Podcast
Questions and Answers
Fraility- when the body has few reserves left and any disturbance can cause multiple health conditions
Fraility- when the body has few reserves left and any disturbance can cause multiple health conditions
True
Chronic illness can not be cured but can be managed, can move from one body part to the other
Chronic illness can not be cured but can be managed, can move from one body part to the other
True
Acute- occurs suddenly without any warning
Acute- occurs suddenly without any warning
True
Those with chronic can have exacerbations(flare ups),
acute can be as a result of long term chronic
Those with chronic can have exacerbations(flare ups), acute can be as a result of long term chronic
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Treatment of chronic disease can lead to Iatrogenic complications(by product of healthcare intervention)
Treatment of chronic disease can lead to Iatrogenic complications(by product of healthcare intervention)
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Fraility- affects mental and physical
associated with sarcopenia-muscle wasting,cognitive impairment,malnutrition
S&S- weightloss, unsteady gait, weekness
Fraility- affects mental and physical associated with sarcopenia-muscle wasting,cognitive impairment,malnutrition S&S- weightloss, unsteady gait, weekness
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Athritis- no 1 for activity limitation- osteoathritis, polymyalgia, rhematoid athritis,gout- in descending order
Athritis- no 1 for activity limitation- osteoathritis, polymyalgia, rhematoid athritis,gout- in descending order
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Osteoathritis - degenerative joint disease
Joint cartilage becomes thin and damaged
S/S joint stiffness relieved by activity
joint pain relieved by rest but as it progress rest doesnt relief pain
joint instability, cracking
knees, hips,fingers
Osteoathritis - degenerative joint disease Joint cartilage becomes thin and damaged S/S joint stiffness relieved by activity joint pain relieved by rest but as it progress rest doesnt relief pain joint instability, cracking knees, hips,fingers
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Polymyalgia rheamatica- infllammation of the blood vessels
Acute onset
fever fatique pain
Treatment- corticosteroids-predisone
Polymyalgia rheamatica- infllammation of the blood vessels Acute onset fever fatique pain Treatment- corticosteroids-predisone
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Rheamatoid Arthritis-Inflammation of joint
inflammed joint begin to destroy the lining of the joints(synovial lining)
debilitation-weaking and loss of energy
Autoimmune disease
corticosteriods
anti-inflammation
joint replacement
Rheamatoid Arthritis-Inflammation of joint inflammed joint begin to destroy the lining of the joints(synovial lining) debilitation-weaking and loss of energy Autoimmune disease corticosteriods anti-inflammation joint replacement
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Gout- Accumulation of uric acid crystals in the joint at the proximal joint of the great toe
caused by diet high in Purine
medications
Treatment- Allopurinol, increase water, reduce purine
Gout- Accumulation of uric acid crystals in the joint at the proximal joint of the great toe caused by diet high in Purine medications Treatment- Allopurinol, increase water, reduce purine
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Hypertension
Normal less than 120 systolic less than 80 diastolic
prehypertension 120-139 diastolic 80-89
stage 1 -140-159 diastolic 90-99
stage 2 greater than 160 diastolic greater than 100
Hypertension Normal less than 120 systolic less than 80 diastolic prehypertension 120-139 diastolic 80-89 stage 1 -140-159 diastolic 90-99 stage 2 greater than 160 diastolic greater than 100
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Hypertention
onset is asymptomatic
White coat syndrome- Blood pressure increases when in an hospital setting
postural hypertension -orthostatic( blood pressure increases significantly when they change posture)
Hypertention onset is asymptomatic White coat syndrome- Blood pressure increases when in an hospital setting postural hypertension -orthostatic( blood pressure increases significantly when they change posture)
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Coronary Heart Disease(arteriosclerosis)- narrowing of the arteries due to fat deposits
As a result of untreated hypertension
Can lead to heart attack or Myocardial infarction
Coronary Heart Disease(arteriosclerosis)- narrowing of the arteries due to fat deposits As a result of untreated hypertension Can lead to heart attack or Myocardial infarction
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S/S of heart attack
heartburn(gastrointestinal reflex)
nausea and vomiting
pain in back abdomen shoulder
S/S of heart attack heartburn(gastrointestinal reflex) nausea and vomiting pain in back abdomen shoulder
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S/S of Heart failure
SOB
Orthopnea- can lie flat
weight gain especially lowe extremities
S/S of Heart failure SOB Orthopnea- can lie flat weight gain especially lowe extremities
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Diabetes
Type 1- insulin resistance discovered early in life, the pancreas does not produce insulin
Type 2-developed later in life
pancreas does not make enough insulin
Diabetes Type 1- insulin resistance discovered early in life, the pancreas does not produce insulin Type 2-developed later in life pancreas does not make enough insulin
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S/S of diabetes
Polydipsia- thirsty
Polyuria- too much urination
Polyphagia-Hungry
weight loss
S/S of diabetes Polydipsia- thirsty Polyuria- too much urination Polyphagia-Hungry weight loss
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Complications of Diabetes
microvascular- loss of vision (Diabetic Retinopathy), end stage kidney failure- Diabetic Nephropathy
Macrovascular-MI, Stroke,Neuropathy, peripheral vascular disease(blood vessels is blocked or narrowed mostly in the legs)
Complications of Diabetes microvascular- loss of vision (Diabetic Retinopathy), end stage kidney failure- Diabetic Nephropathy Macrovascular-MI, Stroke,Neuropathy, peripheral vascular disease(blood vessels is blocked or narrowed mostly in the legs)
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Cerebral vascular accident- Stroke
Transcient Ischemic Stroke-blood supply to the brain is briefly interrupted
Hemorrahgic stroke- Blood vessel in the brain ruptures
Signs of stroke- face looks uneven,arm hanging down, slurred speech
Cerebral vascular accident- Stroke Transcient Ischemic Stroke-blood supply to the brain is briefly interrupted Hemorrahgic stroke- Blood vessel in the brain ruptures Signs of stroke- face looks uneven,arm hanging down, slurred speech
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COPD- affects airflow
Emphysema- little sputum production, patient are receiving oxygen so look pink
Bronchitis- Chronic sputum production, patient is cyanotic- bluish no receiving enough oxygen
COPD- affects airflow Emphysema- little sputum production, patient are receiving oxygen so look pink Bronchitis- Chronic sputum production, patient is cyanotic- bluish no receiving enough oxygen
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Cancer is diff to treat in older adults because they have multiple co-existing disease
Cancer is diff to treat in older adults because they have multiple co-existing disease
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Chronic illness trajectory
pretrajectory
trajectory
crisis
acute
stable
unstable
downward
dying
Chronic illness trajectory pretrajectory trajectory crisis acute stable unstable downward dying
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What refers to when a patient condition stabilizes- Plateaus
What refers to when a patient condition stabilizes- Plateaus
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