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Geriatrics Eval > Week 1 > Flashcards

Week 1 Flashcards

1
Q

name 5 aspects of geriatric syndromes.

A
  1. falls
  2. frailty
  3. incontinence
  4. functional decline
  5. delirium
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2
Q

Describe Medicare guidelines for OTRs and COTAs.

A
  • OTR is responsible for evaluation and reevaluation.
  • COTA must be supervised
  • general supervision required except for private practice which requires direct supervision
  • in clinics, rehab agencies, COTA must have on site supervision at least every 30 days
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3
Q

which 3 guidelines should an OT consider for OTR and COTA responsibilities/guidelines?

A

-AOTA guidelines
-state guidelines
-Medicare guidelines
(follow most stringent guidelines)

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4
Q
  • purpose is to understand what is important and meaningful to the client.
  • determines occupational history, experiences, patterns of daily living, interests
  • uncover what client needs or wants to do in the present and future
  • client’s select their own goals and priorities
  • promotes client-centered practice
  • guides evaluation, intervention planning and intervention implementation
A

occupational profile

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5
Q

name the 2 methods of developing the occupational profile.

A
  • formal interview

- informal conversation

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6
Q
  • multi-dimensional, interdisciplinary assessment

- considers mental health, physical health, functioning and social situation

A

comprehensive geriatric assessment (CGA)

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7
Q
  • establishes a baseline

- assesses effects of depression, substance abuse and adverse effects of medications should be considered.

A

mental status testing

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8
Q
  • assesses ADL and IADL status including community mobility and driving
  • a signal of illness and a focus for prevention efforts
A

functional assessments

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9
Q
  • assesses an individual’s social support system
  • assesses caregiver’s health and functional status
  • considers adult mistreatment
A

social assessments

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10
Q

-helps identify people at risk for social isolation

A

Lubben Social Network Scale

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11
Q

screenings for depression and anxiety

A

psychological assessments

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12
Q

based on history, may include:

  • vital signs
  • vision and hearing
  • ROM and strength
  • response time
  • sensation, fine and gross motor coordination
  • skin
  • gait and balance
A

physical assessments

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13
Q

knowledge of patient wishes regarding care

A

advanced directives

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14
Q

what is the most reliable indicator of geriatric pain?

A

self-report of pain

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15
Q

self-report scales and observation-based assessments

A

pain assessments

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16
Q

-assesses pain in older adults with cognitive impairment who cannot be assessed using standardized pain instruments

A

PAINAD

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17
Q

-measures quality and patterns of sleep in the older adults

A

Pittsburgh Sleep Quality Index (PSQI)

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18
Q
  • includes physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions.
  • useful outcome measure for health promotion programs
A

Rand-36 item health survey (SF-36)

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19
Q

name 3 preparatory methods for older adults.

A
  • practicing standing balance
  • stretching
  • strengthening
20
Q

with each decade of life, we have an increased risk of which 2 conditions?

A
  • dementia

- chronic disease

21
Q

what is a symptom of a UTI in older adults?

A

confusion (temporary dementia)

22
Q

what is the most common chronic health condition among older adults?

A

osteoarthritis

23
Q

things common in older adults and can reduce function but aren’t as clear cut - more layered

A

geriatric syndromes

24
Q

name 5 signs of frailty.

A
  • weight loss
  • self-reported exhaustion
  • weakness
  • low physical activity level
  • slow gait speed
25
temporary state of confusion
delirium
26
1 out of every 3 older adults who goes to the hospital develops what?
delirium
27
delirium is easier to ___ than ___.
prevent, reverse
28
name 4 risk factors for delirium.
1. malnutrition 2. dehydration 3. infections 4. sensory deprivation
29
name 4 ways to prevent delirium.
- maintaining regular physical activity - focus on lighting - open blinds - make sure they have access to their glasses and hearing aids - orient them to time - phone, clock, cognitive stimulation
30
name 4 ADL assessments.
1. Barthel index 2. FIM (functional independence measure) 3. KATZ index 4. PASS (performance assessment of self-care skills)
31
looks at both independence and safety as separate measures
PASS (Performance Assessment of Self-Care Skills)
32
name 4 ways skin can change in older adults.
- becomes thinner - becomes less elastic - decreased sensitivity to light touch - drier skin
33
name 2 common sources of pain in older adults.
- joint pain | - neuralgia
34
which pain assessment has been found to be helpful for people with low literacy levels?
FACES pain scale
35
supplement pain assessments with ____.
observation
36
also think about people's ___ ___ when choosing pain assessments.
sensory deficits
37
t/f - cognitive loss is not part of typical aging.
true
38
keeping healthy people healthy
primary prevention
39
name an example of primary prevention.
health promotion and prevention - sleep
40
someone has symptoms and we want to prevent condition from exacerbating
secondary prevention
41
name 2 examples of secondary prevention.
- medication management - falls prevention - if someone has fallen before or has a fear of falling - we want to use secondary prevention to make sure they don't fall again
42
Name a strength of the PAINAD assessment.
can be used to train caregivers
43
name 2 limitations of the PAINAD assessment.
- it doesn't tell us where the pain is located | - it doesn't tell us what is causing the pain
44
measure of health-related quality of life
Rand 36-item health survey
45
what does a higher score on the Rand 36-item health survey indicate?
better health-related quality of life
46
describe the scoring results and meaning of the Lubben Social Network Scale.
less than 12 on complete measure or less than 6 on the subscale test indicates that the person is at risk for social isolation
47
describe the scoring results of the Pittsburgh Sleep Quality Index (PSQI).
score of 5 or higher = poor sleeper

Geriatrics Eval (12 decks)

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