Older Adult/Chronic Illness/Abuse Flashcards

1
Q

The 4Ms

A
  1. Asking what Matters
  2. Mobility
  3. Meds
  4. Mentation
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2
Q
  1. Asking what Matters
A

Know and act on each patient’s specific health outcome goals and care preferences

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3
Q
  1. Mobility
A

Maintain mobility & function and prevent/treat complications of immobility

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4
Q
  1. Medications
A
  • Optimize use to reduce harm & burden, focusing on meds affecting mobility, mentation, what matters
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5
Q
  1. Mentation
A

Focus on delirium, dementia, & depression

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6
Q

Presbyopia

A

Farsightedness cause by loss of elasticity of the lens of the eye

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7
Q

Presbycusis

A

Hearing loss

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8
Q

Three D’s

A
  1. Delirium
  2. Depression
  3. Dementia
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9
Q
  1. Delirium
A
  • Acute state of confusion
  • Usually reversible once cause has been identified/treated
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10
Q

Causes of delirium

A
  • Electrolyte Imbalances
  • Cerebral anoxia
  • Hypoglycemia
  • Meds/pain meds
  • Infections
  • Sensory overload
  • New environments
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11
Q
  1. Depression
A
  • Reversible
  • Thought to contribute to high suicide rates
  • People w/dementia may also experience depression
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12
Q
  1. Dementia
A
  • Gradual impairment of brain function w/actual irreversible changes to the brain
  • Memory loss
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13
Q

Signs of illness in the elderly

A
  • Confusion
  • Decreased function
  • Decreased appetite
  • Dyspnea
  • Tachycardia/pnea
  • Cardinal signs of illness
  • Cascade disease pattern
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14
Q

Primary Health Promotion

A
  • Prevention of illness or disease
  • Immunizations
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15
Q

Examples of Primary Health Promotion

A
  • Stay current w/ vaccines
  • Reduce risks of falling
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16
Q

Secondary Health Promotion

A
  • Early detection of illness/infection
17
Q

Examples of secondary health promotion

A
  • Mammograms, colonoscopy
  • Drink plenty fluids
  • Be physically active 3-5 times a week
18
Q

Tertiary Health Promotion

A
  • Limiting disease progression
  • Rehab
19
Q

Examples of tertiary health promotion

A
  • Maintaining appropriate weight
  • Using meds, herb, supplements, as ordered
20
Q

Acute Illness

A

Disease that has rapid onset & short duration

21
Q

Characteristics of acute illness

A
  • Responds to treatment
  • Complications infrequent
  • Person returns to previous level of functioning
22
Q

Examples of acute illness

A
  • Cold
  • Flu
  • Gastroenteritis
23
Q

Chronic Illness

A

Disease that is prolonged, does not resolve by itself, rarely cured

24
Q

Characteristics of chronic illness

A
  • Permanent impairments or deviations from normal
  • Irreversible pathologic changes
  • Residual disability
  • Special rehab required
  • Need for long-term medical management
25
Q

Examples of chronic illnesses

A
  • Arthritis
  • Cancer
  • Diabetes
  • Coronary artery disease
  • Stroke
  • Obesity
26
Q

7 Tasks of people with chronic illness

A
  1. Prevent/manage crisis
  2. Carry out treatment plan
  3. Control symptoms
  4. Reorder time
  5. Adjust to changes in course of disease
  6. Prevent social isolation
  7. Attempt to normalize interactions w/others
27
Q

Signs of sexual elder abuse

A
  • Genital injuries
  • Bloody undergarments
  • Bruising on upper thighs
  • Trouble walking or sitting
  • STDs
  • Behavioral changes
28
Q

Signs of financial elder abuse

A
  • Unusual bank activity
  • Forged/missing checks
  • Checks made out to cash
  • Last minute will updates
  • Plummeting bank account
  • Lost high-value assets
  • Generous gifts to acquittances/strangers
  • Poor financial decisions
29
Q

Signs of emotional elder abuse

A
  • Withdrawal
  • Depression
  • Anxiety
  • Mood swings
  • Shame or guilt
  • Fear of certain people
  • Low self-esteem
  • Suicidal
30
Q

Signs of physical elder abuse

A
  • Unexplained injuries
  • Frequent ED visits
  • Bruises, slap marks, burns, lacerations
  • Fall-related injuries
  • Overall decline in health