NR 601 Primary Care of the Maturing Aged Family 2023

NR 601 Primary Care of the Maturing & Aged Family 2023 Purpose of Comprehensive Geriatric Assessment (CGA) - Correct Answer Health is related to psychosocial, functional ability, & safe environment Who is Comprehensive Geriatric Assessment (CGA) most beneficial for? - Correct Answer The vulnerable, older adult Domains of Comprehensive Geriatric Assessment (CGA) - Correct Answer 1) Physical health 2) Functional health 3) Psychological health 4) Socioenvironmental support & QOL measures What does the functional health domain show? - Correct Answer How the older adult care for themselves day to day (ADLs) Who created the Beers Criteria? - Correct Answer American Geriatric Society What is the purpose of the Beers Criteria? - Correct Answer - Improve medication selection

• Avoid dangerous medications

Who is the Beers Criteria aimed toward? - Correct Answer - 65 years & older; except hospice & palliative care patients What does the Beers Criteria stress? - Correct Answer - The importance of deprescribing to avoid polypharmacy

• Adverse drug reactions

Vaccines - Correct Answer - Tetanus

• Diphtheria
• Pneumococcal 1 / 3

• Influenza

Colorectal screening ages - Correct Answer 50-75 Breast cancer screening ages - Correct Answer - Biennial screening for women ages 50-74 Health promotion - Correct Answer - Smoking cessation

• Aerobic exercise & strength training

Who needs AAA screening? - Correct Answer *Smokers are at high risk for aneurysm Lab changes affected by dehydration - Correct Answer - Increased ESR (sed rate)

• Reduced physiological reserves d/t thinner skin & less sub q tissue/ fat

Mini Nutritional Assessment - Correct Answer - Obesity b/c the metabolism slows down & inactivity Functional Domain Screening Tools - Correct Answer - Brody & Lawton: Assess IADLs

- Barthel Index: Assesses ADLs

--------------------------------------------------------------

*Any change in function is often the first & only sign of a new or changed disease process What is FEV 1? - Correct Answer The total volume of air a patient is able to exhale in the first second during maximal effort.A > 12% change from pre-bronchodilator to post-bronchodilator results indicate what? - Correct Answer The obstruction is reversible When do you see hyperinflation of the lungs? - Correct Answer due to increased total lung capacity present w/ obstruction [i.e. COPD] 2 / 3

How many hours per day of supplemental O2 therapy has been shown to reduce mortality associated w/ COPD? - Correct Answer 15 hours What kind of disease is Asthma? - Correct Answer - Chronic

• Inflammatory
• Obstructive

What causes Asthma? - Correct Answer - Intrinsic factors (stress)

• Extrinsic factors (environmental)

Asthma Pathophysiology - Correct Answer REVERSIBLE hyperactivity of bronchi & bronchioles to variety of stimuli The 1st stage of Asthma is? - Correct Answer Intermittent asthma

• Intermittent Sx less than 2 days per week
• Nighttime less than twice per month

Intermittent asthma Treatment - Correct Answer - No daily meds

• SABA PRN; less than twice a week
• Step up if control is not achieved
• Step down if asthma is controlled for 3 months

Intermittent asthma Peak Flow/ Spirometry Results - Correct Answer - Normal peak expiratory flow between exacerbations

• FEV1 >80%; PFT Variability >20%

The 2nd stage of Asthma is? - Correct Answer Mild Persistent asthma

• Sx more than 2 days per week but not daily
• Several times at night per month
• / 3