Function
Medications
Nutrition, Hydration, Oral Health
Pain
Potpourri
100
This test is used to assess ambulation, balance and gait. It is the Get ___ and ____ test. (fill in the blanks)
What is the Get Up and Go Test.
100
This is the term used for "many medications". It poses increased risks for older adults.
What is polypharmacy?
100
This is the misdirection of oropharyngeal secretions or gastric contents into larynx or lower respiratory tract. Can result in pneumonia.
What is aspiration?
100
This is the decline in the effectiveness of a drug over time, due to continual use. Increasing the dose overcomes this effect.
What is drug tolerance?
100
This document allows an individual to appoint a relative, friend, or trusted other as a healthcare proxy, agent, attorney-in-fact, or surrogate to make healthcare decisions, in the event the individual loses decision-making capacity
What is a durable power of attorney for healthcare?
200
A tool used to evaluate INDEPENDENT activities of daily living is the Lawton. These are three of the domains of function. (note: there are a total of 8).
What are: 1.) ability to use telephone, 2.) shopping, 3.) food preparation, 4.) housekeeping, 5.) laundry, 6.) transportation, 7.) medication responsibility, and 8.) ability to handle finances
200
This is the term used to describe the time it takes for drug concentration in plasma to decrease 50%
What is half-life?
200
These are three of the risk factors for malnutrition in the older adult (note: there are 7)
What are: 1.) dietary (inadequate food and/or nutrition), 2.) economic (limited income), 3.) psychosocial (eating alone), 4.) physiologic changes due to age, 5.) impaired cognition (impairs ability to prepare and/or eat food), 6.) medications (causing dry mouth), and 7.) poor oral health ?
200
Examples of analgesics to avoid in older adults include demerol and toradol. True or False ?
What is True? (some analgesics are to be avoided due to being ineffective or have higher risk of side effects in older adults).
200
This is a depletion in total body water content due to pathologic fluid losses, diminished water intake, or a combination of both. It results in hypernatremia in extracellular fluid compartment.
What is dehydration?
300
A tool used to evaluate activities of daily living is the Katz. These are three of the activities that are assessed. (note: there are a total of 6).
What are: 1.) bathing, 2.) dressing, 3.) toileting, 4.) transferring, 5.) continence, and 6.) feeding
300
The cockroft-gault formula is the preferred measure of this, in older adults
What is creatinine clearance?
300
This is characterized by inflamed mucous membranes with thick white or cream-colored deposits on the tongue, inner cheeks, gums, tonsils, and palate.
What is oral candidiasis (thrush)?
300
This non-pharmacalogical pain strategy stimulates the body's healing abilities through remedies made from diluted plants, animals, or mineral substances.
What is homeopathy ?
300
This is a noxious or unwanted response that occurs with a medication dose that would usually be therapeutic. One study showed that it was the cause of 6.5% of hospital admissions.
What is an adverse drug reaction (ADR)?
400
Consequences of functional decline include these 2 things. (note: there are a total of 6)
What are: 1.) increased fall risk, 2.) inability to participate in ADL's, 3.) decreased interactions with others, 4.) increased risk of nursing home placement, 5.) increased need for long-term care, 6.) increased morbidity
400
This list is the standard to determine inappropriate medications in older adults.
What is the Beers list?
400
There are three diseases/diagnoses/conditions that are associated with poor oral health in older adults (note: there are 8).
What are: 1.) malnutrition and dehydration, 2.) systemic infections, 3.) brain abscess, 4.) valvular heart disease, 5.) joint infections, 6.) cardiovascular disease (stroke and MI), 7.) pneumonia/aspiration pneumonia, 8.) poor glycemic control in diabetes
400
This non-opioid analgesic is the drug of choice for arthritis in older adults.
What is acetaminophen (tylenol)?
400
In 1990, the supreme court established that a competent patient has the right to refuse these two medical treatments. However, it is important to be aware of state regulations regarding these treatments in order to assist patients and families with decisions.
What are artificial nutrition and hydration?
500
Functional decline occurs in ___% to ___% of older adults during hospitalization (fill in the blanks).
What is- Functional decline occurs in 20% to 40% of older adults during hospitalization.
500
These are three examples of common medications that are high-risk for older adults (note: there are 9 total)
What are: 1.) warfarin, 2.) antihypertensives, 3.) psychoactive drugs, 4.) psychoactive stimulants, 5.) antidepressants, 6.) conventional antipsychotics, 7.) medications with high anticholinergic properties (eg. most antihistamines and sleep aids, steroids), 8.) digoxin, and 9.) OTC drugs such as aspirin, NSAIDS, and cold remedies with alcohol
500
These are two of the consequences of dehydration in the older adult (note: there are 5)
What are: 1.) constipation, 2.) increased falls, 3.) medication toxicity, 4.) infections, and 5.) increased one year mortality ?
500
This type of pain results from disease processes such as arthritis or soft tissue injury. It is usually localized and responds well to treatment.
What is nociceptive pain?
500
Marasmus and Kwashiorkor are two types of this.
What is protein/energy malnutrition?
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