November 9th Quiz Flashcards
(39 cards)
Risk factors for adverse drug events
- 6 or more chronic conditions
- 9 or more meds
- 12 or more doses per day
- low BMI/BW
- prior adverse rxn
- over 85 y/o
5 worst drug classes for elderly
- anticholinergics
- benzodiazipines
- NSAID
- antidepressants
- statins
What are 2 reasons that older people have drug side effects
- decreased lean body mass
- decreased glomerular filtration rate
What are the effects of dementia meds
- falls
- lethargy
Effects of PPIs/H2 receptor blockers
risk of
- C diff
- pneumonia
- malabsorption
- osteoporosis
- Dementia
Instead of NSAIDs you should use?
- Tylenol, 650mg po qid
- maybe low does oxycodone
BEERS criteria
list of 34 medications to avoid with older adults, and guidelines for healthcare professionals to help improve the safety of prescribing medications for older adults.
Definition of skilled care
- PT is considered skilled if “of a high level of complexity, or the patient’s condition requires the judgment and skills of a PT”
- higher level of clinical judgment and reasoning
APTA guidelines for documentation
- type and level of skilled assistance given
- clinical decision making
- analysis of patient progress
What are the fundamental PT principles
- overload using RPE and RPM
- specificity w/ application to fxnal goal
- motor learning
3 things to document during pt refusal
- explain patient’s concern
- strategies used to address concern
- explanation of why treatment is needed
What makes therex skilled
- objective tests and measures
- different exercises targeted at same m group
- task analysis
- exercises to meet pts needs
When is therex not skilled?
- supervision
- repetitive exercises
- continual cueing
- no reassessment
- recumbent machines
Indications for skilled gait training
- slow gait speed
- decreased balance during gait
- instruct a pt with altered WB status
Skilled gait training can include
- ID of gait deviation
- feedback strategies
- elastic resistance
- less supportive ADs
Non skilled gait training
- walking to gain endurance/distance
- gait needs assistance
- repetition for distance
- constant cueing
When is transfer training appropriate
-if pt lacks ability to motor plan the sequence or is unsafe
What memory is affected with age
- short term
- encoding
- retrieval w/ Alz
How is long term memory affected with age
- memories stored in past are not affected unless brain damage or dementia
- making new memories is affected
Procedural memory
-automatic, implicit (riding a bike)
Semantic memory
-declarative, explicit, (factual)
Episodic
autobiographical (recall of personal experiences)
Order of memory loss with alzhiemers
- episodic (recent first)
- semantic
- sometimes procedural
What is preserved with dementia
- procedural
- recognition
- knowledge, wisdom
- emotions
