NR601 week 1
Health promotion includes - answer Recommendations to optimize one's health
Preventative
health protective measures
actualization of one's health potential
Disease prevention includes - answer Counseling screenings and chemoprophylaxis for
the various levels of prevention
Primary secondary tertiary
Healthy People 2020 Goals for older persons - answer Attain high-quality longer lives
free of preventable disease disability injury and premature death
Promote quality of life healthy development and healthy behaviors across all life stages
Achieve healthy equity illuminate disparities and improve the health of all groups
Healthy people 2020 specific objectives for older adults - answer Increased use of the
welcome to Medicare visit
Increase the number of adults who are up-to-date with preventative services
Decrease the number of emergency department visits for older adults especially for falls
According to the who what are the five priorities for member countries For aging and
health - answerCommitment to Healthy aging
Synchronizing the needs of older persons and health systems
Designing age friendly environments
Developing long-term care systems
Research
Healthy aging.org - answerPatient education
Polypharmacy - answerThe use of multiple pharmacies Multiple prescribers use of over-
the-counter medication's and readily available supplements
Ways to prevent polypharmacy - answerHave new patients bring all medications to the
first visit
Review the appropriateness of each medication does the evidence support continuation
or is it duplicated
Are there any address reactions are there any potential ADRs to monitor sometimes
ADRs are as settle as fatigue
Ongoing polypharmacy surveillance - answerReview your patience medication list at
every visit
, Specifically ask if any other provider has changed or added any medication since last
visit
Update the office medication list with the patient's medication list every visit
Consider deprescribing Is every prescribed or over the counter medication currently
necessary
Three available polypharmacy tools to evaluate your patients prescriptions -
answerSTOPP
MAI
ARMOR
Beers Criteria - answerA guide for medical management of geriatric patients
Beers criteria goal - answerTo improve quality and safety
Pharmacokinetics Changes in elderly - answerAbsorption distribution metabolism and
Elimination
Main cause of hospitalization due to ADRs in elderly - answerAnticoagulation and
diabetes medication
Secondary causes of hospitalizations due to 80 yours in the elderly - answerAntibiotics
anti-histamines anticonvulsants antipsychotics diuretics digoxin hypoglycemic agents
Antineoplasmic medications and NSAIDS
2019 updates include - answerTable to include 30 individual criteria of medications or
medication classes to be avoided an older adults
Tables 3 and four the 16 criteria specific to more than 40 medication or medication
classes that should be avoided or used with caution in specific diseases or conditions
Important provider facts when dealing with the beers criteria - answerThey are not
absolutely contra indicated
The list includes Dosage adjustments for kidney impairment
The list includes drug to drug interactions to avoid
What are the 4 major impacts of Physiological changes in older adults - answerReduce
physiological reserve of most body systems particularly cardiac respiratory and renal
There are reduced homeostatic mechanisms that fail to adjust regulatory systems such
as temperature control and fluid and electrolyte balance
There are changes in the sympathetic response which Contribute to orthostasis in falls
as well as lack of hypoglycemic response
There is impaired immunological function infection risk is greater an auto immune
diseases or more prevalent
Health promotion includes - answer Recommendations to optimize one's health
Preventative
health protective measures
actualization of one's health potential
Disease prevention includes - answer Counseling screenings and chemoprophylaxis for
the various levels of prevention
Primary secondary tertiary
Healthy People 2020 Goals for older persons - answer Attain high-quality longer lives
free of preventable disease disability injury and premature death
Promote quality of life healthy development and healthy behaviors across all life stages
Achieve healthy equity illuminate disparities and improve the health of all groups
Healthy people 2020 specific objectives for older adults - answer Increased use of the
welcome to Medicare visit
Increase the number of adults who are up-to-date with preventative services
Decrease the number of emergency department visits for older adults especially for falls
According to the who what are the five priorities for member countries For aging and
health - answerCommitment to Healthy aging
Synchronizing the needs of older persons and health systems
Designing age friendly environments
Developing long-term care systems
Research
Healthy aging.org - answerPatient education
Polypharmacy - answerThe use of multiple pharmacies Multiple prescribers use of over-
the-counter medication's and readily available supplements
Ways to prevent polypharmacy - answerHave new patients bring all medications to the
first visit
Review the appropriateness of each medication does the evidence support continuation
or is it duplicated
Are there any address reactions are there any potential ADRs to monitor sometimes
ADRs are as settle as fatigue
Ongoing polypharmacy surveillance - answerReview your patience medication list at
every visit
, Specifically ask if any other provider has changed or added any medication since last
visit
Update the office medication list with the patient's medication list every visit
Consider deprescribing Is every prescribed or over the counter medication currently
necessary
Three available polypharmacy tools to evaluate your patients prescriptions -
answerSTOPP
MAI
ARMOR
Beers Criteria - answerA guide for medical management of geriatric patients
Beers criteria goal - answerTo improve quality and safety
Pharmacokinetics Changes in elderly - answerAbsorption distribution metabolism and
Elimination
Main cause of hospitalization due to ADRs in elderly - answerAnticoagulation and
diabetes medication
Secondary causes of hospitalizations due to 80 yours in the elderly - answerAntibiotics
anti-histamines anticonvulsants antipsychotics diuretics digoxin hypoglycemic agents
Antineoplasmic medications and NSAIDS
2019 updates include - answerTable to include 30 individual criteria of medications or
medication classes to be avoided an older adults
Tables 3 and four the 16 criteria specific to more than 40 medication or medication
classes that should be avoided or used with caution in specific diseases or conditions
Important provider facts when dealing with the beers criteria - answerThey are not
absolutely contra indicated
The list includes Dosage adjustments for kidney impairment
The list includes drug to drug interactions to avoid
What are the 4 major impacts of Physiological changes in older adults - answerReduce
physiological reserve of most body systems particularly cardiac respiratory and renal
There are reduced homeostatic mechanisms that fail to adjust regulatory systems such
as temperature control and fluid and electrolyte balance
There are changes in the sympathetic response which Contribute to orthostasis in falls
as well as lack of hypoglycemic response
There is impaired immunological function infection risk is greater an auto immune
diseases or more prevalent
