Term
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Definition
| hypothalamus is less responsive to pyrogens and patients do not preserve and conserve heat as efficiently as do younger patients |
|
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Term
|
Definition
| dec lung recoil, vital capacit ect |
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Term
|
Definition
|
|
Term
|
Definition
– Tetanus
– Influenza
– Pneumococcal
– Herpes zoster vaccine |
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Term
|
Definition
• BP screening
• Lipid screening
• Abdominal aortic aneurysm
• Aspirin may decrease the risk
for both cardiovascular
disease and a variety of cancers, but it increases the risk of bleeding. A personalized approach to the decision of whether or not to advise aspirin use for primary prevention, factoring an individual’s health risks and personal values, is likely to be optimal. |
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Term
| The most common causes of visual impairment in the elderly |
|
Definition
include presbyopia, cataracts, glaucoma, diabetic retinopathy, and age-related macular degeneration. Changes in vision can cause a significant number of problems for elderly patients, including an increased risk for falls.
• Referral to an ophthalmologist should be considered when visual acuity is worse than 20/40 (with normal corrective lenses, if applicable) and visual impairment is interfering with daily activities. |
|
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Term
| Hearing Screening geriatric |
|
Definition
| • Presbycusis, a progressive high- frequency hearing loss, is the most common cause of hearing impairment in geriatric patients. This type of hearing loss decreases the ability to interpret speech, which can lead to a decreased ability to communicate and a subsequent increased risk for social isolation and depression. Hearing loss in the elderly can also adversely affect physical, emotional, and cognitive well-being. |
|
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Term
| geriatric diabetes screening |
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Definition
| HgA1C, monofilament testing, accucheck |
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Term
| Screening for Functional Assessment and Geriatric Evaluation |
|
Definition
• Functionalassessmentand geriatric evaluation
• Cognitiveassessment
– Dementia
• Mini Mental State
• Clock Test
• Informant Questionnaire on Cognitive Decline in the Elderly (IQCDE)
• Depression |
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Term
| Geriatric patients are at higher risk of falling for a number of reasons: |
|
Definition
– Postural hypotension
– Balance or gait impairment
– Polypharmacy (more than three prescription medications)
– Use of sedative-hypnotic medications |
|
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Term
| Medications Associated With an Increased Risk of Falls in the Elderly |
|
Definition
• Antiarrhythmics
• Antihistamines
• Antihypertensives
• Antipsychotics
• Benzodiazepines and other sedative- hypnotics
• Digoxin (Lanoxin)
• Diuretics
• Laxatives
• Monoamine oxidase inhibitors
• Muscle relaxants
• Narcotics
• Tricyclic antidepressants and selective serotonin reuptake inhibitors
• Vasodilators |
|
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Term
| geriatric Common problems affecting sexual functioning include: |
|
Definition
– Arthritis
– Diabetes
– Fatigue
– Fear of precipitating a heart attack
– Side effects from alcohol
– Prescription drugs and over-the-counter medications |
|
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Term
|
Definition
• Loss of:
– Physical agility
– Mental acuity – Friends
– Loved ones – Status
– Power
• Reactions to drugs/medications
• Geriatric Depression Scale |
|
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Term
| Themostcommonlyused measures of function evaluate three levels of activities of daily living: |
|
Definition
– Activities of daily living (ADLs)
– Instrumental activities of daily living (IADLs)
– Advanced activities of daily living (AADLs)
• Some examples include occupational, recreational, and travel activities. AADLs are both personal and optional to screen for. |
|
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Term
| symptoms to assess for a geriatric patient |
|
Definition
• Fatigue
• Pain
• Dizziness
• Loss of appetite • Falls
• Weight loss |
|
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Term
| Purpose of Medication Reconciliation |
|
Definition
• Medication reconciliation is a process to decrease medication errors and patient harm in the following ways:
– Obtaining, verifying, and documenting the patient’s current prescription and over-the-counter medications—including vitamins, supplements, eye drops, creams, ointments, and herbals—when they are admitted to the hospital or are seen in an outpatient setting
– Considering the patient’s pre-admission/home medication list when ordering medicines during a hospital encounter and continuing home medications, as appropriate, and comparing the patient’s pre-admission/home medication list to ordered medicines and treatment plans to identify unintended discrepancies (i.e., those not explained by the patient’s clinical condition or formulary status) |
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Term
|
Definition
| bathing, transfers, ambulations, toileting, eating, dressing |
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Term
|
Definition
• Counsel on quitting smoking and ETOH
• Adults over 65 physiologic changes that amplify the effects of ETOH
– No more than three drinks in one day or seven drinks a week are recommended
– Adverse reaction with many meds
• Affects mentation and driving |
|
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Term
|
Definition
• Vision
• Hearing
• Legmobility
• Urinaryincontinence • Nutrition/weightLoss • Memory
• Depression
• Physicaldisability |
|
|
Term
|
Definition
• Interrelatedconditions
• Geriatricsyndromes – Delirium
– Falls
– Dizziness
– Depression
– Urinary incontinence – Functional impairment – Cognitive impairment |
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