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23 Cards in this Set
- Front
- Back
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Name the 9 Components of Geriatric Assesment
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1. Medical
2. Cognitive 3. Psychological 4. Functional 5. Social (support system) 6. Economic 7. Environmental 8. Preventative Medicine 9. Advance Directives |
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Activities of Daily Living (ADL)-6
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1. Bathing
2. Continence 3. Dressing 4. Feeding 5. Toileting 6. Transferring/moility (like how long to get from table to chair) |
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Instrumental ADL's
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1. Uses telephone
2. Gets to places out of walking distance 3. Goes Shopping for Groceries 4. Prepares own meals 5. Does own housework 6. Does own handyman work 7. Does own laundry 8. Takes own medication 9. Manages own money |
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9 Areas of Function to be evaluated
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1. cognitive fxn
2. Strength, Gait and Balance 3. Vision 4. Hearing 5. Nutrition 6. Depression 7. Poly-Pharmacy 8. Continence 9. Driving Skills |
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Name the 4 screening tests for cognitive fxn
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Mini Cog (CDT)
SLUMS Test Folstein MiniMental Status Exam (MMSE) Clock Test |
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Describe the Mini-Cog Test
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-Have pt draw a clock and do a 3 item recall
-Requires no equipment - have pt draw in a clock face w/ tme at 10 past 11 o'clock, give a point if correct -Score 1-3, with 3 being (-) for dementia |
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The SLUMS test is an alternate of what test? What is the diagnostic benefit of SLUMS?
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Replaced MMSE, more effective for early diagnosis of Alzheimers
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State one of the major differences between SLUMS and MMSE, which could be the reason SLUMS is a better diagnostic screen
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MMSE is based on entire population
SLUMS was/is targeted to the geriatric population |
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How do you test for Strength, Gait and Balance?
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Multiple Tests
Require repetitive activity in specific time frame Rhomberg is a good screen! |
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How do you check Vision?
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Rosenbaun Vision Card
Physical Exam: cornea, lens, and retina |
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How do you test hearing?
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Hearing Screen
Whisper Test Audiometric Testing ...clean earwax out! |
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How common is malnutrition in the elderly?
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15% of outpatients
50% of in patients |
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What are some causes of malnutrition in the elderly?
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Dementia
Dysphagia Polypharmacy |
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Screening Tools for Nutrition
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RBC
Serum B12 Serum Folate Vit D Albumin Lymphocytes Weight loss>10lbs in last months |
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What are some questions to evaluate depression?
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During last month, have you often been bothered by feeling down, depressed or hopeless?
During the past month, have you often been bothered by little interest or pleasure in doing things? |
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Major Points to remember with Polypharmacy.
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Ave elder: on 7 meds
Screen for liver/renal fxn and drug-drug interactions Check compliance |
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When should you ask about Continence?
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In ROS.... they may be too embarrassed to bring it up
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Incontinence is more common in females bc...
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Pelvic Floor Dysfxn
Urethral Anatomy Vulvar Atrophy |
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What causes male incontinence (usually)?
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Related to BPH
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What is the BEERS mnemonic?
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to remember medications/autonomic side effects that induce incontinence
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When do you ask about their driving?
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ROS
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Why is the loss of driving privileges/failing a driving eval so devastating?
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They lose their independence... emotional and physical loss
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Driving requires...
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cognition, intact memory, good visible ability
Adequate reflexes Physical Endurance |
