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Iatrogenesis
Categories of Iatrogenic Risk Factors
Iatrogenic Complications
Most Common Hospitalized Acquired Infections
The New Nursing Model
100
Unintended adverse outcome from a therapeutic, diagnostic, or prophylactic intervention (outcome is not considered a natural cause of illness).
What is Iatrogenesis?
100
Normal Aging Changes Chronic Conditions and Comorbidity Unusual Presentation of Symptoms Healthcare Provider Attitude Poor Clinician Training in Geriatrics
What are five categories of Iatrogenic risk factors?
100
A single symptom condition resulting from more than one etiologic risk factor. Example: Delirium is a single acute condition in hospitalized older adults but can be due to more than one risk factor.
What is Geriatric Syndrome?
100
The most common of all HAIs. Directly relates to indwelling urinay catheters.
What is Urinary Tract Infections
100
A Model that includes, Proactive, Holistic, Skilled, Collaborative, Culturally Competent, Rooted in Advocacy, and Educational
What is the New Nursing Model?
200
When normal age related changes increase the effects of medications which then leads to more adverse side effects, which is then treated with more medication.
What is an endogenous risk factor for Iatrogenesis?
200
Reduced reserve and ability to respond to stress Increased medication effects Increased infection risk Blunted thirst mechanism Reduced cardiac reserve
What are normal age related changes?
200
Also called hospital acquired infections. Results from direct care received during hospitalization. Leading cause of increased morbidity and mortality in older adults.
What are Nosocomial complications?
200
More than 50% of these infections are related to use of invasive devices
What are Bloodstream Infections?
200
Safe integration of complementary and alternative strategies to care for the whole person.
What is a holistic approach?
300
Happens when an initial medical intervention triggers a series of complicating events, often irreversible.
What is Cascade Iatrogenesis?
300
Results in more medications and more interventions. Increases risk of adverse responses and complications. Older adults often develop Geriatric Syndromes because of this.
What are chronic conditons and comorbidity?
300
Includes injury resulting from medical intervention, causes prolonged hospital stay, and disability. Examples: Diagnostic procedures: invasive, contrast. Medical procedures:Thoracentesis, cardiac catheterization
What are adverse effects of procedures?
300
2nd most common HAI. Patients on mechanical ventilation have a greater risk.
What is Hospital Acquired Pneumonia?
300
Care that is sensitive to patients issues related to respect, death and dying, medicine, nutrition and independence
What is culturally competent?
400
A patient is admitted to the hospital for surgical repair of a knee (ORIF Knee). Post operatively patient in extreme pain and anxious, develops delirium, receives pain medication, anti anxiety medication, becomes lethargic from over sedation, resulting in decrease ambulation, poor appetite. Delirium comes and goes, more medication given. Happens among oldest, most functionally impaired patients and those who are the sickest on admission.
What is Cascade Iatrogenesis?
400
Older adults symptoms of acute medical conditions can be vague, and atypical compared to a young adult. Example: AMI; acute onset falls, confusion, no pain. UTI/Pneumonia: Acute onset confusion, falls, functional impairment.
What are unusual presentations of symptoms?
400
Most common type of iatrogenesis in older adults. They are noxious, unintended, and undesired medication effects. Many due to polypharmacy.
What is Adverse Drug Event
400
The most common HAI in older surgical patients with 60% more likely to be admitted to the ICU as a result.
What is a Surgical Site Infection?
400
Unit based RNs, acquire competency in the care of older adults. Provide healthcare colleagues with strategies, resources, bedside consultation, and feedback.
What is a Geriatric Resource Nurse?
500
By promoting a culture of patient safety in a hospital environment this common and serious hazard of hospitalization can be prevented.
What is preventing Iatrogenesis?
500
Prejudice, stereotype people based on age. Example: fear of narcotic dependence, undertreating depression, promote bedrest and minimize ambulation, loss of function.
What is Healthcare provider attitude?
500
Adverse drug events, adverse effects of procedures and nosocomial complications
What are three main iatrogenic complications?
500
Urinary Tract Infections, Bloodstream infections, Pneumonia and Surgical Site Infections
What are the most common HAIs
500
A program designed to strengthen both the individual's nurses expertise with aging patients and a hospital's capacity to develop, use, and evalute geriatric evidence based practice.
What is NICHE