Evolution of Collaborative Medicine Specialties

40 Questions

What is the single most important risk factor for falls according to the text?

A history of falls in the past year

Which of the following is NOT mentioned as a condition that affects mobility or balance and increases the risk of falls in older adults?

Hypertension

What type of drugs can increase the risk of falling in older adults according to the text?

Psychoactive drugs

Which of the following is NOT listed as an environmental hazard that can contribute to falls?

Loose clothing

What increases the risk of falling according to interactions among multiple risk factors?

Presence of muscle weakness

What should be tested both lying and standing to assess its impact on falls risk according to the text?

Blood pressure

What is the focus of geriatric medicine as mentioned in the text?

Addressing the needs of older adults with complex multi-domain needs

What is the agreed definition of older age as per the delphi study?

Life expectancy at age 60 in a population minus 10 years

What is the definition of trauma as per the text?

Injuries likely to cause death or disability

What are the main types of injuries associated with trauma, based on the text?

Musculoskeletal, neuro, cardiothoracic, and abdominal injuries

Why is the subspecialty of trauma ortho geriatrics emerging, according to the text?

To manage the changing profile of trauma cases in older adults resulting from falls

What initiated the development of the model joining up geriatric medicine with orthopedics?

Increasing evidence base for collaboration between geriatric medicine and orthopedics

What did the paper from the group in Bristol find about older adults with trauma?

The mortality was almost half for older adults who underwent CGA

What is a key point mentioned in the text regarding the care of older adults who present in the emergency department after trauma?

They are less likely to get senior review compared to younger adults

What does the text suggest about physiological changes and biological changes with aging in older adults with trauma?

They can mask injury, making it harder to recognize in the ED department

What is mentioned as a critical step within the emergency department for older adults who come in with a fall?

Early immobilization with spinal precautions

What is highlighted as a potential challenge when an older adult falls at home and is brought into the ED?

Masking of major trauma symptoms due to biological changes

What is suggested as a way to better identify if an older adult has experienced major trauma when they arrive at the emergency department?

Utilization of an older adult triage tool

What are some of the aging-related physiologic changes mentioned in the text?

Decreased muscle strength and slowed righting reflexes

What is the impact of falls on the older person's independence and wellbeing?

It can have a profound effect on the independence and wellbeing

What percentage of traumatic brain injuries in older people are accounted for by falls?

85%

After the age of 75, what is the most common fracture with serious implications for independence?

Hip fracture

What psychological effects can a fall have on an older person?

Loss of confidence, anxiety, and increased frailty

What are some social and economic risk factors related to falls among older people?

Social isolation, poverty, and poor access to healthcare

What is the main focus of a CGA delivered by a geriatrician and a specialist team within the first 72 hours?

Improving outcomes for the older person

In the context of trauma care for older adults, why is it important to design a pathway involving early discharge to rehabilitation?

To reduce distress and immobilization period

What is a critical aspect of integrated care pathways for older adults, as described in the text?

Coordinating care from ambulance service to hospital to community

What is emphasized as important regarding the management of older adults' injuries in acute hospital settings?

Specialists managing injuries without geriatric medicine training

Why do older adults express a desire for early planning of rehabilitation services upon entering the trauma care system?

In hopes of getting better and returning home as soon as possible

What is considered important in terms of addressing future falls and fractures in the context of integrated care pathways for older adults?

Linking into community health and wellbeing for prevention

What is the impact of implementing a comprehensive geriatric assessment for older adults with trauma?

It transitions to their future risk for falls and trauma

What could make a seemingly simple injury in an older adult more complex than a younger person's injury from a road traffic accident?

Presence of pre-existing co-morbidities

In what settings should the comprehensive geriatric assessment ideally be implemented?

Both in hospital and continued in the community

What does the speaker suggest about the impact of falls or trips from standing height in older adults?

They are often very low impact injuries

What is highlighted as a crucial factor for the module being discussed?

The potential impact of implementing geriatric assessments

Why does the speaker emphasize the complexity of seemingly simple cases in older adults?

To highlight the challenges healthcare professionals face with older patients

What does the speaker imply about the impact of implementing a comprehensive geriatric assessment on older adults with trauma?

It has a significant long-term impact on future risk for falls and trauma

What is identified as an essential part of the care pathway for older adults with trauma?

Comprehensive geriatric assessment

Why can a seemingly simple case in an older adult be more complicated than it appears?

Due to underlying co-morbidities and multi-morbidity

What does the speaker suggest about the impact of implementing a comprehensive geriatric assessment beyond the acute period for older adults with trauma?