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Geriatrics Eval > Week 13 > Flashcards

Week 13 Flashcards

1
Q

-characterized by weakness and low grip strength, low energy, slowed walking speed, low physical activity, unintentional weight loss

A

frailty

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2
Q

name 2 frailty measures.

A
  • FRAIL scale

- physical frailty phenotype

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3
Q

t/f - frailty does not increase the risk of falls and disability.

A

false

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4
Q

can frailty be reversed and delayed?

A

yes

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5
Q
  • has been used to effectively guide frailty interventions
  • determine client-centered performance context - complete occupational profile, identify reported strengths and problems, establish primary goals based on ADLs that are most important to client
  • observe task performance
  • define and describe actions client does and does not perform effectively
  • define/clarify or interpret the cause
  • select approach or combination of approaches - compensatory, education, occupational skills training, enhancement of body functions
  • re-evaluate
A

the occupational therapy intervention process model (OTIPM)

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6
Q

name 4 frailty interventions.

A
  • environmental modification and assistive technology
  • community re-integration programs
  • physical activity problems
  • combined approaches - physical activity, dietary changes, adaptive equipment and environmental modifications
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7
Q

name an environmental modification intervention for frailty.

A

CAPABLE

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8
Q
  • structural adaptations
  • home repairs
  • assistive devices
  • regular household items
A

CAPABLE

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9
Q
  • 2x per week, 60 min sessions of individually tailored, progressive physical activity
  • includes: warm up, resistance training, static and dynamic balance training, flexibility training, functional exercise
A

physical activity program - frailty

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10
Q
  • includes 4 face to face visits, check in calls, tailored text messages
  • begins with comprehensive eval of physical and social function, home safety assessment, need for adaptive equipment and environmental modification
  • present physical activity guidelines
  • personalized exercise plan, exercise log
  • dietary info
  • dietary goals and plans, dietary log
A

OT led habit training intervention

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11
Q

name 5 medication management interventions.

A
  • health literacy - need for medication
  • transportation and/or delivery
  • integrate medication management into daily routine
  • automatic pill dispensers, daily planner, alarms, pill organizers, store in same/convenient location
  • easy open containers, pill splitter, medicine cabinet with LED light
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12
Q

what is the most popular choice for volunteer assignments?

A

religious institutions

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13
Q
  • opportunities for social contact and support
  • positive feelings: rewarding, stimulating, and satisfying
  • provides a meaningful role
  • feeling part of the local community
A

volunteer experience

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14
Q

name 4 benefits of volunteering for older adults.

A
  • reduction in mortality rates
  • increased life satisfaction
  • enhanced sense of purpose in life
  • increased psychological well-being
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15
Q

name 2 mediating variables with regard to benefits of volunteerism.

A
  • number and range of volunteer roles

- personal preference and choice

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16
Q

help to design special needs shelters, help clients with advanced planning

A

preparedness

17
Q

assist in special needs shelters, provide supportive mental health

A

response

18
Q

coping skills, returning to meaningful activities and routines

A

recovery

19
Q

exacerbation of chronic conditions can occur due to which 3 things associated with emergency preparedness.

A
  • stress
  • extreme heat or cold
  • lack of safe food and water
20
Q

name 2 strategies for creating emergency plans for older adults and their families.

A
  • create a contact list/care plan

- prepare a to-go kit

21
Q

does a person feel tired, do they have the ability to walk up 10 steps, can they walk several hundred yards, are they experiencing illness

A

FRAIL scale

22
Q

frailty is considered if weight loss is more than what percent of a person’s body weight in the past year?

A

5%

23
Q

describe scoring for the physical frailty phenotype.

A

if you have 3 or more of these symptoms you are considered to have frailty, if you have 1 or 2 of these symptoms you are considered prefrail.

24
Q

name the 6 symptoms/measures in the physical frailty phenotype.

A
  • grip strength - weakness
  • TUG - looks at slow gait speed
  • weight loss - past 6 months
  • exhaustion
  • reporting less energy to do things
  • low physical activity
25
Q

name the 6 symptoms/measures in the physical frailty phenotype.

A
  • grip strength - weakness
  • TUG - looks at slow gait speed
  • weight loss - past 6 months
  • exhaustion
  • reporting less energy to do things
  • low physical activity (less than once a week)
26
Q

describe the benefits for physical activity for frailty compared to other conditions.

A
  • if someone is frail, this can improve their progress

- with other conditions, physical activity alone does not typically lead to improvements

27
Q

name the 3 components of the CAPABLE program.

A
  • OT piece
  • handyman piece
  • RN piece
28
Q

improving ability to function and reduce healthcare costs by 10k for each participant

A

CAPABLE program

29
Q
  • separate organization that helps people with environment and home modifications
  • nonprofit organization
A

rebuilding together

30
Q

describe physical activity recommendations for older adults.

A
  • 150 mins of aerobic exercise
  • strength training 2-3x a week
  • balance exercises
31
Q

name 4 reasons why people stop taking their meds.

A
  • they forget
  • they don’t like the side effects
  • confusion between meds
  • they think they feel better and they don’t need it anymore
32
Q
  • self-report
  • do you take your meds why or why not?
  • not performance-based
A

MMAS-8

33
Q

name the 3 different areas assessed in the MedMaiDE.

A
  • knowledge of the medications - health literacy
  • how to take the medication
  • procurement
34
Q

assesses someone’s ability to manage a complex medication regime with 3 or more pills

A

ManageMed

35
Q

volunteerism reduces the risk of which 2 things?

A
  • cognitive loss

- mortality

36
Q

helps to place people 55+ in volunteering experiences

A

RSVP

37
Q

what should you keep in your house for emergency preparedness?

A

2 weeks’ worth of food and water (canned items)

Geriatrics Eval (12 decks)

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