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Flashcards in Comprehensive Geriatric Assesment Deck (29):
1

What is a comprehensive geriatric assessment ?

Creation of a problem list, objectives of care and management plan

2

What are the four components of a CGA?

Medical

Functioning

Psychological

Social/Enviroment

3

What is involved in the medical part of a CGA?

Problem list

Co-morbid conditions

Medication review

Nutritional Status

4

What is involved in the Functioning component of CGA?

Activities of daily living

Activity and excercise status

Gait and Balance

5

What is involved in the Phsychological component in CGA?

Metal status and congnitive function

Mood and depression testing

6

What is involved in the social/enviromental component in CGA?

Informal needs and assests

social circle

care resource eligibility and resources

saftey

7

What does CGA stand for?

Comprehensive Geriatric Assessment

8

How is the presentation of MI different in older people?

1/3 dont have chest pain

 

present with:-

Collapse

Delirium

Dizziness

Breathlessness

9

How would you investigate an MI in an older person?

Blood tests

ECG

CXR

 

May not be able to tolerate an angiogram

10

How does Sepis present differently in older people?

BP may drop early

Temp low rather than high

Tachycardic response absent

Delirium prominent

CRP and WCC may not rise that much

11

What is sacrcopenia?

Age related loss of muscle mass and function

12

What is the diagosing criteria for sarcopenia?

Low muscle mass

+

Low muscle strength or low physical performance

13

When does muscle decline start ?

Starts around 30 yrs of age and gets much worse around 60

14

What is primary and secondary sarcopenia?

Primary:- caused by age

Secondary:- got a secondary cause

15

How do you treat sacrcopenia?

Progressive resistance training

16

What are the activity level requirments for older people?

150 minutes a week of moderate intensity

or

75 minutes of vigorous activity

 

and

Strength and balance work 2x a week

17

What common drug is a good intervention for sarcopenia?

ACE inhibitors

18

What are the predisposing factors for delirium?

Sensory impairment

Polypharmacy

Depression

Alcoholic

Malnutrition

Age

Dementia

Co-morbidity

Illness

19

What are the percipitating factors of deleriums?

Drugs

dehydrations

Constipation

Alcohol

Hypoxia

UTI

Being in hospital

Pyrexia

High glucose

Urninary Catherters

Myocardial Infarction

Broken Bones

 

20

What are the hallmarks of delirium?

Acute and fluctating

Inattention

Altered level of consciousness (Hypoactive or Hyperactive)

Disorganised thinking

21

Which type of delerium i worse hypoactive or hyperactive?

Hypo is way worse

22

What smart helpfull things can you do to help delerium?

Approach patient calmly from the front

Keep a normal sleep pattern

Mobilise patients safley ( dont restrain them)

Ensure they can see and hear !!!

ensure adequate diet

Have clocks and calenders nearby

Reduce background noise

 

23

Whats the aim of the game in delerium treatment?

NO DRUGS

 

fix everything else first !

24

When i sedation approriate?

Only when the patient is a danger to themselves or others

25

What is the sedative of choice?

Haloperidol

(0.25mg - 0.5mg)

oral or IM

26

What is the max dosage of Haloperidol?

5mg in 24hr

27

Who cant take haloperidol and what is used instead?

People with Parkinson's or Lewy Body Dementia

 

use

25mg oral Quetiapine

28

What can be used in alcohol related delerium?

Benzodiazepines

29