Notes in Clinical Medicine I::Week 9 - Geriatric Medicine

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Hawaii Pacific University PA Program

Week 9 - Geriatric Medicine

Status	Last Update	Fields
Published	03/02/2025	What are the 5 M's in Geriatric pt care?
Published	03/02/2025	Age-Friendly Health Systems
Published	03/02/2025	What is the geriatric approach to care?
Published	03/03/2025	4c2192205a2c4c96975503891044949b-oa-5
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Published	03/03/2025	4c2192205a2c4c96975503891044949b-oa-1
Published	03/03/2025	What are the triple aims to Age-Friendly Health Systems (AFHS)?
Published	03/03/2025	Multicomplexity describes the {{c1::whole person}}, typically an older adult, living with multiple {{c1::chronic conditions}}, {{c1::advanced illness}…
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Published	03/03/2025	In the geriatric assessment/approach, you should also:
Published	03/03/2025	T/F: Team-based care is important in geriatrics
Published	03/03/2025	In "what Matters most" you should to talk to pts about: (6)
Published	03/04/2025	POLST
Published	03/03/2025	Which of the 5 M's do the others revolve around the most?
Published	03/03/2025	Advanced care directives include all {{c1::directives, instructions, or desires}} that a person may communicate concerning decisions about {{c1::medic…
Published	03/03/2025	What is a durable power of attorney for healthcare?
Published	03/03/2025	1051a5f4072943cc800477b2f73f313a-oa-4
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Published	03/03/2025	a96ac8430fb04387bb422f96156658bd-ao-2
Published	03/03/2025	a96ac8430fb04387bb422f96156658bd-ao-1
Published	03/03/2025	The average geriatric pt takes {{c1::5.7 prescriptions}} and up to {{c1::18 different meds}} annually.
Published	03/03/2025	What does successful drug therapy in geriatrics look like?
Published	03/03/2025	Failure in any component of successful drug therapy can lead to
Published	03/03/2025	What are some risk factors for ADEs?
Published	03/05/2025	Key things to consider when prescribing meds for geriatric pts (5)
Published	03/03/2025	15d563f3e2bf47239be7db57bd4552b2-ao-2
Published	03/03/2025	15d563f3e2bf47239be7db57bd4552b2-ao-1
Published	03/03/2025	Describe Mentation
Published	03/03/2025	What are some screening tools for dementia?
Published	03/03/2025	Define delirium
Published	03/03/2025	Describe Mobility
Published	03/04/2025	What are examples of ADLs?
Published	03/03/2025	What are iADLs?
Published	03/03/2025	What does the Multi-complexity part of the 5 M's consider?
Published	03/03/2025	Define "fall"
Published	03/03/2025	Falls are the leading cause of {{c1::injury related hospitalizations}} in individuals greater than or equal to 65yrs
Published	03/03/2025	Those who fall are up to twice as likely to have {{c1::recurrent}} falls.
Published	03/03/2025	What are the four consequences of falls?
Published	03/03/2025	Physical consequence of falls
Published	03/03/2025	Psychological consequence of falls
Published	03/03/2025	Social consequence of falls
Published	03/03/2025	Economic consequence of falls
Published	03/03/2025	What does the Fall Risk Assessment consist of? (4)
Published	03/03/2025	Describe the components of the "history" aspect of the Fall Risk Assessment.
Published	03/03/2025	Describe the components of the "general physical exam" aspect of the Fall Risk Assessment.
Published	03/03/2025	Describe the components of "diagnostic testing" aspect of the Fall Risk Assessment.
Published	03/03/2025	Describe the components of "MSK function" aspect of the Fall Risk Assessment.
Published	03/03/2025	What are some prevention strategies for falls? (6)
Published	03/03/2025	Describe the multidisciplinary team approach for fall prevention/risk.
Published	03/03/2025	You should educate the patient, family members, and/or caregiver on safe {{c1::movement strategies}}, reinforce good {{c1::biomechanics}}, encourage r…
Published	03/03/2025	Intrinsic risk factors for falls (9)
Published	03/03/2025	Extrinsic risk factors for falls
Published	03/03/2025	Hip fracture has a {{c1::1 year mortality}} rate of 20-30%
Published	03/03/2025	26d8c9897a53431d8fac62f50b23e338-ao-1
Published	03/03/2025	26d8c9897a53431d8fac62f50b23e338-ao-2
Published	03/03/2025	What are the 5 types of Urinary Incontinence?
Published	03/03/2025	Stress Urinary Incontinence (SUI) clinical manifestations
Published	03/03/2025	Urgency Urinary Incontinence (UUI) clinical manifestations?
Published	03/03/2025	Mixed Urinary Incontinence (MUI) clinical manifestations?
