Evolution of Collaborative Medicine Specialties

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

Orthostatic hypotension

Social isolation and loneliness

A history of falls in the past year (correct)

Malnourishment

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

Arthritis

Hypertension (correct)

Diabetes

Parkinson's disease

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

Psychoactive drugs (correct)

Antihistamines

Antibiotics

Antiviral drugs

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

Loose clothing Signup and view all the answers

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

Presence of muscle weakness Signup and view all the answers

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

Blood pressure Signup and view all the answers

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

Addressing the needs of older adults with complex multi-domain needs Signup and view all the answers

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

Life expectancy at age 60 in a population minus 10 years Signup and view all the answers

What is the definition of trauma as per the text?

Injuries likely to cause death or disability Signup and view all the answers

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

Musculoskeletal, neuro, cardiothoracic, and abdominal injuries Signup and view all the answers

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 Signup and view all the answers

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

Increasing evidence base for collaboration between geriatric medicine and orthopedics Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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

Decreased muscle strength and slowed righting reflexes Signup and view all the answers

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 Signup and view all the answers

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

85% Signup and view all the answers

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

Hip fracture Signup and view all the answers

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

Loss of confidence, anxiety, and increased frailty Signup and view all the answers

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

Social isolation, poverty, and poor access to healthcare Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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

Specialists managing injuries without geriatric medicine training Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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

Both in hospital and continued in the community Signup and view all the answers

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 Signup and view all the answers

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

The potential impact of implementing geriatric assessments Signup and view all the answers

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

To highlight the challenges healthcare professionals face with older patients Signup and view all the answers

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 Signup and view all the answers

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

Comprehensive geriatric assessment Signup and view all the answers

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

Due to underlying co-morbidities and multi-morbidity Signup and view all the answers

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