Show:
Depression
Dementia
Delirium
Falls
Potpourri
100
____ % of hospitalized older adults will experience depression.
What is 25%?
100
This is a good screening tool for dementia that is less influenced by age, education, and language than others
What is the mini-cog?
100
This is a commonly used screening tool for delirium which has a separate version used in the ICU.
What is the CAM (confusion assessment method)? [CAM-ICU is used in the ICU]
100
This is one of the consequences of falls in older adults (note: there are 3)
What are 1.) bruises, 2.) hip fractures, and 3.) head traumas
100
This condition is defined as a clinical syndrome with lower mood tone, difficulty thinking, and somatic changes. It is the most common emotional disorder in older adults.
What is depression?
200
These are three symptoms of depression in older adults (note: there are 9 total)
What are 1.) depressed, sad, or irritable mood, 2.) diminished pleasure in people or activities, 3.) feelings of worthlessness, self-reproach, or excess guilt, 4.) difficulty thinking or diminished concentration, 5.) suicidal thinking or attempts, 6.) fatigue or energy loss, 7.) changes in appetite or weight, 8.) disturbed sleep, and 9.) psychomotor agitation or retardation
200
These are 4 of the common behaviors associated with dementia (note: there are 10 total)
What are: 1.) restlessness, 2.) anxiety, 3.) irritability, 4.) anger outbursts, 5.) verbal and physical aggression, 6.) wandering, 7.) resistance to care, 8.) repetitive vocalizations, 9.) hoarding, and 10.) rummaging ?
200
Promoting sleep at nighttime is an important strategy for preventing and managing delirium. True or False?
What is true?
200
This is the most common fracture from falls in older adults.
What is hip fractures?
200
This unexpected event is defined as an unplanned descent to the floor, with or without injury.
What is a fall?
300
These are 2 of the risk factors for depression (note: there are 4 total)
What are 1.) social & demographic: (female, unmarried or widow, stressful life events, absence of social network, caregiving for older adult with dementia), 2.) psychosocial: (cognitive distortions, chronic stress, history of alcohol abuse) 3.) medical comorbidity: (stroke, cancer, dementia, arthritis, hip fracture, MI, COPD, parkinson's disease) and 4.) depressogenic medications: (antihypertensives, analgesics, antiparkinsonian agents, antimicrobials, cardiovascular, hypoglycemic, cimetidine, indomethacin, chemo)
300
This percentage of hospitalized older adults have dementia.
What is 25 %
300
These are the three subtypes of delirium.
What are 1.) hypoactive, 2.) hyperactive, and 3.) mixed
300
Men sustain the majority of hip fractures. True? or False?
What is False. Women sustain 80% of hip fractures in older adults.
300
When partnering with the caregiver of an older adult patient, the goal is blending the knowledge and expertise of the nurse with the caregiver's knowledge of the patient and situation. True? or False?
What is True.
400
These are three of the consequences of depression in older adults (note: there are 10 total)
What are: 1.) heightened pain or disability, 2.) delay in recovery from illness or surgery, 3.) worsening medical symptoms, 4.) risk of physical illness, 5.) increased healthcare use, 6.) alcoholism, 7.) cognitive impairment, 8.) worsening social impairment, 9.) protein-calorie sub-nutrition, and 10.) increased rate of suicide and non-suicide related death
400
These are 4 of the potentially reversible primary or contributing causes of dementia (note: there are 13 total).
What are: 1.) metabolic disturbances, 2.) vitamin deficiencies, 3.) thyroid dysfunction, 4.) infection, 5.) depression, 6.) medications, 7.) pain, 8.) fluid and electrolyte disorders, 9.) hypovolemia, 10.) hypoxia, 11.) cerebrovascular inflammation, 12.) brain lesions, and 13.) hydrocephalus
400
These are 5 risk factors for delirium (note: there are 15 total)
What are 1.) dementia, 2.) male gender, 3.) advanced age, 4.) medical illness, 5.) poor functional status, 6.) alcohol abuse, 7.) depression, 8.) dehydration, 9.) sensory impairment, 10.) polypharmacy, 11.) malnutrition, 12.) physical restraints, 13.) urinary catheter, 14.) iatrogenic events such as infection, 15.) untreated pain
400
If needed, restraints are an evidence-based strategy to reduce falls. True? or False?
What is False ?
400
There are multiple forms of dementia. This form, which is the most common and occurs 60% of time is called what?
What is Alzheimer's disease?
500
_______ ______ who are > age 85 are at greatest risk for suicide in older adults.
What is "white" "males" ; white males who are > age 85 are at greatest risk for suicide
500
This is the most significant risk factor for dementia.
What is advanced age?
500
These two conditions may be difficult to assess due to overlapping clinical features; they are delirium and ______
What is dementia?
500
These are the two BROAD (hint....think high level) risk factors for falls in older adults.
What are A. Extrinsic, such as patient's environment (eg. equipment, lighting, clutter), and B. Intrinsic, such as patient factors (eg. medical illness, chronic disease, high-risk medications, age-related changes)
500
According to the CDC, this percentage of older adults fall annually. Is it more than 1/2, 1/3, or 1/4 ?
What is 1/3 ?