GERO exam 2 study guide questions
with verified solutions already passed
how many fall cause serious injury such as broken bones or head injury? - correct answer
✔✔1/5 falls
how many people are treated in emergency departments for fall injuries? - correct answer
✔✔2.8 million
how many patients a year are hospitalized because of a fall injury, most often because of a head
Injury or hip fracture. - correct answer ✔✔over 800,000
how many older people are hospitalized for hip fractures. - correct answer ✔✔300,000
Most common cause of traumatic brain injury? - correct answer ✔✔falls
what percent of hip fractures are caused by falling? - correct answer ✔✔95%
cost of falls annually - correct answer ✔✔$31 billion
percent of nursing home admissions annually - correct answer ✔✔40%
what percent of hospitalized patients will fall - correct answer ✔✔20%
risk factors for falls - correct answer ✔✔history of prior falls, difficulties with walking and
balancing, lower body weakness, vision problems, postural hypotension, urinary frequency,
,hestiteancy, urgency, incontinence, medications, foot pain or improper footwear, hazards in
home, confusion of impaired judgement, nursing home (greater level of frailty, age, more
chronic conditions, more difficulty walking and taking care of themselves, memory problems
how do we assess fall risk? - correct answer ✔✔STEADI assessment
(The CDC's STEADI initiative offers a coordinated approach to implementing the American and
British Geriatrics Societies' clinical practice guideline for fall prevention. STEADI consists of three
core
elements: Screen, Assess, and Intervene to reduce fall risk.)
what often precipitates falls in older adults? - correct answer ✔✔similar to risks
what interventions can we do to help prevent falls? - correct answer ✔✔- focus on a safe
environment, eliminate hazards, faulty bell system, poor light, clutter in room/hallways, uneven
or slippery floors
- frequent surveillance, rounding
- use assisted aid mobility devices: gait belt, low bed, assess equipment
- room arranged for safety
- medication management as indicated
review the Tug Test and how to complete? - correct answer ✔✔- sit in a chair with feet flat on
the floor
- stand up, use arms as support as needed
- walk forward (3 meters) to make on the floor at your normal pace
- turn around
- walk back to the chair at your normal pace
-sit down again
-- increase risk of falls if time >12 seconds
, SPLATT - correct answer ✔✔symptoms
prior fall
location
activity
time
trauma
review the common gait disorders and their definitions - correct answer ✔✔• Antalgic - limping
slow short steps, unable to bear full weight
• Cautious - careful like walking on ice, slow, wide-based
• Cerebellar Ataxia - staggering, wide base, increased trunk sway
• Choreic - irregular, jerky, wide base, spontaneous knee flexion and leg rising
• Dystonic - involuntary muscle contractions - abnormal posture of foot or leg, foot dragging,
hyperflexed hips
• Apraxia - Start and turn hesitation, freezing, small steps
• Hemiparetic - circumduction of weak spastic limb, affected limb in extension with plantar
flexion of foot and toes
• Parkinsonian - short-stepped, shuffling, stooped with head and neck forward
• Steppage - excessive flexion of hips and knees, short stride, equine gait
antalgic - correct answer ✔✔limping slow short steps, unable to bear full weight
cautious - correct answer ✔✔care like walking on ice, slow, wide-based
cerebrallar ataxia - correct answer ✔✔staggering, wide base, increased trunk sway
with verified solutions already passed
how many fall cause serious injury such as broken bones or head injury? - correct answer
✔✔1/5 falls
how many people are treated in emergency departments for fall injuries? - correct answer
✔✔2.8 million
how many patients a year are hospitalized because of a fall injury, most often because of a head
Injury or hip fracture. - correct answer ✔✔over 800,000
how many older people are hospitalized for hip fractures. - correct answer ✔✔300,000
Most common cause of traumatic brain injury? - correct answer ✔✔falls
what percent of hip fractures are caused by falling? - correct answer ✔✔95%
cost of falls annually - correct answer ✔✔$31 billion
percent of nursing home admissions annually - correct answer ✔✔40%
what percent of hospitalized patients will fall - correct answer ✔✔20%
risk factors for falls - correct answer ✔✔history of prior falls, difficulties with walking and
balancing, lower body weakness, vision problems, postural hypotension, urinary frequency,
,hestiteancy, urgency, incontinence, medications, foot pain or improper footwear, hazards in
home, confusion of impaired judgement, nursing home (greater level of frailty, age, more
chronic conditions, more difficulty walking and taking care of themselves, memory problems
how do we assess fall risk? - correct answer ✔✔STEADI assessment
(The CDC's STEADI initiative offers a coordinated approach to implementing the American and
British Geriatrics Societies' clinical practice guideline for fall prevention. STEADI consists of three
core
elements: Screen, Assess, and Intervene to reduce fall risk.)
what often precipitates falls in older adults? - correct answer ✔✔similar to risks
what interventions can we do to help prevent falls? - correct answer ✔✔- focus on a safe
environment, eliminate hazards, faulty bell system, poor light, clutter in room/hallways, uneven
or slippery floors
- frequent surveillance, rounding
- use assisted aid mobility devices: gait belt, low bed, assess equipment
- room arranged for safety
- medication management as indicated
review the Tug Test and how to complete? - correct answer ✔✔- sit in a chair with feet flat on
the floor
- stand up, use arms as support as needed
- walk forward (3 meters) to make on the floor at your normal pace
- turn around
- walk back to the chair at your normal pace
-sit down again
-- increase risk of falls if time >12 seconds
, SPLATT - correct answer ✔✔symptoms
prior fall
location
activity
time
trauma
review the common gait disorders and their definitions - correct answer ✔✔• Antalgic - limping
slow short steps, unable to bear full weight
• Cautious - careful like walking on ice, slow, wide-based
• Cerebellar Ataxia - staggering, wide base, increased trunk sway
• Choreic - irregular, jerky, wide base, spontaneous knee flexion and leg rising
• Dystonic - involuntary muscle contractions - abnormal posture of foot or leg, foot dragging,
hyperflexed hips
• Apraxia - Start and turn hesitation, freezing, small steps
• Hemiparetic - circumduction of weak spastic limb, affected limb in extension with plantar
flexion of foot and toes
• Parkinsonian - short-stepped, shuffling, stooped with head and neck forward
• Steppage - excessive flexion of hips and knees, short stride, equine gait
antalgic - correct answer ✔✔limping slow short steps, unable to bear full weight
cautious - correct answer ✔✔care like walking on ice, slow, wide-based
cerebrallar ataxia - correct answer ✔✔staggering, wide base, increased trunk sway
