Solutions
What types of interventions should be included for an
amputation?
Peroperative care, postoperative care, rehabilitative care,
prosthetic fitting and adaptation
What is polymyalgia rheumatica?
Chronic inflammatory condition characterized by sudden onset
of muscle stiffness and aching in the neck, shoulders, and pelvic
girdle.
Changes in neurologic system with aging?
The number of neurons in various areas of the brain decreases,
abnormal substances are deposited on the neuronal cellular
structure, changes in neuron function are associated with
lipofuscin granules and neuritic plaques on the body of some
neurons and some cellular debris in neuroglia cells, Neuroglia
and schwann cells increase, neurotransmitters and hypothalamic
changes, the reticular activating system (RAS) is altered,
changes in the ability to consciously learn and retain new
information, synapse loss in the neurons, decreased
microvascular integrity, reduction in glucose metabolism, and
alterations in the neuroglia cells, reduction of turnover of CSF
decreases the distribution and efficiency with wich the necessary
substances are delivered from the CP to the brain target sites,
neurodegenerative and neurochemical changes in the cerebellum
,are believed to be the underlying cause of decline in motor and
cognitive function
What should a complete mental assessment include?
Attention, memorym orientation, perceptions, thought processes,
thought content, insight, judgment, affect, mood, language, and
higher cognitive functions
What is part of a neurologic assessment?
Evaluation of cranial nerves, gait, balance, distal deep tendon
reflexes, plantar responses, primary sensory modalities in the
lower extremities, and cerebrovascular integrity
What is the DSRS?
Dementia Severity Rating Scale, 11 item instrument that can be
easily and quickly administered and covers memory, orientation,
judgment, community affairs, home activities, personal care,
speech, and language recognition, feeding, incontinence, and
mobility or walking.
What is the MoCA?
Montreal Cognitive Assessment, 30 item tool assesses the
domains of attention and concentration, executive functions,
memory, language, visuospatial abilities, conceptual thinking,
calculations, and orientation
What is the GDS?
Geriatric Depression Scale, 15 item tool, 10 indicate the
presence of depression when answered positively, 5 indicate
depression when answered negatively
,Primary types of dementia?
Alzheimers disease(AD), vascular dementia(VaD), dementia
with lewy bodies(DLB), frontotemporal dementia(FTD)
What is a subdural hematoma?
Bleeding between the cranium and the cerebral cortex, can cause
cognitive impairment and neurologic deficits
Demetia related disease?
Normal pressure hydrocephalus, subdural hematoma,
intracranial tumors
Common risk factors for suicide in older adults?
Recent death of a loved one, physical illness, uncontrolled pain,
fear of a prolonged illness, perceived poor health, social
isolation and loneliness, and major changes in social roles
Characteristics of Parkinsons disease?
Slowing in the initiation and execution of movement
(bradykinesia), increased muscle tone (rigidity), tremors at rest,
and impaired postural reflexes
What is festinating gait?
Occurs when the individual can only take small short steps
What is freezing in relation to posture and gait?
Phenomenon in which the individual appears to be glued to the
floor, unable to move
What is propulsive gait?
, Occurs when an individual begins walking, then starts running
forward, unable to stop until he or she falls or runs into
something
What is retropulsion?
Individual is walking and falling backward instead of forward
Sypmtoms of GAD (generalized anxiety disorder)?
Chronic worry during most waking hours, restlessness, fatigue,
decreased concentration, irritability, muscle tension, or disturbed
sleep
Erotomanic delusion?
That another person, usually of higher status is in love with the
individual
Grandiose delusion?
Inflated self worth, power, knowledge, identity, or special
relationship to a deity of famous person
Jealous delusion?
Individual's sexual partner is unfaithful
Persecutory delusion?
That the person (or someone they are close to) is being
malevolently treated in some way
Somatic delusion?
That they have some physical defect or general medical
condition