Term
| Multidimensional Assessments - examples of dimensions (4) |
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Definition
mental health
physical health
functional ability
social situation |
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Term
| Items to assess in addition to complete Med/Surg hx: (5) |
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Definition
lightheadedness
dizziness
vertigo
visual problems (eye sx, glasses, past eye exam)
hearing difficulties (hearing aid, past hearing exam) |
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Term
| Examination modifications for the older adult (4): impaired... |
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Definition
impaired hearing (speak slowly/clearly)
impaired vision (large font)
impaired comprehension
impaired mobility |
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Term
| Components of modified examination of older adult (8) |
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Definition
observation
fall risk assessment
gait changes
cognition/depression
social/emotional
comorbidities
polypharmacy
functional tests |
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Term
| Modified exam: observation (8) |
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Definition
personal appearance/grooming
cleanliness
appropriateness of clothing
condition of hair/skin
dental hygiene
dressing/undressing
sit-->stand
OA v RA |
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Term
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Definition
decr velocity
incr cadence
incr double-limb support
decr step length
instability (decr strength in hip ext/DF/PF, decr DF ROM)
wider BOS
step width variability |
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Term
| Primary contributor to falls in elderly = |
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Definition
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Term
| Losses/changes in social/emotional status (9) |
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Definition
health (incl memory)
place of residence
loved ones/family
financial
independence
friends
pets
income
possessions |
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Term
| Components of social/emotional assessment (3) |
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Definition
losses/changes
abuse
neglect |
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Term
| Reasons to suspect abuse of older adult (3) |
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Definition
multiple injuries
unexplained injuries
implausible explanations |
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Term
| Reasons to suspect neglect of older adult (3) |
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Definition
malnutrition
dehydration
gross inattention to hygiene |
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Term
| ____% of inpatients ≥80y/o with 6/13 impairments on Cumulative Illness Rating Scale |
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Definition
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Term
| ____% of inpatients ≥80y/o with 11/13 impairments |
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Definition
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Term
| Cumulative Illness Rating Scale: dimensions (14) |
|
Definition
cardiac (heart only)
HTN
vascular
respiratory
EENT
upper GI
lower GI
hepatic
renal
other GI
musc/skel/integ
neurological
endocrine
psychiatric |
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Term
| ___% of pts >85 y/o c 1+ comorbidities |
|
Definition
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Term
|
Definition
| use of a medication for which no clear indication exists |
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Term
| Two types of polypharmacy |
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Definition
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Term
| Sequelae associated c polypharmacy (4) |
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Definition
medication administration errors
incr risk for ADRs
non-adherence
incr mortality rates |
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Term
| Polypharmacy - responsibility for PT (3) |
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Definition
comprehensively assess for polypharm
'brown bag' technique
report to physician |
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Term
| Polypharmacy - 'brown bag' technique |
|
Definition
prescribed meds
OTCs
herbal supplements
general supplements (vit/min) |
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Term
| Categories of functional tests |
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Definition
cognitive/psychological
aerobic
gait, locomotion, balance tests
mm performance
posture/ROM
sensory integrity tests
vestibular tests & measures
multipurpose test batteries |
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Term
| examples of fxnl tests - cognitive/pscyhological (2) |
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Definition
mini-mental status exam
geriatric depression scale |
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Term
| examples of fxnl tests - aerobic (5) |
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Definition
6-min walk test
2-min walk test
400m walk test
2-min step test
3-min step test |
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Term
| examples of fxnl tests - gait, locomotion, balance (13) |
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Definition
TUG
gait speed
narrow corridor walk
tandem walk
dynamic gait index
functional reach test
4-square step test
Berg balance scale
performance oriented mobility test (POMA) or Tinetti
one-leg stance test
Romberg (progressive, sharpened)
Activities specific confidence scale (ABC)
falls efficacy scale |
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Term
| examples of fxnl tests - mm performance (6) |
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Definition
chair rise test
arm curl
grip strength
heel rise test
MMT
toe tap |
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Term
| examples of fxnl tests - posture/ROM (8 |
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Definition
flexicurve (kyphosis)
wall/occiput distance
rib/pelvis distance (vital capacity)
pes planus
back scratch test
neck ROM
chair sit & reach
Thomas test |
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Term
| examples of fxnl tests - sensory integrity (2) |
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Definition
Semmes-Weinstein monofilament
up & down test (jt position) |
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Term
| examples of fxnl tests - vestibular tests & measure |
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Definition
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Term
examples of fxnl tests - **multipurpose test batteries** (4)
assess fxn in community-dwellers; may find beginning of decline |
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Definition
physical performance test (PPT)
modified PPT
short physical performance battery
senior fitness test |
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Term
| Physical Performance Test - number of items |
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Definition
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Term
| Short Physical Performance Battery: components (3) |
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Definition
Romberg & tandem Romberg
repeated sit-->stand
gait speed |
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