Published	03/03/2025	Overflow incontinence clinical manifestations?
Published	03/03/2025	Functional incontinence clinical manifestations?
Published	03/03/2025	Age-related changes of urinary incontinence can be broken down into {{c1::anatomical}}, {{c1::physiological,}} and {{c1::neurological}} components.
Published	03/03/2025	Age-related anatomical changes that contribute to urinary incontinence (5)
Published	03/03/2025	Physiological age-related changes that contribute to urinary incontinence
Published	03/03/2025	Neurological age-related changes that contribute to urinary incontinence
Published	03/03/2025	Urinary incontinence is {{c1::NOT a normal}} part of aging.
Published	03/03/2025	SUI is most common in {{c1::younger women and elderly}}
Published	03/03/2025	UUI is {{c1::equally}} common in older adults of {{c1::both sexes}}
Published	03/03/2025	Overflow incontinence is more common in {{c1::men with prostatic enlargement}}
Published	03/03/2025	Functional incontinence is common in pts with {{c1::dementia}}, {{c1::severe arhtritis}}, use of restraints
Published	03/03/2025	Treatment for urinary incontinence consists of 4 things, what are they?
Published	03/03/2025	1875d0253195493580ddff28e2adc57d-oa-1
Published	03/03/2025	1875d0253195493580ddff28e2adc57d-oa-2
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Published	03/03/2025	7fb9921c92fa42a99e70a6304137929c-oa-2
Published	03/03/2025	Urinary incontinence mechanical device tx include
Published	03/03/2025	Surgical options for urinary incontinence include
Published	03/03/2025	For urinary incontinence, you should make an IMMEDIATE referral to a specialist if pt has: (5)
Published	03/03/2025	Urinary incontinence referral should be considered for cases that (5)
Published	03/03/2025	What are the four main risk factor considerations when it comes to urinary incontinence in the geriatric population?
Published	03/03/2025	Urinary incontinence medical condition risk factors: (5)
Published	03/03/2025	Urinary incontinence medication risk factors: (5)
Published	03/03/2025	Urinary incontinence lifestyle risk factors include: (5)
Published	03/03/2025	Urinary incontinence environmental risk factors include:
Published	03/03/2025	What are the 5 physiological changes that affect nutrition changes in older adults?
Published	03/03/2025	Characteristics of altered taste & smell in geriatric pts?
Published	03/03/2025	Clinical impact of altered taste & smell in geriatric pts? (3)
Published	03/06/2025	Characteristics of decreased gastric acid secretion in geriatric pts?
Published	03/03/2025	Clinical impacts of decreased gastric acid secretion in geriatric pts?
Published	03/03/2025	Characteristics of altered nutrient absorption in geriatric pts?
Published	03/03/2025	Clinical impact of altered nutrient absorption in geriatric pts? (3)
Published	03/03/2025	Characteristics of body composition changes in geriatric pts?
Published	03/03/2025	Clinical impact of body composition changes in geriatric pts?
Published	03/03/2025	Characteristics of modified energy requirements in geriatric pts?
Published	03/03/2025	Clinical impact of modified energy requirements in geriatric pts?
Published	03/03/2025	What are common nutritional deficiencies in geriatric pts?
Published	03/03/2025	List the 4 Nutritional Assessment Tools
Published	03/03/2025	05c56d8d8c2e4e5190f41056f4fb7dd2-oa-1
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Published	03/03/2025	bd1c59e9e10642e2ba87aeab66584bf8-ao-1
Published	03/03/2025	What conditions may warrant hospital admission for complications related to pressure injuries?
Published	03/03/2025	What are some indications for specialist referral in pressure injuries?
Published	03/03/2025	what are major complications of pressure injuries?
Published	03/03/2025	what surgical options are available for pressure injuries?
Published	03/03/2025	what are advanced therapies for pressure injuries?
Published	03/03/2025	What are key components of nutritional support for treatment?
Published	03/03/2025	What is the recommended protein supplementation for nutritional support?
Published	03/03/2025	frequency of repositioning
Published	03/03/2025	What are some conservative management approaches for treating pressure injuries?
Published	03/03/2025	What is an important aspect of documentation in pressure injury management?
Published	03/03/2025	What are the key elements of a wound assessment in pressure injury evaluation?
Published	03/03/2025	What are the essential components of a pressure injury evaluation?
Published	03/03/2025	Describe the scoring range of the Norton Score and what a score of ≤14 and ≤12 signifies.
Published	03/03/2025	What elements are assessed in the Norton Score?
Published	03/03/2025	What is the range of the Braden Score and what does a score of ≤18 indicate?
Published	03/03/2025	What components are included in the Braden Scale for risk assessment?
Published	03/03/2025	What factors influence the risk of pressure injuries by location?
Published	03/03/2025	What are the common anatomical sites for pressure injuries?
Published	03/03/2025	What is indicated by Stage 4 in the NPIAP Pressure Injury Staging?
Published	03/03/2025	what are the key mechanisms to pressure injury?
Published	03/03/2025	What distinguishes a Stage 3 NPIAP pressure injury?
Published	03/03/2025	What characterizes a Stage 2 NPIAP pressure injury?
Published	03/03/2025	what is time-pressure relationship?
Published	03/03/2025	what role does friction play in pressure injury pathophysiology?
Published	03/03/2025	Why might Stage 1 pressure injuries be harder to detect in darkly pigmented skin?
Published	03/03/2025	What sensations and texture changes might be present in a Stage 1 pressure injury?
Published	03/03/2025	What is the characteristic of a Stage 1 pressure injury according to NPIAP?
Published	03/03/2025	What role does shear play in pressure injury pathophysiology?
Published	03/03/2025	What is the significance of pressure in pressure injury pathophysiology?
Published	03/03/2025	What are major risk factors for immobility syndrome in older adults?
Published	03/03/2025	What are the major impacts of Immobility Syndrome?
Published	03/03/2025	In what population is Immobility Syndrome often seen?
Published	03/03/2025	What is Immobility Syndrome?
Published	03/03/2025	What services does home health nursing provide?
Published	03/03/2025	What are indicators for referral in healthcare?
Published	03/03/2025	What are the roles of home health nursing in medication management?
Published	03/03/2025	What are some red flags indicating when to refer a patient to clinical pharmacy?
Published	03/03/2025	In what specific situations should a patient be referred to a clinical pharmacy?
Published	03/03/2025	What factors in a patient's medication regimen might prompt a referral to a clinical pharmacy?
Published	03/03/2025	Which drug classes are examples of cardiovascular medications that pose a high risk?
Published	03/03/2025	What condition can cardiovascular medications like alpha blockers cause?
Published	03/03/2025	Name examples of drugs that are a sedative-hypnotic.
Published	03/03/2025	What risk is increased by using sedative-hypnotics?
Published	03/03/2025	what are high-risk medications?
Published	03/03/2025	Give examples of anticholinergic medications.
Published	03/03/2025	What are potential side effects of anticholinergics?
Published	03/03/2025	How often should regular medication reviews be conducted?
Published	03/03/2025	What are some age-related changes affecting drug metabolism?
Published	03/03/2025	What precaution should be taken when adjusting doses in the 'Start Low, Go Slow' approach?
Published	03/03/2025	What are the initial steps in the 'Start Low, Go Slow' prescribing approach?
Published	03/03/2025	What does the Medication Appropriateness Index (MAI) evaluate in a medication review?
Published	03/03/2025	How many criteria does START include?
Published	03/03/2025	How many criteria does STOPP include?
Published	03/03/2025	What does START stand for in the STOPP/START Criteria?
Published	03/03/2025	What does STOPP stand for in the STOPP/START Criteria?
Published	03/03/2025	How are the Beers Criteria organized?
Published	03/03/2025	How often are the Beers Criteria updated?
Published	03/03/2025	What are the Beers Criteria used for?
Published	03/03/2025	what are validated tools for medication review?
Published	03/03/2025	What are some risks associated with taking 5 or more medications?
Published	03/03/2025	What is the definition of taking 5 or more medications called?
Published	03/03/2025	Why is it important to provide company to patients experiencing loneliness due to isolation?
Published	03/03/2025	What are some feelings patients might experience when looking back over their life due to isolation and loss of ability?
Published	03/03/2025	Which category of Erikson's Psychosocial Stages can patients fall into due to isolation and loss of ability?
Published	03/03/2025	What must always be screened for in patient interviews for depression?
Published	03/03/2025	What should follow a positive response to the PHQ-2?
Published	03/03/2025	What two main questions are part of the PHQ-2?
Published	03/03/2025	What is the Patient Health Questionnaire – 2 (PHQ-2) used for?
Published	03/03/2025	What is the first line of treatment for depression?
Published	03/03/2025	Who should consider treatment even if they don't meet full criteria for depression?
Published	03/03/2025	Describe severe depression.
Published	03/03/2025	What characterizes moderate depression?
Published	03/03/2025	What constitutes mild depression?
Published	03/03/2025	What is a risk factor of depression that is severe intervention?
Published	03/03/2025	What is psychomotor agitation or retardation?
Published	03/03/2025	Can patients benefit from treatment even if they do not exhibit all DSM criteria for major depression?
Published	03/03/2025	What is the minimum duration for symptoms to define major depression?
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