Older adult care flashcards
Study the cards, then practice on the patient.
Twenty flashcards on older adult care: delirium, memory, falls, medications, abuse and end-of-life comfort.
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20 cards
- Bedside screening tool for delirium?
- The Confusion Assessment Method (CAM).
- CAM: what makes a positive screen?
- Acute onset or fluctuating course and inattention, plus disorganized thinking or altered consciousness.
- Delirium versus dementia: key difference?
- Delirium starts suddenly and fluctuates; dementia develops slowly over months to years.
- Two parts of the Mini-Cog?
- Three-word recall and a clock drawing.
- Mini-Cog score that suggests further testing?
- Below 3 out of 5.
- Timed Up and Go time that suggests higher fall risk?
- 12 seconds or more.
- Timed Up and Go walking distance?
- 3 meters (10 feet), then turn, walk back and sit.
- List used to find risky drugs in older adults?
- The AGS Beers Criteria.
- Strongly anticholinergic drug to avoid in older adults?
- Diphenhydramine.
- Five items of the FRAIL scale?
- Fatigue, Resistance, Ambulation, Illnesses and Loss of weight.
- Fried frailty criteria?
- Weight loss, exhaustion, low activity, slow walking and weak grip; 3 or more means frail.
- Top home changes to prevent falls?
- Remove trip hazards like loose rugs, add grab bars and improve lighting.
- Signs that raise concern for elder abuse?
- Unexplained injuries, delays in seeking care, fearfulness, poor hygiene or sudden money changes.
- Clinician duty with suspected elder abuse?
- Report to Adult Protective Services as state law requires.
- Main types of urinary incontinence?
- Stress, urge, overflow and functional.
- Simple first step for urge incontinence?
- Scheduled or prompted toileting and bladder training.
- Skin care after an incontinence episode?
- Clean gently, dry and apply a barrier cream to prevent breakdown.
- Drug for breathlessness at the end of life?
- A low-dose opioid such as morphine.
- Noisy breathing near death is called?
- Terminal secretions; reposition and consider an anticholinergic such as glycopyrrolate.
- Quick bedside hearing screen?
- The whispered voice test.