Patient Safety/Fall Consideration
This is the leading cause of morbidity and mortality in older adults.
What is falls?
Patients should be educated to take these medications prior to sleeping hours.
What are opioids, muscle relaxants and sleep aids?
This chronic disease is known as the "silent killer."
Stiffening of the blood vessels and arteries leads to risk of __________.
What is hypertension
Decreased amounts of this hormone leads to an unbalance of osteoclast and osteoblast activity.
What is estrogen?
Medications, dehydration, structural changes, and malnutrition may all lead to this safety concern.
What is orthostatic hypotension?
This natural change of the older adults small intestine leads to diminished drug effectiveness.
What is increased motility?
Increased motility leads to shortened contact time.
Baseline recommended screenings are an example of ________ prevention.
What is Secondary?
Primary prevention: prevent occurrence of disease
Secondary prevention: early detection of disease
Tertiary prevention: limit disease progression or re-occurrence
Increased skin fragility is due to a decrease in this skin layer.
What is the epidermis?
This tool is used to diagnosis osteoporosis.
What is DEXA?
>-2.5 SD can be diagnosed as osteoporosis
What are antibiotics (cognitive changes), increased weakness, and lack of sleep leading to fatigue
Classic signs of diabetes include these three P's.
What are polydipsia, polyuria, polyphagia?
Weakening of these muscles lead to difficulty in complete bladder emptying.
What is pelvic floor muscles?
Osteoarthritis usually effects these joints.
Knees, hips and feet.
What are isometric exercises?
Medications that commonly cause adverse reactions in the older adult include _______ (7 medication categories).
What are analgesics, anticholinergics, antihistamines, benzodiazepines, antiparkinsonian medications, beta blockers, digoxin?
COPD is an umbrella term containing these conditions.
What are emphysema, asthma and chronic brochitis?
Emphysema: Reduced gas exchange due to loss of elasticity of the alveoli, increased RR, air trapping
Chronic bronchitis: increased mucus production due to chronic inflammation secondary to respiratory irritants.
Changes in mineral absorption in the gastrointestinal occur from decreases in this substance.
What is hydrochloric acid
Blindness is our biggest concern in this disease process.
What is giant cell temporal arteritis?
Standing on this side of the patient using a cane can reduce the chance of falls.
What is their weaker side?
Treating the same ailment with multiple medications.
Polypharmacy
The overweight patient will fall into this COPD diagnosis.
Chronic Bronchitis
Often, the older adult does not have difficult with hearing level of sound, rather they have difficulty with _________.
What is higher frequencies?
Overproduction or under excretion of this substance lead to gout.
What is uric acid?