Comprehensive Geriatric Assessment
What is the preferred terminology to tell an older person they need to stop driving?
"retire from driving"
What was the last letter to be added to the English alphabet?
J
Independent living
Assisted living
Nursing homes
Pharmacologic treatment of stress incontinence
Trick question. There is none.
Estimated number of pressure injuries that are treated in acute care facilities each year.
2.5-3 million
What is the strongest risk factor for cognitive impairment?
Increasing age
Define frailty
A multifactorial geriatric syndrome characterized by unintentional weight loss, low energy and activity levels, weakness, and slow walking speed.
Where did the first recorded recipe for apple pie come from?
England
Third line treatments for continued urinary incontinence despite behavioral and/or pharmacologic therapies
Device therapy (eg pessaries)
Injectable agents (eg botox)
Surgery (eg sacral nerve root stimulator)
Cost effective intervention that can positively affect health status
Prevention of pressure injuries
Using advanced static mattresses or overlays
What percentage of adults older than 65 fall each year?
30-40%
How many years was the Statue of Liberty a working lighthouse?
16 years
How many Grammys did Elvis win?
3
Urgency and mixed urinary incontinence may be treated with what pharmacologic therapies (2) if symptoms persist despite behavioral therapy.
Anticholinergic agents
Antimuscarinic agents
Risk factors for pressure injuries (4)
Immobility
Malnutrition
Sensory loss
Reduced skin perfusion
Name the 2 standardized screening instruments for assessing functional status.
Katz index of independence in activities of daily living
Lawton and Brody instrumental activities of daily living scale
FRAIL (fatigue, resistance, ambulation, illness, and loss of weight) scale
Osteoporotic fractures frailty scale
What is a baby puffin called?
A puffling
What is the national animal of Scotland?
Unicorn!
PS: This is Andi's favorite fun fact!
Protein-containing supplements
Hydrocolloid or foam dressings
Define comprehensive geriatric assessment.
Must get key words correct
A multidisciplinary diagnostic process to ascertain the physical, cognitive, psychological, environmental, and functional capabilities of older persons in order to develop a plan for preserving function and maximizing independence and quality of life.
How many grapes go into 1 bottle of wine?
700 grapes
Approximately 2.6 lbs
What does each of the 3 types of care facility provide?
Independent living: provides benefits of living in a community, must be able to perform all ADLs independently
Assisted living: home like environment but provides varying assistance with medications, ADLs, meals, housekeeping
Nursing home: 24 hour nursing care plus rehab services
First line therapy for urinary incontinence: stress incontinence, urgency incontinence, mixed incontinence
Must get all 3
Stress incontinence: pelvic floor muscle training
Urgency incontinence: bladder training with timed voiding
Mixed incontinence: pelvic floor muscle training
Exercise and weight loss for all obese patients with any form of urinary incontinence.
Classification of Pressure Injuries
Stages and description of each stage
Stage 1: Intact skin with non-blanchable redness
Stage 2: Partial thickness loss of dermis. Shallow open ulcer with red pink wound bed without slough. May also present as intact or ruptured serum filled blister
Stage 3: Full thickness tissues loss. Visible subq fat but not bone, tendon, or muscle. May include undermining or tunneling.
Stage 4: Full thickness tissue loss with exposed bone, tendon, or muscle
Unstageable: Full thickness tissue loss in which the base of the ulcer is covered in slough or eschar
Suspected deep tissue injury: Purple or maroon localized are of discolored but intact skin or a blood-filled blister due to damage of underlying soft tissue from pressure or sheer