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • assesses ADL and IADL status including community mobility and driving
  • a signal of illness and a focus for prevention efforts
A

functional assessments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • assesses an individual’s social support system
  • assesses caregiver’s health and functional status
  • considers adult mistreatment
A

social assessments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

-helps identify people at risk for social isolation

A

Lubben Social Network Scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

screenings for depression and anxiety

A

psychological assessments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

based on history, may include:

  • vital signs
  • vision and hearing
  • ROM and strength
  • response time
  • sensation, fine and gross motor coordination
  • skin
  • gait and balance
A

physical assessments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

knowledge of patient wishes regarding care

A

advanced directives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the most reliable indicator of geriatric pain?

A

self-report of pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

self-report scales and observation-based assessments

A

pain assessments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

-assesses pain in older adults with cognitive impairment who cannot be assessed using standardized pain instruments

A

PAINAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

-measures quality and patterns of sleep in the older adults

A

Pittsburgh Sleep Quality Index (PSQI)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  • includes physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions.
  • useful outcome measure for health promotion programs
A

Rand-36 item health survey (SF-36)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

name 3 preparatory methods for older adults.

A
  • practicing standing balance
  • stretching
  • strengthening
20
Q

with each decade of life, we have an increased risk of which 2 conditions?

A
  • dementia

- chronic disease

21
Q

what is a symptom of a UTI in older adults?

A

confusion (temporary dementia)

22
Q

what is the most common chronic health condition among older adults?

A

osteoarthritis

23
Q

things common in older adults and can reduce function but aren’t as clear cut - more layered

A

geriatric syndromes

24
Q

name 5 signs of frailty.

A
  • weight loss
  • self-reported exhaustion
  • weakness
  • low physical activity level
  • slow gait speed
25
Q

temporary state of confusion

A

delirium

26
Q

1 out of every 3 older adults who goes to the hospital develops what?

A

delirium

27
Q

delirium is easier to ___ than ___.

A

prevent, reverse

28
Q

name 4 risk factors for delirium.

A
  1. malnutrition
  2. dehydration
  3. infections
  4. sensory deprivation
29
Q

name 4 ways to prevent delirium.

A
  • maintaining regular physical activity
  • focus on lighting - open blinds
  • make sure they have access to their glasses and hearing aids
  • orient them to time - phone, clock, cognitive stimulation
30
Q

name 4 ADL assessments.

A
  1. Barthel index
  2. FIM (functional independence measure)
  3. KATZ index
  4. PASS (performance assessment of self-care skills)
31
Q

looks at both independence and safety as separate measures

A

PASS (Performance Assessment of Self-Care Skills)

32
Q

name 4 ways skin can change in older adults.

A
  • becomes thinner
  • becomes less elastic
  • decreased sensitivity to light touch
  • drier skin
33
Q

name 2 common sources of pain in older adults.

A
  • joint pain

- neuralgia

34
Q

which pain assessment has been found to be helpful for people with low literacy levels?

A

FACES pain scale

35
Q

supplement pain assessments with ____.

A

observation

36
Q

also think about people’s ___ ___ when choosing pain assessments.

A

sensory deficits

37
Q

t/f - cognitive loss is not part of typical aging.

A

true

38
Q

keeping healthy people healthy

A

primary prevention

39
Q

name an example of primary prevention.

A

health promotion and prevention - sleep

40
Q

someone has symptoms and we want to prevent condition from exacerbating

A

secondary prevention

41
Q

name 2 examples of secondary prevention.

A
  • medication management
  • falls prevention - if someone has fallen before or has a fear of falling - we want to use secondary prevention to make sure they don’t fall again
42
Q

Name a strength of the PAINAD assessment.

A

can be used to train caregivers

43
Q

name 2 limitations of the PAINAD assessment.

A
  • it doesn’t tell us where the pain is located

- it doesn’t tell us what is causing the pain

44
Q

measure of health-related quality of life

A

Rand 36-item health survey

45
Q

what does a higher score on the Rand 36-item health survey indicate?

A

better health-related quality of life

46
Q

describe the scoring results and meaning of the Lubben Social Network Scale.

A

less than 12 on complete measure or less than 6 on the subscale test indicates that the person is at risk for social isolation

47
Q

describe the scoring results of the Pittsburgh Sleep Quality Index (PSQI).

A

score of 5 or higher = poor sleeper

Geriatrics Eval (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions