Older Adults Exam 1

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Older Adults Exam 1
2013-09-01 17:58:06
Older Adults

Older Adults Exam 1
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  1. Older Adults are defined as
  2. Leading causes of death in 65+
    • Heart disease
    • CA
    • COPD
    • Stroke
    • Pneumonia
  3. Comorbitity may include
    • Osteoarthritis
    • HTN
    • Joint problems
  4. Geriatric Syndromes (11)
    • Delirium
    • Dementia
    • Vision
    • Hearing
    • Falls
    • Malnutrition
    • Incontinence
    • Depression
    • Sleep Disorders
    • Functional Limitations
    • Polypharmacy
  5. What should interventions prevent
    • Frailty
    • Functional decline
    • Geriatric syndromes
  6. Impact of geriatric syndrome
    Follow an acceptable standard of practice for a particular clinical entity and refrain from unnecessary intervention that may worsen an underlying symptom presenting in a geriatric syndrome
  7. Cycle of Frailty
    • Wt loss of < 10 lbs in one year or 5% of body weight in one year
    • weakness as measured by grip strength
    • self-reported poor stamina and exhaustion
    • inability or great difficulty walking 15 feet
    • low physical activity level
  8. Cascade Iatrogenesis
    the spiraling, unintended decline of health from a series of severe effects caused by medical intervention that have been used to solve the previous symptoms or conditions
  9. Iatrogenic complications
    • unable to walk without assistance
    • low cognition
    • highest in the oldest patients
  10. Cascade iatrogenesis
    related sequence of two or more serious adverse events resulting from a diagnostic, prophylactic or therapeutic intervention

    an error of omission involving a reasonable clinical standard

    an accidental injury occurring in a hospital standard
  11. Atypical presentation
    • vague presentation of illness
    • altered presence of illness
    • non-presence of illness
  12. Those at greatest risk for developing atypical presentation
    • Older adults over age 85
    • those with multiple comorbidities and medications
    • those older adults with cognitive or functional impairment