OAT Geriatric Pts Lect Flashcards Preview

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Flashcards in OAT Geriatric Pts Lect Deck (21)
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1

Subgroups of geriatrics and Ages

65-75: Young-old

75-85: Older-old

85+: Old-old

2

Most common form of arthritis

Osteoarthritis

Hands, feet, knees, hips

3

Leading cause of LE disability in older adults

Osteoarthritis

4

Osteoarthritis presents with joint stiffness at what periods?

After periods of inactivity: 

Just after waking up

Just after sitting

5

Progression of osteoarthritis

Initial: pain in one joint

Progress to multiple joints

Night pain, interference with sleep

6

What finding is classic on XR of osteoarthritis

Osteophytes

Narrowed joint spaces

7

Medical treatment of osteoarthritis

Pain relief

Weight management, exercise

Walkingaids, braces, orthoses

Topical, oral analgesics

OMM/PT

Orthopedic intervention

8

Fastest growing source of disability due to neurologic disorders

Parkinson's disease

9

Most common infectious cause of death in the elderly

Pneumonia

10

Leading cause of injury among older adults in the US

Falls

11

Fall Risk Assessment: Get up and Go test

Observe older person move from seated to standing without using arms for support

Walk 3 meters, turn, and return to chair

Sit back in chair w/o support

>12 seconds indicates fall risk

12

Goals in geriatric management

Optimize function - ability to walk, daily activities

Avoid institutionalization - 80% prefer to die at home

Maintain sense of community

13

Common gait changes in elderly:

Waddling gait indicates _______

Pelvis weakness (deconditioning)

14

Common gait changes in elderly:

Antalgic gait indicates _____

Avoiding pain (mechanical change in low back/pelvis, LE)

15

Common gait changes in elderly:

Hemiparetic gait indicates ______

Post stroke (neurologic compromise)

16

Common gait changes in elderly:

Steppage gait indicates ______

Foot drop (neurologic compromise)

17

Common gait changes in elderly:

Shuffling gait indicates ____

Parkinsons (neurologicl compromise)

18

How do you want to modify OMT for geriatric patients? (3)

Caution with direct techniques

Avoid position changes (do seated, most cannot lay flat or pron)

Limited "doses" of treatment (poor reserve for compensation)

19

The MOPSE trial showed what effect of OMT on pneumonia in the elderly?

OMT added to standard abx reduced length of hospital stay compared to light/no touch therapy

20

The international Journal of Osteopathic Medicine showed what effect of OMT on chronic constipation?

Statistically significant improvement over:

1. Severity of constipation

2. Colonic transit time

3. Pt assessment of constipation sx, quality of life

21

In the Journal of the American Osteopathic Association's study on the effect of OMT on women with clinical depression, what was the outcome on the Zung Depression Scale?

All pts in OMT group reverted to normal range by 8 weeks

70% of pts in controlg roup still had signs of moderate depression