Week 9

Question 1

Developmental tasks of the older person

Answer 1

Deciding where and how to live
Relationships
Home environment
Income
Health
Contact with family
Social...
Interest/activities 
Felling needed
Meaning in life
Religion..

Question 2

Rastogi article

Answer 2

Pain management
Elderly make up 20% of population by 2030
Chronic pain/facility
Multiple chronic illnesses
Barriers to pain control
Pain management is insufficient and suboptimal

Question 3

12-1
age related changes
Clinical implications
Key

Answer 3

Urinary
Reproductive
Musculoskeletal
Sensory
Hearing
Smell
Taste
Touch
Endocrine
Immune

Question 4

12-4

Causes of incontinence

Answer 4

Drug side effects
Physiologic changes
Bladder inflammation

Question 5

12-6

Altered drug responses

Answer 5

Absorption
Distribution
Metabolism
Excretion

Question 6

12-9

Drug groups that may cause depression in older adults

Answer 6

Analgesigis/anti-inflammatory
Anticonvulsants
Antihistamines
Anti htn
Antimicorbials
Anti Parkinson’s
Hormones
Immunosuppressive
Tranquilizers

Question 7

12-13

Considerations for medication use in older people

Answer 7

Drug dosage guidelines based on younger adults
Numerous scripts
Etch
Interactions and adverse reactions
Drug toxicity’s
Behavioral side effects

Question 8

12-11

Alcohol abuse screeening

Answer 8

SMAST-G
CAGE
MAST-G
AUDIT

Question 9

Elder abuse

Answer 9

Affects more than 4% of older adults
Homes and institutions 
Many forms
Under reported
*fear of abandonment

Question 10

Beers criteria

Answer 10

3 broad categories
General specific diseases
Caution

A list of medications that pose potential risks outweighing potential benefits for the older population.
Ex: avoid high-risk meds: tricyclics antidepressants, non steroid anti, …

Question 11

Screening tool for older persons prescriptions

Answer 11

STOPP: Screening Tool for Older Persons Prescriptions
START: Screening Tool to Alert to Right Treatment