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37 Cards in this Set
- Front
- Back
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Vampire mnemonic for delirium
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Vitals
Acute events Medication Pain control Infection Restricted mobility Environment |
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Ways to prevent delirium
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Maximize hearing/vision
Frequent reorganization Mobility Treat disease |
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Apraxia
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Inability to carry out motor activities despite intact motor function
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Does demeanour in early Parkinsons?
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No
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Early sign of alzheimers
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Memory
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Mini mental assesses
Cut off score |
Language and memory
May indicate alzheimers but not diagnosis. Can track severity of dementia. Below 24 cognitive impairment |
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What congenital genetic problem Inc risk for alzheimers
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Down syndrome by Age 40
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Aricept
Memantine (namenda) |
Acetylcholinesterase inhibitors for mild mod dementia
Glutamate inhibitors for mod/severe dementia |
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Alzheimers caregivers are...
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Spouse
Then daughter Then daughter in law |
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Mini cog
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3 item recall with clock drawing.
0= dementia 3= not dementia * vital. Signs measure for dementia |
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Second most common dementia
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Vascular - Dec blood flow to brain from stroke or blocked arteries
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Hallmark of lewy bodies dementia
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Abnormal deposit of protein alpha synuclein in nerve cells in the brain
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Is dementia common with Parkinsons?
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Yes in early stages
Lewy body like? |
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Front temporal (picks) dementia
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Pick body
Typical like dementia |
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Barthel index
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Simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill
Can show progression |
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Cut off scores for fall efficacy scale
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70 = fear of falling
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Romberg - sway with eyes open AND closed =
More sway with eyes closed = |
Suggest proprioceptive or cerebellar disorder
Vestibular problem |
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POMA cut off scores
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25 low risk 19 high risk |
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ABC cutting off scores
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A score greater then__ indicates safe for home on barthal
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Do PTs make home visits to ALFS?
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Yes
Medicare part A! And Medicare part A pays for pt in nursing homes too |
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Does Medicare pay for wellness programs for ALF?
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Yes, Medicare B
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Does Medicare pay for adult day care?
Are PT services provided? |
Some states have Medicare waiver programs that pay for adult day "health" care for those at risk of needing a nursing home
Yes and billed as an out patient service by Medicare B |
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What if your nursing home coverage stops?
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* Medicare doesn't pay for ltach that's why people switch to Medicaid or have ltc insurance
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Test that we can use to screen for hearing loss
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Hearing handicap inventory
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Are hearing aids covered by Medicaid?
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No
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Do people need reading glasses normal for aging?
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Yes
Prebyopia Dec tear is also normal |
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Is glaucoma preventable?
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Highly preventable if caught early
*Dec loss peripheral vision Drops help to Dec pressure |
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Do coping skills Inc with age?
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Yes
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Do benzos in elders Inc likelihood for delirium?
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Yes
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Warning signs of elder abuse other then obvious
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-eating disorders
-etoh - depression, withdrawn, low self esteem - unsanitary conditions |
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Characteristics of elder victims of abuse
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What does act 13 from 1997 require health care workers if any setting out of hospital to do with elder abuse signs?
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Report to AAA(area agency on aging) if abuse involves serious injury or sexual also call PA department of aging and also can call PA department of health nursing home complaint line
Or face criminal penalties The adult must usually give consent to any offered protective services |
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Are open ended questions advisable in normal situations?
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Yes
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6 components of chronic care model
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1. Self management support
2. Clinical information system 3. Delivery system redesign 4. Decision support 5. Health care organization 6. Community resources |
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Homeostenosis
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Aging increases susceptibility to disease and conditions... Narrowing the range for homeostasis
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Is aging heterogeneous
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Yes, some are ill some are healthy
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