Geri Syndromes

Question 1

risk factor combination - geri syndromes

Answer 1

risk factors can start to combine

but treatment can intervene and hepl before a phenotype is manifested

Question 2

what is included in geri syndromes

Answer 2

fragility

falls

delrium

dementia

incontinence

sleep disorders

Question 3

what are common risk factors seen in more geri syndromes

Answer 3

older age

baseline cog deficits

baseline function deficits (adl/Iadls)

mobility impairments

Question 4

is urine or fecal incontinence more prevelent

Answer 4

urine

Question 5

what is the more prelevent type of incontinence

Answer 5

stress > mixed > urge

Question 6

what is functional incontinece

Answer 6

you cannot get to the toilet in time

Question 7

what is stress incont

Answer 7

when there is increase abd pressure due to stress that causes incont

Question 8

what I surge incont

Answer 8

involuntary contraction of the bladder muscles

Question 9

what are associated conditions seen with incont

Answer 9

DM - polyuria, neuropathic bladder

arthritis - impaired mobility

CH

chronic pulm disease - chronic cough creates stress UI

Question 10

if pt is experienceing UI where can we send them

Answer 10

pelvic PTs

Question 11

what age do pressure injuries increase

Answer 11

70

Question 12

what cause pressure injuryies ni the older population

Answer 12

decreased mobility

shear forces

mositure

impaired sesnation

imparied nutrition

Question 13

what is the primary treatment for pressure injuries

Answer 13

relieve the pressure - maintain mobility and or position appropriately

Question 14

what precent of older adults are effected by sleep disorders

Answer 14

40 - 70%

Question 15

what are the most freq sleep disorder seen in the adult pop

Answer 15

insomnia

sleep disorder breathing

restless leg syndrome

rapid eye movement sleep behavior disorder

Question 16

what is rapid eye movement sleep behavior disorder

Answer 16

this is the result from absent of normal muscle atonia that is a feture of REM sleep

Question 17

what is the difference between mobility limitation and disability

Answer 17

limitation: hard time walking 1/4 mile or climbing 1 flight of stairs
- hard time completing basic ADLs

disability: unable to amb without a lot of assistance
- remeber this is a personal experience what may disable one person may not effect then next

Question 18

is walking disability a sub set of mobility limitations or vice versa

Answer 18

is walking disability a sub set of mobility limitations

Question 19

does one thing cause mobility issues

Answer 19

one thing can cause these issue but they can also be a conseqeunce of many things

Question 20

what is the key feature of normal gait

Answer 20

the trailing limb extends

Question 21

what movement in the leg is occur when the trailing limb extends

Answer 21

foot PF to push off

hip and knee extend

Question 22

what muscle strength do we need to walk

Answer 22

> 2/5

Question 23

how can cog chnage impact walking

Answer 23

planning

processing

Question 24

if motor planning is off how can this effect walking

Answer 24

central pattern gen

agonist and antagonist activation

Question 25

what happens to the trunk when the trailing limb extends

Answer 25

the trunk remain vertical bisecting line line between the thighas at heel strike

Question 26

when the trailing limb is extended what two action occur at the same time

Answer 26

push off and heel strike

Question 27

do we want or walking to varible

Answer 27

nope do not want changing step length

Question 28

what is gait speed predictive of

Answer 28

falls nursing home admission debility - need for AD for ADLs early death

Question 29

what change is gait speed is deemed clinically signifigant

Answer 29

.1 m/s

Question 30

what is community amb speed

Answer 30

1.2

Question 31

do we want walking to cost a lot of energy

Answer 31

nope if we slow down something in the system is not working