Anatomy
&
Physiology
Adaptations to Geriatric Assessments
Common Geriatric Emergencies
Treatment
Considerations

Principles of Geriatric care
100

With aging, bones lose mass and become more likely to break.

What is decreased bone density?

100

This hearing-related disease is the result of heightened cochlear pressure and is caused by endolymphatic rupturing. It presents with symptoms of hearing loss, extreme vertigo, tinnitus, and inner ear pressure.

what is Ménière disease?


Ménière’s Disease. (2026, January 22). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/15167-menieres-disease 


100

These masses decrease and often come brittle and break more easier.

What is bone mass? 

Helman, A. (2021, March 31). Episode 34: Geriatric Emergency Medicine. Emergency Medicine Cases. https://emergencymedicinecases.com/episode-34-geriatric-emergency-medicine/  

Nancy Caroline chapter 4 

100

Advanced Care Planning.

What is a green sleeve?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

100

Reduced physiologic reserve, weakness, weight loss, and increased vulnerability to stressors.

What is frailty?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

200

Isolated systolic hypertension in older adults occurs because arteries become stiff and lose their ability to expand.

What is the loss of arterial elasticity?

200

This disease affects nearly 40% of individuals over the age of 65 and is a normal process in aging. Symptoms of this progressive age-related impairment present as loss of balance, personality changes, impulsivity, repetition of sentences or questions, and hallucinations or paranoia.

What is dementia?


What is dementia? (n.d.). Alzheimer Society of Canada. https://alzheimer.ca/en/about-dementia/what-dementia 


200

This regulatory system becomes impaired, rising levels commonly occur.

What is raising blood glucose levels? 

Helman, A. (2021, March 31). Episode 34: Geriatric Emergency Medicine. Emergency Medicine Cases. https://emergencymedicinecases.com/episode-34-geriatric-emergency-medicine/  

Nancy Caroline chapter 4 

200

Ventilating with a BVM, what is something that you might want to remove but should not.

What are dentures?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

200

An assessment of Asking/assessing patients if they can perform activities such as bathing, dressing, and feeding themselves.

What are activities of Daily Living (ADLS)?

 

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

300

With aging, this lung change causes a vital capacity to decrease while residual volume increases.

What is decreased lung elasticity?

300

This condition may appear similar to dementia, but has a very sudden onset with disorientation, confusion, agitation, and mood swings. Unlike dementia, this condition can be the result of an underlying issue such as infection, disease, or drug interaction.

What is delirium?


Causes of delirium | American Geriatrics Society | HealthInAging.org. (n.d.). https://www.healthinaging.org/a-z-topic/delirium/causes 

300

Older patients often have a “painless” symptom or describe it as “burning and indigestion” in emergent cases regarding the chest.

What is a heart attack? 

Helman, A. (2021, March 31). Episode 34: Geriatric Emergency Medicine. Emergency Medicine Cases. https://emergencymedicinecases.com/episode-34-geriatric-emergency-medicine/  

Nancy Caroline chapter 4 

300

What treatments/processes can lead to integumentary tears.

What is looking for a vein for IV insertion, the tape from an IV-line, 12 lead stickers?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

300

Blankets, rugs, poor lighting, and clutter increase the risk of this leading cause of injury in older adults.

What is falls?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

400

This common age-related hearing loss involves a gradual loss of hearing in both ears and commonly occurs between ages of 65-74.

What is presbycusis?

400

A condition that commonly affects the geriatric population in which the systolic blood pressure sits above 130 mmHg, and the diastolic remains below 80 mmHg.

What is isolated systolic hypertension?  


Isolated systolic hypertension. (2026, February 12). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/24666-isolated-systolic-hypertension 

400

Acute confusional state however it is a symptom not a disease, that is temporary.  

What is delirium? 

Helman, A. (2021, March 31). Episode 34: Geriatric Emergency Medicine. Emergency Medicine Cases. https://emergencymedicinecases.com/episode-34-geriatric-emergency-medicine/  

Nancy Caroline chapter 4 

400

Concurrent use of several medications, when a patient is managing several chronic conditions.

What is polypharmacy?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

400

 A factor often caused by living alone or having limited family connections/help can worsen health outcomes in elderly patients.

What is social isolation?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

500

This change in the nervous system in geriatrics patients impairs the sense of body position, making them less steady on their feet and increasing their tendency to fall.  

What is impaired Proprioception?

500

This temperature range is considered a normal finding in geriatrics and is caused by a slowed metabollic rate and poor blood circulation.  

What is 36.1°C - 37.2°C?


Bora Health Limited t/a SureSafe Alarms. (2023, November 10). Body temperature in the elderly: What’s too high, low and just right. SureSafe. https://personalalarms.org/blog/advice/body-temperature-in-the-elderly-whats-too-high-low-just-right

500

Bed confinement decreases blood flow to legs and feet (DVT), prevention is also based on the patient’s own risk level.

What is Pulmonary Embolism? 

Helman, A. (2021, March 31). Episode 34: Geriatric Emergency Medicine. Emergency Medicine Cases. https://emergencymedicinecases.com/episode-34-geriatric-emergency-medicine/  

Nancy Caroline chapter 4 

500

Drug that has high potential of causing hypotension and bradycardia, should be used cautiously with elderly patients.

What is penthrox?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351 

500

A common infection may present with confusion or weakness rather than a fever or urinary symptoms.

What is a urinary tract infection?

Portage College Formularies  

Russell D Mac. Donald, 2019 Nancy Caroline’s Emergency Care in the streets, 8th Edition, P. 1326-1351