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Clinical lectures > How different MDT members prevent falls in older people > Flashcards

How different MDT members prevent falls in older people Flashcards

1
Q

According to the National Service Framework for Older People (DoH, 2001), how many broad groups are the older population classed in, and what are they called?

A

3

Entering old age
Transitional phase
Frail older people

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2
Q

According to the National Service Framework for Older People (DoH, 2001), what kind of people are classed in ‘entering old age’ group?

A

Active, independent people who have just completed career in paid employment/childrearing

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3
Q

According to the National Service Framework for Older People (DoH, 2001), what kind of people are classed in ‘transitional phase’ group?

A

Between healthy, active life and frailty

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4
Q

What is the NICE definition of frailty?

A

Loss of resilience that means people don’t bounce back quickly

after a physical or mental illness, an accident or other stressful event

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5
Q

According to the National Service Framework for Older People (DoH, 2001), what kind of people are classed in ‘frail older people’ group?

A

Vulnerable as a result of health problems, social care needs or both

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6
Q

In the ‘frail older people’ group of the elderly population, what 3 factors can make them vulnerable to put them in that group?

A

Health problems

Social needs

Both

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7
Q

How do NHS and social plans aim to improve services, to keep older people healthy?

A

Extend access to services eg. supporting independence

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8
Q

How do NHS and social plans aim to change funding, to keep older people healthy?

A

Fund long-term care fairly

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9
Q

According to Lyndon in 2014, is frailty considered a syndrome?

A

Yes

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10
Q

According to Lyndon in 2014, what 3 factors are combined to cause frailty?

A

Natural ageing

Loss of fitness

Multiple long-term conditions

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11
Q

How many classes of frail people are there, according to Lyndon in 2014?

A

3

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12
Q

What are the 3 groups of frail people, according to Lyndon in 2014?

A

Older people with one or more chronic, long-term condition

Older people who require support from care services to live independently, even without diagnosed condition

Older people who are on the threshold of either of these two groups

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13
Q

How many frailty syndromes are there that should raise suspicion of frailty and what are they?

A

5

Delirium
Immobility
Falls
Continence problems

Medicines management challenges

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14
Q

Give 2 types of people who have the frailty syndrome delirium?

A

People with acute confusion

People with dementia/memory loss who have sudden worsening in confusion

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15
Q

Give 3 examples of what happens to person with frailty syndrome falls?

A

Collapse

Found on floor

Legs give way

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16
Q

Describe the changes in movement of people with frailty syndrome falls?

A

Sudden changes in movement

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17
Q

Describe the incontinence of people with frailty syndrome continence?

A

New/worsening urinary or faecal incontinence

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18
Q

What is a person susceptible to if they have the frailty syndrome Medical Management Challenges?

A

Susceptible to drug side effects and interactions

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19
Q

Which 5 professions make up a rapid response team?

A

General nurse
OT
PT
SLT
Social care worker

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20
Q

When do rapid response teams assess frail patients that are admitted, and why?

A

Give same-day assessment to produce immediate short-term intervention plan

This prevents hospital admission

21
Q

What is meant by the rapid response team being a ring-fence team?

A

Professionals in rapid response team are protected from being assigned to other work so they can focus on frail patients

22
Q

After assessing the frail patient, how does the rapid response team review their progress with the intervention plan?

A

Work with community rehab and GPs for ongoing support and reviews

23
Q

Why is it important that rapid response teams do same-day assessments of frail patients?

A

This prevents hospital admission

Frail people at higher risk of deterioration when admitted to hospital

24
Q

What do OTs need to identify, in order to create a safe environment for the frail person?

A

Identify occupational (meaningful activity) performance issues due to impact of medical condition

25
Q

If a frail person is struggling with self care, motility and other domestic activities, what can OTs implement for support?

A

Adaptations/equipment/assistive technologies

26
Q

What 2 activities can OTs implement for frail people to maintain awareness, after assessing their cognitive status?

A

Reality orientation techniques and reminiscence activities

27
Q

How can OTs facilitate independence of frail people?

A

Implement daily meaningful activities

28
Q

How can OT help frail people find relevant services eg. for support network?

A

Signpost them

29
Q

What 3 physical factors do physiotherapists assess function of in frail people?

A

Physical function

Mobility

Interaction

30
Q

What is meant by subjective factors of frail people, which are assessed by PTs?

A

Frail person’s ICE

31
Q

What is meant by the 4 objective factors of frail people, which are assessed by PTs?

A

ADL (Activities of daily living) function

mobility

strength

transfers between different spaces

32
Q

What is meant by the 2 environmental factors of frail people, which are assessed by PTs?

A

What/how much physical space they have

Risks in the physical space

33
Q

What is meant by the 2 carers/relatives factors of frail people, which are assessed by PTs?

A

Assess patient’s needs, beliefs, attitudes towards having a carer,

assess if carer has proven skills for handling

34
Q

What 2 activities can PTs implement to improve objective factors of a frail person?

A

activities to strengthen specific muscle groups

supervised transfers and walking

35
Q

What 2 pieces of advice can PTs implement to improve objective factors of a frail person?

A

Footwear advice

Lifestyle advice

36
Q

How can PTs improve environmental factors of a frail person?

A

Make sure physical features (eg. chairs, rugs) are arranged safely

37
Q

How can PTs ensure that carers/relatives have proven skills to handle frail patient?

A

Teach them minimal safe handling

38
Q

Which 4 difficulties cause patient needs that Speech Language Therapies anticipate and respond to?

A

Speech, language, communication or swallowing difficulties

39
Q

Give 3 ways in which SLTs assess possible history of communicating/swallowing difficulties in a frail person?

A

Check medical/nursing notes

History-taking in case with patient

Significant Other’s report

40
Q

What does a SLT aim to address in direct therapy with frail patients?

A

Strengths and weaknesses

41
Q

In indirect therapy for a frail person, who does the SLT discuss with?

A

SLT discusses with SOs of frail person

42
Q

Give 3 ways in which SLT can adjust the communicative environment for a frail person, as indirect therapy?

A

conversation partner training

reducing background noise

aphasia-friendly signage

43
Q

In an informal assessment of a frail person, what does SLT screen for?

A

Swallowing difficulties

44
Q

In an informal assessment of a frail person, what 4 skills does SLT assess?

A

observational, communication, sensory, cognitive skills

45
Q

In a formal assessment of a frail person, what imaging does SLT use to assess speech production, language and swallow abilities?

A

Videofluoroscopy (moving x-ray of swallowing)

46
Q

What is the WHO principle regarding importance of health to everyone?

A

Highest attainable standard of health is fundamental human right

47
Q

According to WHO principles, is active cooperation of public important to improve health of all people?

A

Yes

Improved by informed opinions and active co-operation of public

48
Q

According to WHO, what 2 measures must government implement to improve health?

A

Health and social measures

49
Q

Describe the Interaction of Concepts, ICF 2021 model?

A

Biopsychosocial model of disability,

theorising that a person’s functional levels are dynamic interactions of environmental, personal factors and their health conditions

Clinical lectures (29 decks)

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