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21 Cards in this Set
- Front
- Back
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The ? -AID screening tool is good for conducting a screening test for alcohol abuse.
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CAGE
C-Have you ever felt you need to CUT down, A-Have people ANNOYED you about ↓ your drinking, G-Have you ever felt bad or GUILTY about your drinking E-Have you ever needed an EYE opener. AID-adapt to include drugs |
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Older acoholics display vague geriatric syndromes of ?'s, self-?, ? and ?'s
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contusions,
neglect, depression, falls |
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For tx of older adult's with ETOH problems there are 6-
1-? specific group therapy, 2-A focus on coping with ? 3-rebuild the pts ?-support network 4- use a ? and ? to tx that is appropriate for age 5- Staff that is ? and ? in working with the elderly 6-Linkages with ? services for tx |
Age,
depression, social, plan and content, interested and experienced, medical |
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Although the older adult with alcohol/substance abuse is difficult to treat, the prognosis for this type of pt is ? These individuals often respond very ? to a recovery program.
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excellent,
positively |
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?% of the elderly have some condition that predisposes them to pain, so pain is common among older adults.
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85
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Pain is often associated with ? there are 3 categories of depressive symptoms ?,?,?
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depression,
emotional, physical, cognitive |
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Pain in the elderly often is leads to delayed ?, decreased ?, poor ?, and poor ? Pain is often ? in the elderly
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healing,
mobility, sleep, appetite, underestimated |
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Changes in behavior may indicate pain and should be ? especially in pts who have difficulty communicating their needs.
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assessed
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With the M-A-S-T screening tool for alcoholism a score of less than ? is considered no alcohosim and a score of ? is suggestive of alcoholism and score greater than ? or more indicates alcoholism.
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3,
4, 5 |
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3 tools are mentioned for assessing pain in the elderly, the FACES scale which rates pain on a scale from ?-?, the McGill Pain scale which rates pain on a scale from ?-? which was found to be the most useful tool and the PAIN-AD is used for advanced dementia pts and 5 domains are evaluated and they are ?, negative ?, facial ?, body ?, and ? this scale rates each of these signs from ?-?
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0-5,
0-5, breathing, vocalization, expression, language, consolability 0-10 |
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The PAIN AD scale rates pain from 0-10, with 0-1 being no ? pain, 2-3 being ?-? pain, 4-6 being ?-? pain and 7-10 being ?-? pain.
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no significant,
mild-moderate, moderate-severe, severe-very severe |
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Older adults often receive pain medication less often than younger adults which results in ? pain relief so we should compensate for this.
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inadequate
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Analgesics reach a ? peak and have a longer ? of action in older adults, so we should start with ? to ? of the adult dose
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higher,
duration, 1/4, 1/2 |
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With older adults in pain we should give analgesics around the ? at the beginning and on a ? basis later on as indicated by the pts pain status.
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clock,
PRN |
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If acute confusion occurs, assess for other ? factors before changing the med or stopping analgesics. Confusion in post-op pts has been found to be associated with unrelieved ? rather than with opiate use.
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contributing,
pain |
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Acetaminophen is an effective ? in older adults, although there is an increased risk of end-stage ? disease with long term use. Acetaminophen does not produce the GI bleeding that is seen with ?'s
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analgesic,
renal, NSAID's |
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Analgesics and adjuvants such as ?'s and ? may produce increased confusion inolder adults, ?'s can have the same effect during their intial period of administration.
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anticholinergics,
pentazocine(opiod), NSAID's |
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?'s have a greater analgesic effect and onger duration of action than non-opiod analgesics. We should avoid the use of ? which can stimulate the CNS causing confusion, seizures, and mood alterations. If this drug is selected don't use it for more than ? hrs.
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Opiates,
Meperidine(Demerol), 48 |
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? is a safer choice than Meperiding(Demerol) b/c its duration of action is longer, so a smaller overall dose is required.
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Morphine
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Vagul nerve stimulation, exercise, hydrotherapy, heat and cold packs, chriopractics, and TENS are all examples of ? pain Tx.
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non-pharmacoligical
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Yoga, biofeedback, hypnosis, acupuncture, massage, shiatsu, Reiki, guided imagery, reflexology, and therapeutic touch are ? therapies for managing pain.
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intergrative
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