Flashcards in Prevention Deck (28)
What is the major outcome of chronic diseases other than death?
What are the MC CA's?
What percentage of older adults have HTN?
What percentage of adults have heart disease?
What percentage of disabilities occur chronically and progressively as chronic diseases become more severe?
What is the most feared outcome of disability?
Loss of independence
List the precursors to disability
1. Difficulty walking
2. Cognitive impairment
3. Visual impairment
Define Primary Prevention
Intervention to prevent dz or injury
List examples of Primary Prevention
2. BP monitoring
4. Seat Belts
5. Home Environment evaluation*
6. Oral Care*
Define Secondary Prevention
Intervention for those with EARLY CONDITION to prevent PROGRESSION into complications
Ex: Smoking cessation in pt's with arterial dz
What is an examples of Secondary Prevention
1. Mammography <75
2. Colonoscopy, FOB
Define Tertiary Prevention
Efforts to IMPROVE CARE to AVOID late complications
Ex: Chronic Dz management
List examples of Tertiary Prevention
1. Proactive Primary Care
2. Comprehensive Geriatric Assessment
3. Foot Care
What two factors is the benefit of prevention dependent on?
1. PREVALENCE of problem
2. LIKELIHOOD of an effective intervention
What is prevention in older adults targeted at?
Prevention of Syndromes:
3. Functional decline
What is the benefit of pneumonia prevention (vaccines)?
1. Decrease need for hospitalizations
2. Decrease functional decline
What is the benefit of osteoporosis prevention?
Cost effective in elderly
Decreased risk of one dz may leave older people more vulnerable to others
Ex: Decreasing SBP below 120/80 can cause dizziness/falls d/t decreased profusion to brain
What is the USPTF recommendations for prevention screening
1. Regular "periodic" screening
2. 65+: Screening, counseling, immnunizations
3. Welcome to Medicare visit
Screening for psychosocial problems
2. Beck Depression Inventory
3. Geriatric Depression Scale
Screening for cognitive impairment
Mini Mental Status Exam
What is the recommended amount of physical activity in older adults?
150 minutes/week of moderate intensity
What does low BMI or unintentional weight loss >10 lbs in 6 months indicate?
Poor nutrition and disease
What can you use to help identify those @ risk for malnutrition?
Mini Nutritional Assessment (MNA)
What is the most preventable problem in older adults?
List common Iatrogenic problems
1. Excessive Testing/Overevaluation*
4. Fluid overload
5. Abx overuse
What is the leading iatrogenic event in LTC facilities?