Iggy Older Adults

Question 1

4 catagories old Old People

Name them and the fastest growing

Answer 1

65 - 74 young old
75 - 84 medium old
85 - 99 old old
100 + elite old

OLD OLD fastest growing

Question 2

Decreased Nutrition & Hydration
Decreased Mobility
Stress and Loss
Accidents
Drug use and misuse
Mental health/ cognition problems
Elder neglect / abuse

All describe

Answer 2

Common health problems among geriatrics

Question 3

Older adults need more (nutrition)

Answer 3

Calcium, Vita A,C ,D

Question 4

As people get older their metabolism slows and they my moveless.

However their sense of taste and smell diminishes causing them not to eat. Or they season their food how, which has what affect

Answer 4

Too much salt or sugar

Get fat

Question 5

A complex syndrome including under-nutrition, impaired physical function, depression, and cognitive impairment

Answer 5

Geriatric failure to thrive

Question 6

Drug therapy, chronic disease, major losses, and being poor can often be confused with these symptoms from Geriatric Failure to Thrive

Answer 6

under-nutrition, impaired physical function, depression, and cognitive impairment

Question 7

Why are elderly at risk for Dehydration

Answer 7

They have less body water compared to younger adults

Question 8

Speed up the aging process

Lead to disease that increase rate of degeneration

Less ability to respond and adapt to changes in the environment

Describe the effects of…

Answer 8

Stress and loss

Question 9

Medicaid Part ____ provides inpatient/hospital coverage.

Answer 9

A

Question 10

Medicaid Part ___ provides outpatient/medical coverage.

Answer 10

B

Question 11

Medicaid Part ___ provides prescription drug coverage.

Answer 11

D

Question 12

Relocation stress syndrome

Describe

Answer 12

Physical/ Emotional stress that comes when a person gets put in an old folks home

Question 13

Some seniors will develop fallophobia and avoid leaving their house

True or False

Answer 13

True

Question 14

Presbyopia is….

Answer 14

Farsightedness that worsens with age

Question 15

Macular degeneration causes ….

Answer 15

loss in the center of the field of vision.

In dry macular degeneration, the center of the retina deteriorates. With wet macular degeneration, leaky blood vessels grow under the retina

Question 16

(Cataracts / Glaucoma) involves eye pressure and affects the optic nerve,

(Cataracts / Glaucoma)involve the breakdown of proteins and affect the lens

Answer 16

Glaucoma / Cataracts

Question 17

Most common cause of Injury Death in the Young-Old Population

Answer 17

Vehicle crash

Question 18

Common cause for Orthostatic Hypotension

Answer 18

Medication for HTN

Question 19

( Polymedicine / Polypharmacy) describes the use of medications for an older population for the treatment of multiple co-morbid conditions,

(Polymedicine/ Polypharmacy) represents a less-than-desirable state with duplicative medications, drug-to-drug interactions, and inadequate attention to pharmacokinetic and pharmacodynamic principles

Answer 19

Polymedicine / Polypharmacy

Question 20

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Increase in gastric pH, decrease in gastric blood flow, decrease in GI motility

Affect

Answer 20

Absorption

Question 21

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Smaller amounts of total body water, increased ratio of adipose to lean body mass, decreased albumin, decreased cardiac output

Affect

Answer 21

Distribution

Question 22

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Smaller liver, decrease liver blood flow, decrease in serum liver enzyme activity

Affect

Answer 22

Metabolism

Question 23

A ____ measures the glomerular filtration rate of your kidneys

Answer 23

Creatine clearance test

Question 24

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Decreased renal blood flow and reduced glomerular filtration rate

Affect

Answer 24

Excretion

Question 25

Normal creatine clearance rate men & women

Answer 25

Men 107 / 139 Women 87 / 107

Question 26

ADE means

Answer 26

Adverse Drug Event

Question 27

To reduce Inappropriate Medication Use in over 65 use this criteria

Answer 27

Beers criteria

Question 28

Two forms of competent Legal 18 or older Pregant or married minor Emancipación Not declared incompetent by court When is a person Clinically Competent

Answer 28

When legally competent & can make clinical decisions

Question 29

Primary depression results from Secondary depression results from

Answer 29

Primary lack of Neutotransmitters, Norepinephrine & Serotonin Secondary = Situational to a sudden change in life

Question 30

This diagnostic tool is used to sceen for Depression

Answer 30

Geriatric Depression Scale - Short Form (GDS-SF)

Question 31

Multi-infarct is...

Answer 31

Brain damage caused by multiple strokes. Vascular dementia causes memory loss in older adults, particularly in those at higher risk of stroke due to obesity or diabetes.

Question 32

Whereas dementia is a chronic, progressive disorder, _____ is an acute state if confusion

Answer 32

Delirium

Question 33

Delerium (acute state of confusion) most often occours where

Answer 33

Unfamiliar places, ie. Hospitals

Question 34

Anticholinergics drugs do what...

Answer 34

have antisecretory activities and decrease nasal and bronchial secretions, salivation, lacrimation, sweating and gastric acid production

Question 35

Anticholinergic & psychoactive drugs Infections Electrolyte imbalance Suregey Hypoglycemia Circulación, renal, pulmonary disorders Hypoxemia Major losss May lead to (Dementia or Delirium)

Answer 35

Delirium

Question 36

Nursing interventions for Dementia & Delirium. In respect to orientation of the patient

Answer 36

Dementia (late stages) Dont reorientate. Instead Validate feelings Delirium Reorientate to reality, proivde safe environment

Question 37

Fulmer SPICES is...

Answer 37

A framework to id 6 causes of longer hospital stays Sleeep disorder Problems with eating or feeding Incontinence Confusion Evidence of Falls Skin breakdown

Question 38

Risk factors for falls > ___ years old

Answer 38

>80