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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Terms in this set (170)
_______ is the basis of an individualized plan of comprehensive assessment
care for geriatrics
what are the six categories of the cognitive, functional, physical, social, psychological, spiritual
comprehensive geriatric assessment?
what is polypharmacy? concurrent use of multiple medications
what is a geriatric syndrome? a common health condition in an older adult that is not a
discrete disease
what are the five main geriatric syndromes? polypharmacy, sleep disorders, falls, pressure injuries, urinary
disorders
________ is how drugs are absorbed, pharmacokinetics
metabolized, and eliminated
________ is how drugs work in the body pharmacodynamics
_______ and ____ ____ alter the processes of aging, chronic diseases
pharmacokinetics and pharmacodynamics
why is polypharmacy so significant of an increases mortality, morbidity, and cost of healthcare
issue? (what does it increase?) (3)
the _________ is when a medication side effect prescribing cascade
is treated by adding another medication
what are six risk factors of polypharmacy? prescribing cascade, multiple providers, multiple pharmacies,
older age, transitions of care, isolation
sometimes the _______ is the only thing older bottle label
adults have to go off of for prescription
instructions
what are four warning signs of medication nonspecific complaints, timeline, falls, sudden changes in
issues? ADLs
, what are eight ways you can assess for brown bag assessment, gait, adherence tests, take-home
medication issues? administration record, literacy screening, swallowing status,
BEERS criteria, collateral history
what are five things you can do to diagnose deduction, lab results, creatinine clearance, adherence, trial
a medication issue or misuse? discontinuation
_____ is one of the most reversible causes of polypharmacy
iatrogenic harm (harm caused by the
healthcare system)
what are four interventions for ensuring knowing appropriate choices and doses, foster medication
proper medication use? literacy, decrease unnecessary or harmful meds, medicare D
______ are among the most common adverse falls
events that threaten older adult's
independence and quality of life
is falling a normal consequence of aging? no, its a geriatric syndrome
Falls increase with ______ and ______ age and frailty
what are five consequences of falls? death, injury, decline in functional status, nursing home
placement, being bed-bound
what are four modifiable risk factors for gait, medication, environment, acute and chronic illnesses
falls?
what are four non-modifiable risk factors for gender, age, medical Hx, >80 y/o
falls?
what are five ways to assess for falls risks? tug test, get up and go test, get a fall Hx, 4-stage balance
test, Johns Hopkins fall scale
what are five general things that can prevent exercise, home safety, falls precautions in hospital and nursing
falls? facilities, falls TIPS, HELP program
what is the most common adverse event in falls
hospitals?
what are four different types of falls? accidental, environmental, anticipated physiological and
unanticipated physiological
what are five physical implications of urinary increased fall risk, fractures, skin breakdown, UTIs, disrupted
incontinence? sleep
what are seven psychological implications depression, anxiety, feelings of loss of control, dependency,
of urinary incontinence? shame, guilt, impaired self-esteem
what are two social implications of urinary social isolation, avoidance of activities
incontinence?
what are six options for behavioral hydration management, prompted voiding, bladder training,
management of urinary incontinence? pelvic muscle rehab, biofeedback, bowel function
management