Geriatrics Intro

Question 1

What is the definition of frailty?

Answer 1

Increased Vulnerability = Decline in reserve + function in multiple physiology –> Everyday function compromised

Question 2

What are the main complex issues of Geriatrics?

Answer 2

1) Slower response to treatment
2) Frailty
3) Complex co-morbidity
4) Different patterns of disease presentation

Question 3

What is another explanation of frailty

Answer 3

Person’s organs working at maximum capacity just to keep their body functioning on day to day basis

Question 3

What are the 5 Geriatric Giant (M’s)?

Answer 3

1) Mind (Delirium, Dementia, Depression)
2) Mobility (Falls, Impaired Gait/Balance)
3) Medications (Med burden, Polypharmacy)
4) Matters most (Ind. meaningful health preferences/outcomes)
5) Multi-complexity (Multimorbidity, Bio-psycho-social)

Question 4

What is Acopia?

Answer 4

Slang term for no medical matter, mainly a social problem with no original presenting complaint

Question 5

What is the main problem with treating older people?

Answer 5

Reduced organ function and polypharmacy = ^ Side effects and reactions

Question 6

What is deconditioning?

Answer 6

Deterioration in function from acute illness

Question 7

What are the main factors considered in a Comprehensive Geriatric Assessment (CGA)?

Answer 7

1) Medical plan and assessment
2) Mental health (Old Age Psych)
3) Social Hx and BG
4) Functional Assessment e.g. ADL’s, physio, OT

Question 8

What is the definition of Rehabilitation?

Answer 8

Restoring a patient to maximum function

Question 9

What are the main legal/ethical issues in Geriatrics?

Answer 9

1) End of Life planning
2) Discharge destination
3) Dementia/delirium
4) Mental Capacity Act