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WVSOM - CS1

WVSOM -- Geriatrics

QuestionAnswer
What age is considered geriatric? 50 and up
What do all patients have in common? advancing age
What is aging? the body’s failure to be able to repair itself
What is geriatric assessment? a method of evaluating a patient for physical problems and illnesses, psychosocial issues and functional imparment
What are te 2 purposes of assessment? to help the patient maintain the highest quality of life in the most independent seting possible and to develop a comprehensive plan for treatment and rehabilitation.
Where are the 6 places we get information? quetionnairs, office staff, old medical records, family/caregivers, history/physical, and observation
What are the 5 Basic activity of daily living? dressing, bathing, toileting, transferring/mobility, eating
What are the 7 Intermediate activities of daily living? housekeeping/laundry, cooking, driving/public transport, shopping, telephone, taking medication, finances
What are the 3 things to take special attention to in history? medications, polypharmacy, polyphysician
What are the 5 special things to pay special attention to in physical? vision, hearting, muscle strength, mobility/balance, cognition
What are the 4 somatic problem areas of the elderly? cervical spine, upper thoracic spine, lumbosacral region, and gluteal/calf muscle weaknesses
What are cardiac physiologic changes? decline in stress induced maximal heart rate. LV mass and and stiffness increase, and early diastolic filling decreases
What are the pulmonary physiologic changes? FEV and FVC decrease 30 ml/yr, RV increases, decrease response to hypoxia and hypercapnia, PO2 decline
What are renal physiologic changes? GFR decreases 1% per year after 50.
What must you be aware of when ordering medications? renal function
What are hepatic physiologic changes? decrease albumin, blood flow, liver mass and enzyme activity
What is the physiologic change in body composition? increase body fat from 15% to 30%. Derease in muscle, water and bone mass.
What should you do if they have 8 or more medications? See what you can do to get them down to 7 IF you can
Created by: tjamrose
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