The most common cause of disability in the elderly is
Exercise recommended for elderly should include activities that
Which of the following medical conditions is not considered restrictive for engaging in physical activity
The most commonly diagnosed psychiatric d/o in older adults is
...
NR 601 Primary Care of the
Maturing & Aged Family
Purpose of Comprehensive Geriatric Assessment (CGA)
Health is related to psychosocial, functional ability, & safe environment
Which organism that can be prevented by immunization is most often responsible for an
infectious "outbreak" in the nursing home setting
Influenza A
A statement not shown to be true about pharmacodynamic changes with aging is
Decreased sensitivity to oral anticoagulants
Who is Comprehensive Geriatric Assessment (CGA) most beneficial for?
The vulnerable, older adult
Domains of Comprehensive Geriatric Assessment (CGA)
1) Physical health
2) Functional health
3) Psychological health
4) Socioenvironmental support & QOL measures
What does the functional health domain show?
How the older adult care for themselves day to day (ADLs)
Who created the Beers Criteria?
,American Geriatric Society
What is the purpose of the Beers Criteria?
- Improve medication selection
- Avoid dangerous medications
Who is the Beers Criteria aimed toward?
- 65 years & older; except hospice & palliative care patients
What does the Beers Criteria stress?
- The importance of deprescribing to avoid polypharmacy
- Adverse drug reactions
Breast cancer screening ages
- Biennial screening for women ages 50-74
Health promotion
- Smoking cessation
- Aerobic exercise & strength training
, Who needs AAA screening?
*Smokers are at high risk for aneurysm
Lab changes affected by dehydration
- Increased ESR (sed rate)
- Reduced physiological reserves d/t thinner skin & less sub q tissue/ fat
Mini Nutritional Assessment
- Obesity b/c the metabolism slows down & inactivity
Functional Domain Screening Tools
- Brody & Lawton: Assess IADLs
- Barthel Index: Assesses ADLs
*Any change in function is often the first & only sign of a new or changed disease process
What is FEV 1?
The total volume of air a patient is able to exhale in the first second during maximal effort.
A > 12% change from pre-bronchodilator to post-bronchodilator results indicate what?
The obstruction is reversible
When do you see hyperinflation of the lungs?
due to increased total lung capacity present w/ obstruction
[i.e. COPD]
How many hours per day of supplemental O2 therapy has been shown to reduce mortality
associated w/ COPD?
15 hours
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