CKD, RCI, Depression & Driving and Community Mobility

CKD

100

What stage of CKD does kidney failure occur?

5

200

In what age group is CKD the most common?

65+

300

What are 3 symptoms of CKD?

• Nausea

• Vomiting

• Loss of appetite

• Fatigue and weakness

• Sleep problems

• Urinating more or less

• Decreased mental sharpness

• Muscle cramps

• Swelling of feet and ankles

• Dry, itchy skin

• High BP that's difficult to control

• Shortness of breath, if fluid builds up in the lungs

• Chest pain, if fluid builds up around the lining of the heart

400

What are two causes of CKD?

Type I/II diabetes, HBP, Glomerulonephritis, Interstitial nephritis, Polycystic kidney disease, Prolonged obstruction of the urinary tract, from conditions such as enlarged prostate, kidney stones and some cancers, Vesicoureteral reflux, Recurrent kidney infection (pyelonephritis) 

500

What are 2 things an individual with CKD can do to try and avoid kidney failure?

Lifestyle changes, 

Meeting with a dietitian, 

Proper use of medications,

Avoiding conditions or exposures that can harm the kidneys or cause a sudden drop in kidney function such as:

Kidney infections

Medications

Over the counter pain medicines like ibuprofen and naproxen

Certain antibiotics

Herbal supplements

Rotator Cuff Injury

100

What gender is RCI most prevalent in?

Males

200

What kind of assessments may be performed for a person who just received RCI surgery and is wanting to begin therapy?

ROM, MMT

300

Name one symptom of RCI

1. Pain when raising arm

2. Stiffness of shoulder

3. Tenderness or swelling of shoulder

4. Clicking sound of the shoulder

5. Reduced strength + mobility

6. Some can be asymptomatic

400

What can cause an RCI? 

Over-time wear and tear; impact injury

500

What are the 3 types of RCIs? 

Tendonitis, bursitis, rotator cuff tear

Depression

100

Name two types of depression

Major depressive disorder, bipolar disorder, seasonal affective disorder, persistent depressive disorder

200

Name two treatments for depression 

Antidepressants, psychotherapy, CBT, ECT, TMS, exercise, regulating sleep patterns

300

Name 3 major symptoms of depression

Feelings of sadness, hopelessness, loss of interest in activities, lack of energy/tiredness, thoughts of death or suicide (also suicide attempts), sleep disturbances, sudden weight loss or gain,

400

Name 2 contributing factors to the development of depression.

Stressful life events, medications, genetics, chronic medical conditions, brain chemistry 

500

What is a depression screening/assessment that you could use for a geriatric client with depression?

Beck Depression Inventory, Geriatric Depression Scale

Driving and Community Mobility

100

What aspects of depression impact driving?

sleepiness, medications, cognition, environment

200

How soon after surgery for an RCI can a patient typically return to driving? 

2 weeks after 

300

Name 3 things that impact driving and community mobility of a patient with CKD

Weakness

Hypoglycemia

Fatigue

Electrolyte Imbalance

Infection

Hypotension

400

What aspects of RCI may impair driving abilities? 

Mobility limitation, ROM, pain, sleep disturbances

500

What is a community program that consists of free safety education on in-vehicle features, adjustments for all sizes, and comfort for the individual older driver?

CarFit