Approach to Geriatric Pt

Question 1

average lifespan women and men

Answer 1

W: 85
M: 82

Question 2

what is rule of 1/4?

Answer 2

aging 1/4 due to each factor

1. disease
2. disuse
3. misuse
4. actual physiologic aging

Question 3

what is pacemaker theory of aging?

Answer 3

human specific life span patterns limit cell replication

X amount of heart beats

Question 4

wear and tear theory of aging

Answer 4

inability to continuously repoair damage to crucial cellular components

decline in cell fxn and tissue destruction

Question 5

4 main theories of biology of aging

Answer 5

free radicals 
errors/ somatic mutations 
wear/tear 
pacemaker 
immunologic

Question 6

SPIRT mnemonic

Answer 6

S: spiritual belief sys 
P: personal spirituality 
I: integration w/ community 
R: ritualized practices and restrictions 
I: implications for medical care 
T: terminal events planning

Question 7

feeding, dressing, ambulation, toileting, bathing, transfer, continence, grooming, communication ex of…

Answer 7

basic ADL

Question 8

writing, reading, cooking, cleaning, shopping, laundry, stair climbing etc.. ex of ?

Answer 8

independent ADL

Question 9

3 ways to test cognition

Answer 9

mini cog
animal naming
MOCA

Question 10

what get up and go score requires PT referral?

Answer 10

scoring less than 20 seconds but more than 10

if over 20 seconds workup for underlying cause

Question 11

key nutrition question

Answer 11

have you lost 10 lbs in past 6 mo without trying?

Question 12

what is + for urinary incontinence?

Answer 12

yes to lost urine and got wet in past year

yes to that happened on more than 6 different days

Question 13

POA/HCPOA power ceases..

Answer 13

when pt dies