NR 601 Primary Care of the Maturing &
Aged Family
Purpose of Comprehensive Geriatric Assessment (CGA)
Health is associated with psychosocial, functional ability, & safe environment
Who is Comprehensive Geriatric Assessment (CGA) most useful for?
The susceptible, older grownup
Domains of Comprehensive Geriatric Assessment (CGA)
1) Physical fitness
2) Functional health
three) Psychological fitness
4) Socioenvironmental assist & QOL measures
What does the useful fitness domain show?
How the older adult care for themselves everyday (ADLs)
Who created the Beers Criteria?
American Geriatric Society
What is the purpose of the Beers Criteria?
- Improve medicine choice
- Avoid dangerous medicines
Who is the Beers Criteria aimed in the direction of?
- sixty five years & older; besides hospice & palliative care patients
What does the Beers Criteria strain?
- The importance of deprescribing to keep away from polypharmacy
- Adverse drug reactions
,Vaccines
- Tetanus
- Diphtheria
- Pneumococcal
- Influenza
Colorectal screening a long time
50-seventy five
Breast most cancers screening a while
- Biennial screening for women a long time 50-seventy four
Health promoting
- Smoking cessation
- Aerobic exercising & energy education
Who desires AAA screening?
*Smokers are at high hazard for aneurysm
Lab changes suffering from dehydration
- Increased ESR (sed rate)
- Reduced physiological reserves d/t thinner pores and skin & much less sub q tissue/ fat
Mini Nutritional Assessment
- Obesity b/c the metabolism slows down & inaction
Functional Domain Screening Tools
- Brody & Lawton: Assess IADLs
- Barthel Index: Assesses ADLs
--------------------------------------------------------------
, *Any trade in function is frequently the primary & simplest sign of a brand new or modified
disorder process
What is FEV 1?
The total extent of air a affected person is able to exhale inside the first 2d at some point of
maximal effort.
A > 12% exchange from pre-bronchodilator to publish-bronchodilator effects imply what?
The obstruction is reversible
When do you see hyperinflation of the lungs?
Because of expanded general lung capacity present w/ obstruction
[i.E. COPD]
How many hours according to day of supplemental O2 therapy has been shown to lessen
mortality related w/ COPD?
15 hours
What kind of disease is Asthma?
- Chronic
- Inflammatory
- Obstructive
What reasons Asthma?
- Intrinsic factors (stress)
- Extrinsic factors (environmental)
Asthma Pathophysiology
REVERSIBLE hyperactivity of bronchi & bronchioles to kind of stimuli
Aged Family
Purpose of Comprehensive Geriatric Assessment (CGA)
Health is associated with psychosocial, functional ability, & safe environment
Who is Comprehensive Geriatric Assessment (CGA) most useful for?
The susceptible, older grownup
Domains of Comprehensive Geriatric Assessment (CGA)
1) Physical fitness
2) Functional health
three) Psychological fitness
4) Socioenvironmental assist & QOL measures
What does the useful fitness domain show?
How the older adult care for themselves everyday (ADLs)
Who created the Beers Criteria?
American Geriatric Society
What is the purpose of the Beers Criteria?
- Improve medicine choice
- Avoid dangerous medicines
Who is the Beers Criteria aimed in the direction of?
- sixty five years & older; besides hospice & palliative care patients
What does the Beers Criteria strain?
- The importance of deprescribing to keep away from polypharmacy
- Adverse drug reactions
,Vaccines
- Tetanus
- Diphtheria
- Pneumococcal
- Influenza
Colorectal screening a long time
50-seventy five
Breast most cancers screening a while
- Biennial screening for women a long time 50-seventy four
Health promoting
- Smoking cessation
- Aerobic exercising & energy education
Who desires AAA screening?
*Smokers are at high hazard for aneurysm
Lab changes suffering from dehydration
- Increased ESR (sed rate)
- Reduced physiological reserves d/t thinner pores and skin & much less sub q tissue/ fat
Mini Nutritional Assessment
- Obesity b/c the metabolism slows down & inaction
Functional Domain Screening Tools
- Brody & Lawton: Assess IADLs
- Barthel Index: Assesses ADLs
--------------------------------------------------------------
, *Any trade in function is frequently the primary & simplest sign of a brand new or modified
disorder process
What is FEV 1?
The total extent of air a affected person is able to exhale inside the first 2d at some point of
maximal effort.
A > 12% exchange from pre-bronchodilator to publish-bronchodilator effects imply what?
The obstruction is reversible
When do you see hyperinflation of the lungs?
Because of expanded general lung capacity present w/ obstruction
[i.E. COPD]
How many hours according to day of supplemental O2 therapy has been shown to lessen
mortality related w/ COPD?
15 hours
What kind of disease is Asthma?
- Chronic
- Inflammatory
- Obstructive
What reasons Asthma?
- Intrinsic factors (stress)
- Extrinsic factors (environmental)
Asthma Pathophysiology
REVERSIBLE hyperactivity of bronchi & bronchioles to kind of stimuli
