Geriatric Syndrome Exam Questions And Answers Rated 100%!!!
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Course
Geriatric Syndrome
Institution
Geriatric Syndrome
Define Geriatric syndromes - ANS refer to multi-factorial health conditions that occur when the accumulated effects of impairments in multiple systems render (an older) person vulnerable to situational challenges (JAMA 95)
Effects of Geriatric syndromes - ANS 1. quality of life m...
Geriatric Syndrome Exam Questions And
Answers Rated 100%!!!
Define Geriatric syndromes - ANS refer to multi-factorial health conditions that occur when
the accumulated effects of impairments in multiple systems render (an older) person vulnerable
to situational challenges (JAMA 95)
Effects of Geriatric syndromes - ANS 1. quality of life measures
2. physical and social (roles)
3. concurrence of chronic diseases
4. Urinary incontinence, diabeties
Geriatric syndromes are?
common in?
typically - ANS 1. clinical conditions not diseases
2. common in elderly
3. Multi-factorial, share risk factors, linked with ADL decline, increasing frailty, poor health
outcomes
Five most common geriatric syndromes - ANS 1. pressure ulcers
2. incontinence
3. falls
4. delirium
5. functional decline
Other Geriatric syndromes - ANS 1. Frailty
2. Sleep Problems
3. Poly-pharmacy
4. Nutrition
5. Iatrogenesis (external medical equipment transfer)
6. Syncope
Shared Risk Factors of Geriatric Syndromes
1-4 are most common - ANS 1. older age
2. cognitive impairment
3. functional impairment
4. impaired mobility
5. poor nutritional status
6. female gender: higher risk of urinary incontinence, Uti
, 7. Depressive symptoms
Causes of geriatric syndrome - ANS 1. ususally multi-factorial
2. interactions between intrnsic and extrinsic factors
a. age related changes to body (internal)
b. extrinsic (environment) clutter, rugs
3. interactions between predisposing and precipitating factors
example: 80 year old with infection = delirium
(80 yr old predisposing) + Precipitating (infection)= geriatric syndrome, delerium
Sequelae (pathological condition resulting from) - ANS 1. Restricted Mobility
2. Functional Decline
a. ADL's
b. IADL's
3. Increased risk of nursing home placement and longer hospitalizations
Medciations - ANS altered pharmacokinetics
2. atypical adverse effects
3. misunderstandings about medications (concrete instructions)
4. cost of medications (generics)
5. physical disabilities in elderly
a. get rid of safety caps
6. Polypharmacy
Polypharmacy - ANS the prescription, administration or use of more medications than
clinically indicated
drug-drug interaction, decreased compliance, unnecessary drug expense, interactions
Medication Safety
Nursing assessment - ANS Assessment:
1. attain accurate medication history,
2. barriers to compliance
Medication safety
planning - ANS Planning:
1. education about medications
2. home medication record
Medication safety Process :
Implementation - ANS Implementation:
1. pill box and other organizers
2. schedule for administration
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