final- Geriatric Techniques Flashcards Preview

Geriatrics-JS > final- Geriatric Techniques > Flashcards

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

What is on a wish list of an older patient

less pain
less meds
more control of health
independence

2

what are normal changes in an aging patient

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

3

Malpractice claims against DCs in patients over 65

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

things to consider to decrease injuries

orthostatic hypotension
muscle mass
bone density
pathology odds
technique

5

decreased muscle mass means

decreased resistance
lighter thrust

6

who is at risk of OP

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

7

Contraindications to adjust in elderly

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

advantages of instrument assisted adjustments

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

advantages of logan basic

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

10

advantages of drop assisted techniques

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

11

advantages of pelvic blocking

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

12

advantages of flexion distraction

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

13

advantages of upper cervical techniques

lower force
no twisting
very specific
safe
variety

14

advantages of manual techniques

motion into joint space
frees up restrictions
hands on
results quicker

15

issues with geriatric facilities

carpet
steps
handrails
lighting
doors

16

issues with geriatric surroundings

location
bus route
near other facilities
stairs
sidewalks
parking close

17

issues with geriatric equipment

tables
chairs
bathrooms
doors

18

issues with geriatric lighting sound

no music
no mood lighting
aware of glare

19

issues with geriatric forms

make sure large and easy to see

20

who is hawk

chiropractic research leader
1st PI on government funded grant

21

who is schneider

leader in clinical care research

22

who is doughtery

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

23

who is gleberzon

co-author of chiro care of the older adult

24

red flags for geriatric patient for immediate referral

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