Week 11 Older adults part 2 Flashcards

1
Q

What are the geriatric 5Ms?

A
  • Multicomplexity
  • Mind
  • Mobility
  • Medications
  • What Matters most
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2
Q

What are the five aspects of an evidence-based approach to the frail older adult?

A
  1. Geriatric assessment
  2. Interdisciplinary primary care
  3. Pharmaceutical care and med optimization
  4. Mgmt of geriatric syndromes
  5. Caregiver support
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3
Q

What are the 8 domains of age-friendly communities?

A

Age friendly:

  • outdoor spaces and buildings
  • transportation
  • housing
  • social participation
  • respect and inclusion
  • civic participation and employment
  • communication and information
  • community support and health services
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4
Q

What are the key recommendations of BC Guidelines related to cognitive impairment?

A
  • do not screen asymptomatic
  • dementia can be masked
  • imaging is of limited value
  • always involve caregiver
  • introduce advance care planning early
  • cognitive impairment can be caused by polypharmacy and multimorbidity
  • drug treatment has limited value
  • make early and regular use of adjunct services
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5
Q

What are the key recommendations of BC Guidelines related to frailty in older adults?

A
  • early identification, use a case finding approach
  • many pts can be managed in primary care through a network of support
  • use rolling assessments to target at least one area of concern per visit
  • consider benefits and harms of polypharmacy
  • develop a care plan
  • initiate advance care planning
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6
Q

What are the three domains of a functional assessment?

A
  • ADLs
  • Instrumental ADLs
  • Mobility
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