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Flashcards in Geriatric Rehab Deck (28):
1

True or false: normal aging does not necessarily translate to disability

True

2

By 2030, what fraction of americans will be over the age of 65?

1 out of 5

3

What are the top two leading causes of death for the elderly? Percentages?

Heart disease = 28%
CA = 22%

4

What percent of individuals over 65 will have chronic conditions?

86%

5

What percent of individuals over 65 will have difficulties with ADLs?

52%

6

What is the focus of geriatric rehab?

Maximal (not necessarily normal) functional abilities

7

What is geriatric rehab?

intervention to assist disabled older ppl to optimal physical, psy, social skills

8

What are the three things that rehab of older pts focuses on?

1. increase their level of independence
2. live in the most satisfying environment
3. maintain social engagement and involvement

9

What percent of old ppl can walk a mile?

40%

10

What is the goal of rehab?

Function and independence

11

What are the four areas of the functional, disability and health model?

1. Body functions/structures
2. Activities
3. Participation
4. Contextual factors

12

What are six possible consequences of disabilities?

A. increased rate of mortality
B. decreased life span
C. increase risk of acquiring chronic health issues
D. increased risk of institutionalization
E. increased use of the health care system
F. frailty – medically complex elderly

13

What are the three principles of geriatric rehab?

1. Variability of the elderly (age =/= performance)
2. Activity = cornerstone
3. Optimal health is related to optimal functioning

14

True or false: age is a performance predictor

False

15

Decreased activity = ?

Decreased function

16

What is the cornerstone of rehabilitation?

Activity

17

What are the components of the BEDREST mnemonic?

B – bladder/bowel incontinence, bedsores
E – emotional distress
D – deconditioning, depression, demineralization of bones
R – ROM loss
E – energy depletion
S – sensory deprivation
T – trouble

18

What are the three main purposes of an elderly functional assessment?

1. Determine current functioning
2. Determine need for intervention
3. Determine d/c or placement

19

What are the two things to consider when determining the need for intervention?

Setting/ team member
Duration

20

What are the three things to consider when determining the current functioning level?

Baseline?
Goals?
Are goals attainable?

21

What are the components of the elderly functional assessments?

1. ADLs – bathing, dressing, feeding, etc.
2. IADLs – driving, shopping, home care, medication manage., etc.
3. mobility – community negotiation

22

True or false: work environment is a geriatric rehab environment

True

23

What are the four parts of the rehab process on the Dr's side?

1. diagnosis/prognosis
2. determination of intervention site: hospital, outpatient, home,
3. anticipated outcomes – if known
4. identification of team - other referrals

24

What are the parts of the therapist's part of the rehab process?

Exam
Eval
Dx
Plan
d/c

25

What percent of LGBT adults do not disclose their orientation to a physician?

20%

26

What percent of LGBT adults have a disability?

50%

27

True or false: the goal of geriatric rehab is the attainment of normal functional abilities?

False--attainment of Maximal abilities

28

Who is appropriate for geriatric rehab?

Anyone who needs help with movement