Mentation
Medication
This Matters
Mobility
M&Ms
100

This is the recognized delirium screening tool for older adults at MHH 

What is bCAM?

100

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?

100

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?

100

Prolonged immobility in hospitalized older adults causes loss of  ability to complete these activities independently .

What are activities of daily living (ADLs)?

100

This is an unmet need in the hospitalized older adult that can trigger delirium

What is pain, fear, need to void (incontinence/retention)?

200

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?

200

Double Jeopardy

This is the alternate frequency for medications prescribed every 8 hours to limit sleep interruptions 

What is Q8-06?

200

Estimated length of time for NPO status prior to scheduled surgery for hospitalized patient already on a clear liquid diet

What is 3 hours?

200

Double Jeopardy

Hospitalized older adults are encouraged to be OOB at least for this event.

What are meals?

200

Bedside sitters are encouraged to do this for older adults with delirium.

What is Engage/Mobilize the patient? OR

Distract from unsafe actions? OR

Reorient OR

Address unmet needs (voiding, thirst, hunger etc)

300

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?

300

The use of muscle relaxants should be avoided in the geriatric population due to the risk of this. Keep this vital statistic from shifting less you fall

What is orthostatic hypotension OR hypotension?

300

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?"

300

Activities that help limit the complications of bedrest.

What are bed mobility exercises, ADL training, and sit to stand to sit?

300

Double Jeopardy

According to American Nursing Association, do not use this to treat behavioral & psychological symptoms of hospitalized older adults with dementia

What are physical restraints?

400

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?

400

This postoperative complication can cause delirium, but treatment can cause the same. Manage carefully

What is pain?

400

Double Jeopardy

Emotional and physical are 2 of several forms of this issue in older adults. Skin inspection is sometimes helpful

What is elder abuse?

400

Activity/mobility level recommendations for hospitalized older adults should be based on this. Back to the basics.

What is their baseline activity level at home?

400

This impediment has respiratory and nutritional complications in older adults after hip fracture, particularly those with Parkinson's disease. You may need to call the therapist to address intake.

What is dysphagia?

500

This is a risk factor for hospital associated delirium for the frequent flyer. Been there, done that!

What is prior episode of delirium?

500

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?

500

Moisture and force are the enemy regardless of stage. Better take a look

What is pressure ulcer?
500

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?

500

This problem causes cognitive deficits, altered immune function, increased risk of falls. Please hold the chatter, lights

What is sleep deprivation/abnormal circadian rhythm?