Shared Flashcard Set

Details

Neuro/Psych-ICM
Introduction to Clinical Geriatrics
15
Medical
Graduate
01/08/2011

Additional Medical Flashcards

 


 

Cards

Term
What are the theories of aging
Definition

Evolutionary:

Antagonistic Pleiotrophy- genes advantageous in youth are detrimental later on

Disposable Soma- resources toward reproduction over repair

Molecular: Oxidative Stress-organ and mito damage, DNA and Gene expression- mutations, telomeres, less gene induction 

Term
What is homeostenosis and how does it affect the elderly?
Definition

Decrease in homeostatic responsiveness to pathologic stressors

Manifests as multiple organ system disease from the impact of disease on a specific system

Term
What are the most common side effects of medications seen in the geriatric patient
Definition

CNS effects

Anticholinergic: Orthostasis, Constipation, Urinary retention

Term
What are the 3 most common misused drug classes of the elderly?
Definition

Benzodiazepines

NSAIDS

Anti-histamines

Term
What are the instrumental and basic activities of daily living?
Definition

Basic:

Bathing

Dressing

Toileting

Eating

Grooming

Transferring

Instrumental:

Personal Finances

Cooking/Cleaning

Driving

Shopping

Managing Meds

Telephone use

Term
What are the two most common causes of dementia
Definition

Alzheimer's

Vascular Dementia

Term
What is Mild Cognitive Impairment and how does it typically present?
Definition

Transitional stage before the presentation of alzheimer's dementia

Memory loss w/o full dementia

Term
What is the best test for mild cognitive impairment?
Definition
Verbal fluency tests: Categoric(better), Phenomic
Term
How is the verbal fluency tests conducted and what are some biases of them
Definition

One minute to name as many animals(threshold is 12) or words that start with the letter F(threshold 15)

Limitations: Skewed toward educated, literate people

Term
How is the mini-cognitive test performed what are the limitations and uses?
Definition

Test

Patient given 3 words to remember

Then Draw a clock reading 10 past 11

Then asked to recite the 3 words

Use

Quick Dementia Assessment

Limitations

Does not evaluate language impairment

Term
What is the use and the limitations of the mini-cognitive assessment?
Definition

Good initial screen for dementia

Limitations: doesn't pick up language impairment

Term
Why is the Geriatric depression screen used in the cognitive evaluation for dementia and how is it done?
Definition

Included bc depression can mimic mild dementia

Logistics: 5, 15, or 30 question questionaire evaluated based on positive responses to indications of depression

Term
What is the most common cause patient errors
Definition
Communication errors
Term
What type of activities of daily living do OP and PTs aim to improve?
Definition

PT: Basic Daily

OP: Instrumental daily activities

Term
What are some DME(durable medical equipment prescribed by OTs
Definition

Adaptive Equipment

Shower seating

Toilet adjustment

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