final- Geriatric Techniques Flashcards Preview

Geriatrics-JS > final- Geriatric Techniques > Flashcards

Flashcards in final- Geriatric Techniques Deck (24)
Loading flashcards...
1
Q

What is on a wish list of an older patient

A

less pain
less meds
more control of health
independence

2
Q

what are normal changes in an aging patient

A

decreased muscle mass
decreased bone density
increased capillary, skin, and bone fragility
atherosclerosis
decreased elasticity of ligaments/tendons

3
Q

Malpractice claims against DCs in patients over 65

A
rib fracture
failure to dx
falls (off table, in office)
burns with ice/heat
injury to shoulder
injury to hip prosthesis (rare)
stroke (rare)
4
Q

things to consider to decrease injuries

A
orthostatic hypotension
muscle mass
bone density
pathology odds
technique
5
Q

decreased muscle mass means

A

decreased resistance

lighter thrust

6
Q

who is at risk of OP

A
fair skinned
post-menopausal
small-framed
family hx
hysterectomy at early age
7
Q

Contraindications to adjust in elderly

A
presence of aneurysms
presence of stroke risk factors
presence of heavy vessel plaque
presence of ant spurring in lumbars
moderate to adv op
knee of hip pathology
active bone or joint pathology
8
Q

advantages of instrument assisted adjustments

A

Choice of force applied
Quick: No fight with patient’s muscle tension
Patient adjusted in prone/supine position (no twisting/rotational moves)
Wide comfortable table with no sections
Easy on the DOCTOR!

9
Q

advantages of logan basic

A
low force
non osseous contact
no rotary moves
gentle
addresses ligamentous component of pelvis
10
Q

advantages of drop assisted techniques

A
less force
no need to take to tension
no twisting
cant go past rom
easy on doctor
11
Q

advantages of pelvic blocking

A
gental
lower force
less risk of fx
broader contact
addresses occipital area 
easy on doctor
12
Q

advantages of flexion distraction

A

increase joint motion
increase pliability of tissues
option for OP patients
easy on doc

13
Q

advantages of upper cervical techniques

A
lower force
no twisting
very specific
safe
variety
14
Q

advantages of manual techniques

A

motion into joint space
frees up restrictions
hands on
results quicker

15
Q

issues with geriatric facilities

A
carpet
steps
handrails
lighting
doors
16
Q

issues with geriatric surroundings

A
location
bus route
near other facilities
stairs
sidewalks
parking close
17
Q

issues with geriatric equipment

A

tables
chairs
bathrooms
doors

18
Q

issues with geriatric lighting sound

A

no music
no mood lighting
aware of glare

19
Q

issues with geriatric forms

A

make sure large and easy to see

20
Q

who is hawk

A

chiropractic research leader

1st PI on government funded grant

21
Q

who is schneider

A

leader in clinical care research

22
Q

who is doughtery

A

NYCC
VA doc
long term care doc
oversees chiro geriatric research in Ny

23
Q

who is gleberzon

A

co-author of chiro care of the older adult

24
Q

red flags for geriatric patient for immediate referral

A
new gait disturbance
acute confusion
new progression of CVA
positive nerological signs
progressively weaker
suicidal indication
substance abuse
unexplained injuries
recurrent fever