NR 601 Primary Care of the Maturing & Aged Family
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Exam with verified detailed solutions ||\\//|| ||\\//|| ||\\//|| ||\\//||
Terms in this set (171) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
Purpose of Comprehensive Geriatric Assessment (CGA) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Health is related to psychosocial, functional ability, & safe environment
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Who is Comprehensive Geriatric Assessment (CGA) most beneficial for?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The vulnerable, older adult
||\\//|| ||\\//|| ||\\//||
Domains of Comprehensive Geriatric Assessment (CGA) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1) Physical health
||\\//|| ||\\//||
2) Functional health
||\\//|| ||\\//||
3) Psychological health
||\\//|| ||\\//||
4) Socioenvironmental support & QOL measures
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What does the functional health domain show?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
How the older adult care for themselves day to day (ADLs)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,Who created the Beers Criteria?
||\\//|| ||\\//|| ||\\//|| ||\\//||
American Geriatric Society ||\\//|| ||\\//||
What is the purpose of the Beers Criteria?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Improve medication selection
||\\//|| ||\\//|| ||\\//||
- Avoid dangerous medications
||\\//|| ||\\//|| ||\\//||
Who is the Beers Criteria aimed toward?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- 65 years & older; except hospice & palliative care patients
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What does the Beers Criteria stress?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- The importance of deprescribing to avoid polypharmacy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Adverse drug reactions
||\\//|| ||\\//|| ||\\//||
Vaccines
- Tetanus
||\\//||
- Diphtheria
||\\//||
- Pneumococcal
||\\//||
- Influenza
||\\//||
,Colorectal screening ages ||\\//|| ||\\//||
50-75
Breast cancer screening ages ||\\//|| ||\\//|| ||\\//||
- Biennial screening for women ages 50-74
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Health promotion ||\\//||
- Smoking cessation
||\\//|| ||\\//||
- Aerobic exercise & strength training
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Who needs AAA screening? ||\\//|| ||\\//|| ||\\//||
*Smokers are at high risk for aneurysm ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lab changes affected by dehydration
||\\//|| ||\\//|| ||\\//|| ||\\//||
- Increased ESR (sed rate)
||\\//|| ||\\//|| ||\\//|| ||\\//||
- Reduced physiological reserves d/t thinner skin & less sub q tissue/ fat
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Mini Nutritional Assessment
||\\//|| ||\\//||
- Obesity b/c the metabolism slows down & inactivity
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, Functional Domain Screening Tools ||\\//|| ||\\//|| ||\\//||
- Brody & Lawton: Assess IADLs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Barthel Index: Assesses ADLs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
--------------------------------------------------------------
*Any change in function is often the first & only sign of a new or changed disease process
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is FEV 1? ||\\//|| ||\\//|| ||\\//||
The total volume of air a patient is able to exhale in the first second during maximal effort.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A > 12% change from pre-bronchodilator to post-bronchodilator results indicate what?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The obstruction is reversible
||\\//|| ||\\//|| ||\\//||
When do you see hyperinflation of the lungs? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
due to increased total lung capacity present w/ obstruction
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
[i.e. COPD] ||\\//||
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Exam with verified detailed solutions ||\\//|| ||\\//|| ||\\//|| ||\\//||
Terms in this set (171) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
Purpose of Comprehensive Geriatric Assessment (CGA) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Health is related to psychosocial, functional ability, & safe environment
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Who is Comprehensive Geriatric Assessment (CGA) most beneficial for?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The vulnerable, older adult
||\\//|| ||\\//|| ||\\//||
Domains of Comprehensive Geriatric Assessment (CGA) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1) Physical health
||\\//|| ||\\//||
2) Functional health
||\\//|| ||\\//||
3) Psychological health
||\\//|| ||\\//||
4) Socioenvironmental support & QOL measures
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What does the functional health domain show?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
How the older adult care for themselves day to day (ADLs)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,Who created the Beers Criteria?
||\\//|| ||\\//|| ||\\//|| ||\\//||
American Geriatric Society ||\\//|| ||\\//||
What is the purpose of the Beers Criteria?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Improve medication selection
||\\//|| ||\\//|| ||\\//||
- Avoid dangerous medications
||\\//|| ||\\//|| ||\\//||
Who is the Beers Criteria aimed toward?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- 65 years & older; except hospice & palliative care patients
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What does the Beers Criteria stress?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- The importance of deprescribing to avoid polypharmacy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Adverse drug reactions
||\\//|| ||\\//|| ||\\//||
Vaccines
- Tetanus
||\\//||
- Diphtheria
||\\//||
- Pneumococcal
||\\//||
- Influenza
||\\//||
,Colorectal screening ages ||\\//|| ||\\//||
50-75
Breast cancer screening ages ||\\//|| ||\\//|| ||\\//||
- Biennial screening for women ages 50-74
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Health promotion ||\\//||
- Smoking cessation
||\\//|| ||\\//||
- Aerobic exercise & strength training
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Who needs AAA screening? ||\\//|| ||\\//|| ||\\//||
*Smokers are at high risk for aneurysm ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lab changes affected by dehydration
||\\//|| ||\\//|| ||\\//|| ||\\//||
- Increased ESR (sed rate)
||\\//|| ||\\//|| ||\\//|| ||\\//||
- Reduced physiological reserves d/t thinner skin & less sub q tissue/ fat
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Mini Nutritional Assessment
||\\//|| ||\\//||
- Obesity b/c the metabolism slows down & inactivity
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, Functional Domain Screening Tools ||\\//|| ||\\//|| ||\\//||
- Brody & Lawton: Assess IADLs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Barthel Index: Assesses ADLs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
--------------------------------------------------------------
*Any change in function is often the first & only sign of a new or changed disease process
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is FEV 1? ||\\//|| ||\\//|| ||\\//||
The total volume of air a patient is able to exhale in the first second during maximal effort.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A > 12% change from pre-bronchodilator to post-bronchodilator results indicate what?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The obstruction is reversible
||\\//|| ||\\//|| ||\\//||
When do you see hyperinflation of the lungs? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
due to increased total lung capacity present w/ obstruction
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
[i.e. COPD] ||\\//||
