Falls Risk Screening for Older Adults

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What is the main goal of the integrated care pathway for older adults mentioned in the text?

To ensure a continuous and coordinated care pathway for older adults (correct)
To maximize the use of hospital resources for older adults
To provide specialized trauma care for older adults
To focus on preventing future falls in older adults

Why is it important to have education and training in older adults for healthcare professionals involved in the integrated care pathway?

To reduce the workload of healthcare professionals
To ensure that older adults receive faster treatment than younger patients
To understand the complexity and different domains that need to be addressed for older adults (correct)
To ensure that all healthcare professionals are specialized in geriatric medicine

What is a key consideration in the discharge planning for older adults who have experienced trauma?

The cost of rehabilitation services
The availability of specialist healthcare professionals
The convenience of inpatient rehabilitation facilities
The preference of older adults to return home and get better (correct)

Why is early planning for rehabilitation important in the integrated care pathway for older adults?

To provide rehabilitation as soon as possible and improve outcomes (B) Signup and view all the answers

What aspect of integrated care focuses on addressing the prevention of future falls and fractures in older adults?

Community health and wellbeing piece (C) Signup and view all the answers

What impact does a comprehensive geriatric assessment (CGA) have on mortality for older adults with trauma?

It impacts future risk for falls and trauma as well as mortality (D) Signup and view all the answers

Why can a seemingly simple injury like a fall be more complex in older adults compared to a younger person with a road traffic accident?

Older adults have more co-morbidities and complexities to begin with (C) Signup and view all the answers

What is crucial for healthcare professionals to understand when dealing with older adults who have experienced trauma?

The preference of older adults regarding their treatment and care (B) Signup and view all the answers

What is the purpose of screening for falls risk in older adults?

To reduce fall-related injuries and hospital admissions (D) Signup and view all the answers

What is the significance of asking 'Have you fallen in the last 12 months?' as a single question for opportunistic case finding?

It has a high rate of false negatives and low sensitivity (A) Signup and view all the answers

How can sensitivity to falls risk be increased according to the text?

By asking three key questions related to falls in the past year (D) Signup and view all the answers

What does an MFRA assess, according to the text?

All factors contributing to a person's risk of falling (B) Signup and view all the answers

What is the purpose of asking questions like 'How did you fall?' and 'Can you tell me what exactly happened?' during a falls assessment?

To differentiate between a one-off fall and recurrent falls (C) Signup and view all the answers

What conditions can be diagnosed based on the answers to questions about dizziness and feeling unsteady or unbalanced?

Vertigo and conditions that cause unexplained falls (D) Signup and view all the answers

How do answers to questions about rushing to get to the toilet contribute to identifying falls risk?

They indicate an overactive bladder or urinary incontinence (D) Signup and view all the answers

What is the most important factor to consider when applying Fall Risk Stratification according to the text?

The individual patient, healthcare setting, and available resources (D) Signup and view all the answers

What does the Comprehensive Geriatric Assessment (CGA) consider in the evaluation of an older person?

Health, wellbeing, social, financial, environmental, and spiritual components (A) Signup and view all the answers

What is a key emphasis of the Comprehensive Geriatric Assessment (CGA)?

Interdisciplinary team employment and use of standardized instruments (A) Signup and view all the answers

When is the Comprehensive Geriatric Assessment (CGA) utilized in the Secondary Care setting?

For the systematic investigation of selected geriatric patients with specific conditions or suspicious symptoms (C) Signup and view all the answers

What aspects influence an older adult's health according to the text?

Physical, cognitive, affective, social, financial, environmental, and spiritual components (D) Signup and view all the answers

What does the Social assessment evaluate according to the text?

Living arrangements, access to social support, carer stress, financial circumstances, and living environment (D) Signup and view all the answers

Which aspects are emphasized by the Comprehensive Geriatric Assessment (CGA)?

Quality of life and functional status (A) Signup and view all the answers

What is a characteristic feature of the Comprehensive Geriatric Assessment (CGA)?

Use of any number of standardized instruments to evaluate patient functioning and impairments (B) Signup and view all the answers

Why does the health care for an older adult require evaluation of multiple issues?

To consider multiple aspects including physical, cognitive, affective, social, financial, environmental, and spiritual components (A) Signup and view all the answers

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

Addressing all domains of the older adult's health at the same time (A) Signup and view all the answers

What does the text suggest is specific to trauma in the care of the older population?

Whole body CT scanning and triage (C) Signup and view all the answers

What is critical in the care of the older adult?

Integrated care pathways (A) Signup and view all the answers

What is the main purpose of having a multidisciplinary team involved in designing a pathway for older adults?

Addressing all aspects of care simultaneously (A) Signup and view all the answers

What is a key feature of care pathways for older adults mentioned in the text?

Integration across multiple domains and disciplines (A) Signup and view all the answers

What does the text suggest about the design of pathways for older adults?

It needs to integrate care across different domains and disciplines (C) Signup and view all the answers

What is specific to trauma in the context of pathways for older adults, as per the text?

Whole body CT scanning and triage (B) Signup and view all the answers

What does the text suggest about the integration of care pathways for older adults?

"Pathways" should stretch across various disciplines and domains (C) Signup and view all the answers

What is the recommended tool for assessing executive functioning?

Montreal Cognitive Assessment (MoCA) (C) Signup and view all the answers

Which component of the Comprehensive Geriatric Assessment (CGA) includes medication reconciliation and review?

Presenting complaint (B) Signup and view all the answers

What is defined by the American Neurological Association as a fall in systolic blood pressure of greater than or equal to 20 mm Hg or in diastolic blood pressure of greater than or equal to 10 mm Hg?

Orthostatic hypotension (B) Signup and view all the answers

What is the recommended screening tool for assessing the presence of delirium?

4AT delirium assessment tool (A) Signup and view all the answers

Which factor has been identified both as a risk factor for falls and as a potential consequence of falling?

Cognition (A) Signup and view all the answers

What is a common psychological factor identified in older adults that has been associated with a risk of falling?

Depression (A) Signup and view all the answers

Which test is recommended to assess gait and balance by watching an older person walk?

Timed Up and Go test (TUG) (A) Signup and view all the answers

What is the recommended measure for assessing probability for falls among older adults?

Timed Up and Go test (TUG) (C) Signup and view all the answers