Geriatrics

Question 1

What is considered the age range for the older adult?

Answer 1

65 and older

Question 2

Young old is what age?

Answer 2

65-74

Question 3

Middle old is what age?

Answer 3

75 to 84

Question 4

old old is what age?

Answer 4

85 and older?

Question 5

What are considered areas of concern for the geriatric population?

Answer 5

1. Mobility
2. Palliative care
3. Pulmonary Support
4. Nutritional Support
5. Delirium reduction
6. Dementia Assessment
7. Drug interaction and safety
   8 Appropriate documentation
8. System widestaff education
9. Family care giving
10. Community awareness
11. Cultural diversity

Question 6

Factors contributing to planning care for deciding operative/invasive procedure in the elderly?

Answer 6

1. Evaluation of the disease course and its effects on life expectancy
2. How the procedure affects the patient’s independence motivation of the pt and surgical risks, medical management

Question 7

Three factors that influence preoperative mortality in older pts?

Answer 7

1. Presence of existing disease
2. Emergency Surgery
3. Site of surgery

Question 8

What are some common procedures geriatric pt have?

Answer 8

1. Thyroid
2. Abdominal
3. Hernia
4. Genitourinary
5. Ophthalmic
6. Orthopedic
7. Vascular
8. Cardiovascular

Question 9

Cancer accounts for what percent in 65 year and older?

Answer 9

70%

Question 10

Geriatric pt may not benefit from this type of surgery because of use of carbon dioxide-pneumoperituneum?

Answer 10

Minimally invasive Surgery

Question 11

Geriatrics are at risk for skin breakdown because of?

Answer 11

1. fagile tissue
2. poor elasticity
3. decrease subcutaneous fat
4. dry skin

Question 12

What consideration should be made about geriatric’s airway?

Answer 12

1. facial contour

2. Lack of teeth can hinder effective ventilation

Question 13

What should be taken into consideration when positioning a geriatric pt?

Answer 13

1. Neck, spine and extremity may not fully extend

Question 14

What is one of the most common ambulatory procedures for older adults?

Answer 14

Cataract surgery

Question 15

Geriatric pt are at high risk for?

Answer 15

Hypothermia

Question 16

Geriatric pt may rely on who for health care issue?

Answer 16

family member

Question 17

What assistive devices should be taken into consideration with older adults?

Answer 17

1. eye glasses
2. hearing aids
3. dentures
4. walkers
5. canes
6. wheelchair
7. supplemental oxygen

Question 18

Geriatric pt may be at risk for what with surgery?

Answer 18

1. Infection
2. UTI
3. Pneumonia
4. Surgical Site Infection
5. Delay wound healing

Question 19

*What routine should be followed in the prevention of Catheter Associated Urinary Tract Infection?

Answer 19

1. Routine placement is discouraged except for identified reasons
2. Strict adherence to sterile technique during insertion
3. Protecting sterile connections, hand hygiene
4. Keep catheter below level of bladder and tubing straight

Question 20

What are some physical abuse the elderly may experience?

Answer 20

1. Bruises
2. Slapmarks
3. Blisters
4. Burns
5. Cigarette burns

Question 21

What are some emotional abuse the elderly may experience?

Answer 21

1. Withdrawal from normal activities
2. Changes in alertness
3. Visual
4. Behavioral changes

Question 22

What sexual abuse would an elderly person experience?

Answer 22

1. Bruises around breast or genital

2. unexplained stds

Question 23

What are signs of exploitation in the elderly?

Answer 23

1. Sudden change in finances
2. Altered will, trust
3. Unusual bank withdrawals
4. checks written as loans or gifts
5. Loss of property

Question 24

Signs of neglect in the elderly?

Answer 24

1. Pressure ulcer
2. filth
3. lack of medical care
4. malnutrition
5. dehydration
6. abandonment

Question 25

What is self neglect?

Answer 25

Inability to understand the consequences of one's own actions or inactions which may lead to harm or endangerment.