Shared Flashcard Set

Details

7. Geriatrics/Pathophys
BrownMed
18
Business
Undergraduate 4
11/10/2010

Additional Business Flashcards

 


 

Cards

Term
unfunded liability
Definition
marketed payment without a source - US has this = health care debt
Term
the challenge is to implement 2 major changes
Definition
educational interventions for MDs, and system change from passive to active anticipatory interventional system
Term
9 themes of aging
Definition
pure aging, homeostenosis, geriatrics syndromes, disease in elders usually modified by pure aging effects, pure aging is interpreted as disease, vice versa, medication hazards, multiple pathology, and diseases special in aging
Term
presbyopia
Definition
aging of lens of eye = natural like wrinkles
Term
homeostenosis
Definition
reduced ability to maintain homeostasis; rapid degeneration of "weak link" organs, ex. delirium accompanying pneumonia
Term
geriatrics syndromes
Definition
interaction of diseases and risk factors with pure aging effects; usually multifactorial. confusion, dizziness, falls, syncope, urinary incontinence, weight or appetite loss
Term
subdural hematoma
Definition
more frequent with less trauma in older patients = theme #4
Term
diseases special in aging (2)
Definition
diastolic CHF, alzheimer's
Term
urinary incontinence could develop from
Definition
a brain tumor
Term
falling could be the first sign of
Definition
pneumonia
Term
confusion could be caused by
Definition
medication - demerol
Term
risk factors for FALLING and which ones can be intervened upon
Definition
history of fall, age>80, cognitive impairment, multiple co-morbidities. intervenable: visual impairment, medications, lower extremity weakness, balance or gait abnormality, ADL impairment, depression, use of assistive device
Term
evidence-based interventions for falls
Definition
exercise/physical therapy, modification of home hazards, medication adjustment, vitamin supplementation, visual correction, cardiac pacemaker for syncope-associated falls, physician education
Term
characteristics of age-related changes
Definition
survival! variable! but inevitable and irreversible and degenerative/linear.
Term
why does survival probability of pneumonia go down in older patients
Definition
cross-linking of collagen in lungs depletes plasticity (lung reserve)
Term
body composition changes in old people
Definition
more fat less muscle
Term
metabolism changes in old people
Definition
diabetes = glucose intolerance = insulin resistance
Term
immunity changes in old people
Definition
less production of antibodies
Supporting users have an ad free experience!