NURS 5461 GERIATRIC SYNDROMES EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
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Course
NURS 5461
Institution
NURS 5461
NURS 5461 GERIATRIC SYNDROMES EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
FALLS
1 in 3 adults ≥ 65 years reports falling each year
One-half of those > 80 years • One-half of nursing-home residents • Nearly 60% of those with history of falls • Complicati...
The most important part includes an assessment of integrated musculoskeletal function
Functional reach test
yardstick test <6in =high risk
Up and Go test (with or without timing)
get up s arm support walk 3m, then sit back down without using arms if >15s =in risk
Berg Balance Test
15 measures incl picking anoject up off the floor
Performance-Oriented Mobility Assessment (POMA)
abnl if 1 pt off for two or more items, or 1.5 off for a single item.
LABORATORY & DIAGNOSTIC TESTING
Tests and procedures should be guided by the history & physical exam:
echocardiography, brain imaging, radiographic studies of spine • Hemoglobin, BUN,
creatinine, glucose: can exclude anemia, dehydration, or hyperglycemia • Holter
monitoring: no proven value for routine evaluation • Carotid sinus massage with
continuous heart rate and BP monitoring is advocated by some for pts with unexplained
falls: can uncover carotid sinus hypersensitivity
FALLS PREVENTION GUIDELINES
Prescribe exercise, particularly balance, strength, and gait training Discontinue or
minimize psychoactive and other medications Manage postural hypotension Manage
foot problems and footwear Supplement vitamin D Treat vision impairment Manage
heart rate and rhythm abnormalities Modify the home environment
TREATMENT
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