2016 zima Flashcards
(46 cards)
Which of the following activities are not included in the scale Acitivities of Daily Living?
food preparation
Which of the following has been shown to increase falls risk?
polypharmacy, 25-OH-D3 deficiency, proproception loss
Dementia combined with gait disturbance, urinary incontinence, enlarged brain ventricles and normal, slightly elevated CSF pressure
normal-pressure hydrocephalus
Sudden onset, definite beginning pont, greatly impaired attention, variably impaired level of consciousness and reversible course
delirium
Nutritional recommendation for elderly should include all except
supplementation with selenium
Older adults should avoid drugs with anticholinergic effects when possible. Adverce effects include:
confusion, othostatic hypotension, constipation, dry mouth, urinary retention, blurred vision
79yrs man, acute cholecystitis, diabetes mellitus, mild dementia, deppresive disorder, recurrent falls. he fell twice last 3 mths. Delirious while hosp. Insulin twice a day, donepezil. How to reduce risk of falls
use a cane when walking
84 yrs man, minimizing muscle loss, How to delay it?
advice regular physical activity of moderate intensity
72 yrs man, he believes that he has undiagnosed cancer
major depressive disorder with psychotic feature
88yrs woman, peripheral arterial disease, gangrene in 2 toes. BP 140/80, RR 16, HR 90, T=38. cefalosporyna, metro, pentoksyfilina, heparyna, morfina. acutely confused and inattentive, chaotic speech
delirium
94 yrs nursing home with AD, screaming for help, making noise past 3 weeks
atypical neuroleptics
81 yrs old woman, muscle weakness, fatigue, palpitations, weight loss, normal apetite, RR 160/65, HR 110
hyperthyroidism
True statements
a test below 40 in the Barthel Index indicates that a geriatric patient qualifies for a long term care or institutionalising
to evaluate instrumental activities of daily living (IADL) the Lowton’s scale is used
93 yrs old man, hypertension, diabetes, hip fracture, RR 165/90, glc 8,5, HB10.9% MMSE 21/30
operation urgently
pneumonia in elderly - true
acute confusion, delirium, deterioration of baseline function
hazard of immobility
constipation, atelectasis, pressure ulcers
Parkinson’s disease - false
intentional tremor
risks of hormone replacement therapy in older woman
^ of pulmonary emboli and ischemic strokes
PCV-13 and PPSV-23
PPSV-23 in one year after PCV-13b (65+)
PCV-13 in more than one year after PPSV-23 (65+)
PPSV-23 before 65, than PCV-13 in more than one year and PPSV again in more than 5 yrs after
true
increasing patients with multimorbidity - delivery of care built around single diseases
assessment of PU risk in elderly
clinical state, functional, cognitive, nutritional status, skin assessment, screening test
70 yrs old 3x6 sacral ulcer
sharp debridement of eschar
PU stage II
shiny or dry shallow open ulcer
HF in elderly
confusion, sacral area edema, nocturnal agitation
