In the assessment and management of the elderly What is one factor?
Cultural diversity
A crucial aspecct of people often presenting with vague complaints and early subtle signs of illness is concerns over what?
Functional independence
When the elderly present with illness, what does it look like?
Fall, delirium, incontience, dizzy, vague, unspecific areas of concern
The goal of managing illness is what?
maintaining function
What factors are considered when looking at the client relevent to patient____ verses cure?
abilities
What two focus areas are the key stones to geratric practice?
Cognitive and functional abilities
Challenge is to find what aides that prolong independence called what?
assistive devices
Communication with client what are some practice tips to promote a freindly relaxed environment?
Can they hear, see, sense your mood, and do they have your attention
How do you get their attention?
By keeping it simple, one thought per sentence task.
Communicating with others what are some techniques to promote friendly, relaxed environment?
Give them time to respond, rephrase what they said,
How should you respond to the tactic of jumping on the mistake wagon wheel?
Use statements, not questions.
Recognize unanswerable questions.
Hostile tone, who me?
Consider the price of nice
Receptor coupled or diffusional up take of a tissue name it?
Absorption
The movement of the drug into the tissue or body compartment name it?
Distribution
Chemical changes in a drug that causes it to be ative or inactive name it?
metabolism
Removal of a drug through the kidney via bile, feces, saliva or lungs name it?
Excretion
Age changes: decrease liver and blood flow to the kidney affects what name it?
Distribution
The three age related changes by decreasing biliary excretion, distal renal tubular secretory function, renal blood flow and filtration rate name it
Excretion
Decreases total body fluid and lean muscle mass and albumin and it increases body fat age related change name it?
Distribution
Decreases first pass effect, splanchnic blood flow, abdorbtive surface area, Gi mobility, and increase gastric ph name it?
Absorption
Smaller older adults are more sensitive to usual doses Lipophilic have what?
increased half life
Distribution age related changes inplication increase or decrease free drugs?
increase
What are the implications of age related changes in drug levels?
difficult to interpret drug levels in the elderly
the implications of age related changes in metabolism: the phase I or P450 increase or decrease this metabolism step?
increases
Metabolism conjugation age related changes see change or no change?
unchanged
Conjugation is genetic material transfered via a bridge or connect between cells true or false
true