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11 Cards in this Set
- Front
- Back
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Goals of Geriatric care:
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1. Care vs cure
2. Improvement or maintenance of function and quality of life 3. Prevention 4. Comfort for the terminally ill, must be addressed by the physicians |
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Top 5 causes of death for ages 45-64
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1. Cancer
2. HD 3. Stroke 4. Accidents 5. COPD |
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Top 5 causes of death for ages 65+
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1. HD
2. Cancer 3. Stroke 4.COPD 5. Pneumonia/Influenza |
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Components of the History
of the Older Patient (besides the usual) |
Caregiver status
Specialty physicians currently involved in care Functional history Current use of community resources |
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Special Consideration in Geriatrics Systems Review
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Cognitive impairment
Dental status Falls Foot disorders Gait abnormalities or use of adaptive equipment Hearing Loss Incontinence (fecal and urinary) Nutrition or feeding impairment Osteoporosis Pressure ulcers Psychiatric illness Sexual history Sleep disorders Vision loss |
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Geriatric visit Labs
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CBC
Metabolic Panel Thyroid Function RPR Vitamin B12 Folate |
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People 65+ in the US account for more than __% of all expenditures of health care
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People 65+ in the US account for more than 34% of all expenditures of health care
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They use more than __% of all prescriptions written and 40% of all OTC drugs
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They use more than 30% of all prescriptions written and 40% of all OTC drugs
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In 1986, of all deaths caused by adverse reactions to medications, __% occurred in persons more than 60 years of age; and of all hospitalizations, resulting from adverse reactions to medications, 39% occurred in those over 60.
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In 1986, of all deaths caused by adverse reactions to medications, 51% occurred in persons more than 60 years of age; and of all hospitalizations, resulting from adverse reactions to medications, 39% occurred in those over 60.
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Causes of adverse reactions to medications
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Polypharmacy and inappropriate medications.
Compliance |
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Rules for Rational Drug Therapy (MASTER)
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Minimize the number of drugs used
Alternatives should be considered Start low and go slow Titrate therapy Educate Patient Review Regularly |
