CGA & Acute Illness Flashcards
4 domains of CGA?
medical,
functioning,
psychological,
social/evironment
Medical components of CGA? (4)
problem list,
co-morbid conditions and disease severity,
meds review,
nutritional status
Functioning components of CGA? (4)
basic ADLs,
extended ADLs,
activity status,
gait & balance
Psychological components of CGA? (2)
mental status/cognitive function,
mood/depression testing
Social/environmental components of CGA? (4)
informal needs and assets,
social circle,
care resource eligibility and resources,
safety
What are the 5 frailty syndromes AKA core clinical problems?
poor mobility (off legs), falls, confusion, continence issues, poly pharmacy
Ward based CGA should be considered the evidence based standard of care for frail older inpatients. T/F?
True
MIs in old people often present differently to young. There is no chest pain in 1/3, what 4 symptoms might they present with?
collapse,
delirium,
dizziness,
breathlessness
What differs in investigations of MI in older patient?
May not be able to do angiogram as may not be able to lie flat, may be confused,
echo may be abnormal
What differs in management of MI in older person?
Gets anti platelet and statin but need to be cautious with S/E of dual anti platelets and statins and may not tolerate higher doses of ACEi/beta blockers
Old people cannot tolerate quick titration up of drugs so need to start low and go slow. T/F
T
Sepsis presentation may differ how in older people?
BP may drop early, (esp. in those on vasodilation antihypertensives),
tachycardic response may be absent,
temp often low,
CRP and WCC may not rise,
Antibiotics should be targeted in older people in sepsis as higher risk of?
C.difficile
Urinalysis not useful in older people and diagnosis of UTI is usually made on what 3 factors?
symptoms,
temp.,
signs
Urinary incontinence can often be caused by constipation in older people how?
Urinary retention from constipation, often caused by codeine in old peoples
