Term
|
Definition
| every 5 years after age of 60 |
|
|
Term
| with the get up and go test how long indicates that might be a fall risk |
|
Definition
| takes more than 30 seconds |
|
|
Term
| Describe the get up and go test |
|
Definition
| have the patient go from sitting to standing and walk 10 feet turn around and return to the chair. Should take 15 seconds. If more than 30 seconds then person at high risk for falls |
|
|
Term
| what is almost universal among older adults? |
|
Definition
|
|
Term
| True or False: major part of physical decline experienced by many older adults is a result of being old farts |
|
Definition
FALSE:
usually result of lack of health promotion and disease prevention rather than aging itself. Behavioral factors contribute to 70% of the physical decline that occurs with aging |
|
|
Term
| Most important question in old people screening process? |
|
Definition
" how does this problem/symptom affect you in daily life?"
mild problems that doe not interfere with functioning may not need to be treated |
|
|
Term
| One leg balanced test for the old people |
|
Definition
| ask to stand on one leg unassisted for 5 seconds |
|
|
Term
| Third most prevalent condition in old people |
|
Definition
|
|
Term
| Simple screening method for malnutrition in old people |
|
Definition
| have you lost 10 pounds in the last six months without trying? |
|
|
Term
| Mnemonic for checking for risk of malnutrition in old people |
|
Definition
"DETERMINE"
Disease
Eating Poorly
Tooth loss, mouth pain
Economic hardship
Reduced social contact
Multiple medicines
Involuntary weight loss or gain
Need for assistance in self care
Elderly (age >80) |
|
|
Term
| what is the most common cause of pneumonia in older adults |
|
Definition
|
|
Term
| 1 in every 10 people diagnosed with AIDS ... |
|
Definition
| are over the age of 50 (YUCK!) |
|
|
Term
| Screening questions to ask patients regarding urinary incontinence |
|
Definition
Do you ever lose your urine when you dont' want to?
Have you lost urine on at least six separate days?
Both affirmative then the screening test is positive requiring further evaluation |
|
|
Term
| Screening question for urinary stress incontinence? |
|
Definition
| do you ever lose urine when you cough, exercise, lift, sneeze, or laugh? |
|
|
Term
| Respiratory rate > or equal to 25 indicates what in old people? |
|
Definition
| lower respiratory infection |
|
|
Term
| True or false Hypothermia is more common in old people |
|
Definition
|
|
Term
| Low weight is a key indicator of what in old people? |
|
Definition
|
|
Term
| Define orthostatic hypotension |
|
Definition
| change in systolic BP > 20mmHg or diastolic > 10mmhg with in three minutes of standing |
|
|
Term
| describe a basal cell carcincoma |
|
Definition
| Initally a translucent nodule that spreads and leaves a depressed center with a firm elevated border |
|
|
Term
| describe a squamous cell carcinoma |
|
Definition
a firm reddish appearing lesion often emerging in sun exposed area..
a dark raised asymmetric lesion with irregular borders may be melanoma |
|
|
Term
| what is the world's leading cause of blindness? |
|
Definition
|
|
Term
| Risk factors for cataracts |
|
Definition
- cigarrette smoking
- exposure to UVB light
-high alcohol intake
-diabetes
-medications including steroids
-trauma |
|
|
Term
| an increased cup to disc ration suggests... |
|
Definition
|
|
Term
| Macular degeneration causes what problems? |
|
Definition
poor central vision and blindess.
Type: dry atrophic more common but less severe
wet exudative or neovascular |
|
|
Term
| What are the cardiac risk factors suggesting Left ventricular hypertrophy? |
|
Definition
isolated systolic hypertension
widened pulse pressure |
|
|
Term
| Describe a tortuous atherosclerotic aorta |
|
Definition
can raise pressure in the left jugular veins by impairing their drainage into the right atrium.
may also cause kinking of carotid artery low in the neck on the right chiefly in women with HTN which can be mistaken for carotid aneurysm |
|
|
Term
Sustained PMI in....
Diffuse PMI in... |
|
Definition
Sustained PMI in left ventricular hypertrophy
Diffuse PMI in CHF |
|
|
Term
| harsh holosystolic murmur at the apex |
|
Definition
|
|
Term
| Consider abdominal aortic aneurysm if... |
|
Definition
| aortic with is >3 cm or with a pulsatile mass, especially in older male smokers with coronary artery disease |
|
|
Term
| what is correlated with risk for falls? |
|
Definition
widening of the base
slowing and lengthening of stride
difficulty turning |
|
|
Term
unequal pupil size increases with old age
decreased arm swing
spontaneous movements
increased leg rigidity
abnormal gait
presence of snout and grasp reflexes
decreased toe vibratory sense |
|
Definition
|
|
Term
| Describe essential tremor |
|
Definition
bilateral and symmetric
positive family history
diminished with alcohol |
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