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Kim's Geriatric Common Disorders-Leik Review Exam Study Guide.
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Kim's Geriatric Common Disorders-Leik Review Exam Study Guide. Elder Abuse-- - answer--Presence of bruising, skin tears, & fractures that are poorly explained. --Presence of STD, vaginal, and/or rectal bleeding, bruises on breasts are indicators of possible sexual abuse. --Malnutrition, poor ...

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  • September 17, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • kims geriatric common disorders leik review exam

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  • Geriatric
  • Geriatric

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©THEBRIGHTSTARS 2024


Kim's Geriatric Common Disorders-Leik
Review Exam Study Guide.


Elder Abuse-- - answer✔--Presence of bruising, skin tears, & fractures that are poorly
explained.


--Presence of STD, vaginal, and/or rectal bleeding, bruises on breasts are indicators of possible
sexual abuse.


--Malnutrition, poor hygeine, & pressure ulcers. Screen for abuse and financial exploitation.

Interview elder alone with these 3 questions: - answer✔--Do you feel safe where you live?


--Who handles your checkbook and finances?


--Who prepares your meals?

Geriatric assessment: - answer✔Assessment team: physician/NP, nurse, social worker,
dietician, physical therapist, others.


ADL's: dressing, feeding self, grooming, bathing.


Instrumental ADL's: driving, grocery shopping, laundry, cooking.


Cognition and mood disorders: Depression, geriatric bipolar disorder.


Risk of falls: history of falls, gait and balance, vision, hypotension, postural hypotension,
arrythmias, osteoporosis, type of shoes, assistive devices

, ©THEBRIGHTSTARS 2024


Polypharmacy (including herbs, alternative therapy): Advise pt to bring all meds, vitamins, and
other alternative medicines in a "brown bag." (???)

Tricyclic antidepressants (TCA's): - answer✔--Amitryptyline (Elavil) is the most sedating.


--Also causes confusion, delirium, and hallucinations.


--All TCA's cause sedation.


--Given at bedtime.

Benzodiazepines: - answer✔--Confusion, dizziness, ataxia resulting in falls, and other
accidents.

Hypnotics: - answer✔--Avoid long-acting (ie, Haldol).


--Prefer shorter duration (ie, Ambien).

Narcotics: - answer✔--Start with low doses.


--Longer duration in the elderly.

Muscle relaxants: - answer✔--Soma, Skelaxin, Norflex.


--Drowsiness, confusion, delirium.

Atypical antipsychotics: - answer✔--Block Box Warning of the high risk of mortality in
elederly (from long term care facilities) with dementia who are treated with atypical
antipsychotics.


--Ex: Seroquel

Antihistamines: - answer✔--Diphenhydramine (Benadryl) is the most sedating antihistamine.

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