Week 2 Exam and Differential Diagnosis Flashcards
when evaluating an aging adult, there are some additional factors we must assess. what are those 3 things
multi- systems and multi organ, functional status, and support systems IN ADDITION THE EVAL CONDITION THAT BRINGS THEM IN
what are we looking for with the evaluation
screen for falls
other conditions
characteristics of frailty, depression, abuse, neglect, geriatric syndromes
the social support they will get
what do we want to plan for
a sustainable outcome and increase in safe physical activity and participation through exercise
TF: we must consider how the older person health literacy is and their understanding of their condition
true
how must we treat patients
in the IFC model, and in terms of what limits their activity and their function
TF: we should be using the term disability
false, we should try to limit that
disability reflects the sum of interactions between
health condition environment personal factors impairments activity limitations participation restrictions
what is our lens that guides our decisions and treatment
their functional status
what should history areas target? what key areas
pharma basic ADL assistance activity fear of falling AD use home environment vision CVS continence, pain depression and skin
why must we screen for falls (and falls that are near falls)
because 25% of them lead to fractures or TBI and their risk increases if they go to a nursing home
what does the home assessment consist of
clear paths, obstacles, layout, floor surfaces, functional, can they get around, how can we change the set up to be more functional, see about modifications for their needs.
how can we determine if it is aging or pathologic
- onset (rapid or longer)
- does it fit into a normal aging pattern (weakness, balance issues, memory loss)
- are co-morbidities impacting it
- medications?
- psychosocial components
- can my intervention change whats going on
