Mentation
This is the recognized delirium screening tool for older adults at MHH
What is bCAM?
To help identify potential drug interactions, this review of up-to-date list of of home medication is necessary on admission.
What is medication reconciliation?
This stereotype leaves older adults from important clinical decision making in the hospital. You may experience it if you live long enough
What is ageism?
This is the list of items that you can ask older adults to assess their basic functional status.
What are activities of daily living (ADLs)?
bathing, dressing, eating, and toileting.
This is a device that the nurse can order to minimize delirium risk for older adults with hearing impairment.
What is a hearing amplifier?
This is the 3rd most common ailment (HTN, arthritis) in older adults and is a risk factor for depression, dementia, and delirium. You heard that right!
What is hearing loss/HOH?
This is the list of medications that could be harmful for older adults
What is Beer's criteria
Estimated length of time for NPO status prior to scheduled surgery for hospitalized patient already on a clear liquid diet
What is 3 hours?
This is a list of items to assess older adults' baseline high-level functional status at home.
What is instrumental activities of daily living?
shopping, cooking, managing finances, and using transportation.
This medication is known to be ineffective for constipation, but is still widely used.
What is docusate?
Double Jeopardy
Loss of functional independence, gradual or sudden can cause problems like pain intolerance, lack of personal hygiene, fatigue. You may need a PHQ-2
What is depression?
What medications you should be cautious when applying multimodal pain regimen?
What is gabapentin or muscle relaxant?
Do not ask "What is the matter with you?". Instead asking __ is a better question to learn of patient's values
What is "What matters to you?"
Double Jeopardy
Hospitalized older adults are encouraged to be OOB at least for this event.
What are during the meals?
This is how many hours a patient should be able to participate in physical therapy to be qualified for inpatient rehabilitation unit admission.
What is at least three hours of intensive therapy per day, ideally for five days a week.
This item on the delirium screening test describes a patient who is easily distracted, has difficulty keeping track of what is being said, and has difficulty listing days of the week in reverse order during screening
What is inattention?
This postoperative complication can cause delirium, but treatment can cause the same. Manage carefully
What is pain?
Emotional and physical are 2 of several forms of this issue in older adults. Skin inspection is sometimes helpful
What is elder abuse?
You can order this to assess environmental risk of fall at home upon discharge.
What is home health home safety evaluation?
This is a well-studied effective strategy to reduce the risk of aspiration pneumonia.
What is good oral care?
This is a risk factor for hospital associated delirium for the frequent flyer. Been there, done that!
What is prior episode of delirium?
There may be some resistance with discussing this issue among older adults. If unattended, can cause poor appetite, urinary retention, and delirium.
What is Constipation?
Moisture and force are the enemy regardless of stage. Better take a look
This syndrome is recognized by decreased endurance, decreased physiologic function and increased vulnerability to stressors. It is responsible for poor outcomes in hospitalized older adults.
What is Frailty?
This is a medication that has been widely used before a brain imaging study for older adults but is known to be highly associated with delirium and high mortality.
What is lorazepam?