Individual Case Management in Healthcare

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What percentage of older adults are affected by sleep disorders?

30-50%

50-80%

60-90%

40-70% (correct)

How does sleep architecture change in older adults?

It improves with age

It remains the same as in younger adults

It alters due to pathological processes (correct)

It becomes more erratic

What factors may contribute to sleep disturbances in the elderly population?

Regular sleep patterns

Retirement, health problems, and changes in circadian rhythm (correct)

Increased physical activity

Socializing and engaging in hobbies

How does excessive daytime sleepiness impact the elderly?

It affects quality of life, physical, psychological, and cognitive problems Signup and view all the answers

What do increased medications in the elderly population lead to?

Increased morbidity, mortality, and side effects such as falls Signup and view all the answers

What is the purpose of the Epworth Sleepiness Scale?

To measure a subject's usual level of daytime sleepiness or average sleep propensity Signup and view all the answers

Why are sleep disorders considered a significant concern in the geriatric population?

They are related to pathological processes and can affect physical, psychological, and cognitive health Signup and view all the answers

What is the impact of changes in sleep patterns in older adults?

They may be part of normal aging, but some may be related to pathological processes not considered normal part of aging Signup and view all the answers

What is the relationship between retirement and sleep disturbances?

Retirement may contribute to sleep disturbances Signup and view all the answers

What impact do excessive medications have on the elderly population?

Increased morbidity, mortality, and side effects such as falls Signup and view all the answers

What was the major cause of Robin Williams' death suggested by his widow, Susan Schneider Williams?

Lewy body dementia Signup and view all the answers

What is the challenge when addressing symptoms that appear to be psychiatric but could actually be due to a general medical cause?

Missing a general medical cause when addressing psychiatric symptoms Signup and view all the answers

What was the incorrect conclusion reached by many people, including George Gershwin's doctors, regarding his bizarre behaviors?

Attention-seeking behavior Signup and view all the answers

What did George Gershwin's doctors initially believe was the cause of his bizarre behaviors?

Attention-seeking behavior Signup and view all the answers

What did Mr. Williams' medical doctors suspect was the cause of his depressive symptoms?

Parkinson Disease Signup and view all the answers

What did Composer George Gershwin suffer from before he was admitted to the hospital unconscious?

Neurological disorder Signup and view all the answers

What was Mr. Williams diagnosed with at the end of his life, in addition to seeking treatment for some kind of depressive disorder and intermittent substance abuse?

PD Signup and view all the answers

What did Mr. Williams' doctors believe they were working up his PD diagnosis and searching for?

Neurological disorders Signup and view all the answers

What were the symptoms that could reflect illnesses that could be either psychiatric or strictly medical?

Bizarre behaviors only Signup and view all the answers

What did Susan Schneider Williams suggest as a major cause of Robin Williams' death?

Lewy body dementia Signup and view all the answers

What is the purpose of the Program of Research to Integrate Services for the Maintenance of Autonomy - 7 (PRISMA-7)?

To assess the presence of frailty in older adults Signup and view all the answers

What is a common patient complaint that ranks behind headaches and the common cold?

Insomnia Signup and view all the answers

What is the primary purpose of the SleepMed Insomnia Index and Sleep Matrix (SMI) mentioned in the text?

To measure excessive sleepiness and sleep pathology complaints Signup and view all the answers

Based on the information provided, what is the estimated percentage of older people living with frailty in the population?

9% to 25% Signup and view all the answers

What is the main focus of the STOP BANG Screening Questionnaire mentioned in the text?

Screening for sleep apnea Signup and view all the answers

According to the information provided, what can sleep apnea result in?

Excessive daytime sleepiness Signup and view all the answers

What is the primary function of the Epworth Sleepiness Scale (ESS) mentioned in the text?

To assess excessive daytime sleepiness Signup and view all the answers

In the context of proactive care for frail/elderly patients, what is meant by 'Case finding and populating/maintaining a Frail/elderly register'?

'Case finding' entails identifying elderly patients who may need additional care or assistance Signup and view all the answers

What is the purpose of the Gait Speed Test (4 metre) mentioned in the text?

To assess functional mobility Signup and view all the answers

What is the primary purpose of the Insomnia Severity Index mentioned in the text?

To quantitatively measure perception of insomnia severity and its impact on daytime functioning Signup and view all the answers

What is the purpose of personalised care and support planning according to the NHS UK?

To reduce the use of urgent and emergency care Signup and view all the answers

What is a significant part of the health and social care system in England?

Long term conditions (LTCs) Signup and view all the answers

What is the primary focus of individual case management as described in the text?

Generation of a personalized care plan Signup and view all the answers

According to the Coalition for Collaborative Care, what is personalized care and support planning considered to be?

A continuous process, not a one-off event Signup and view all the answers

What is the key benefit of engaging patients in their health and care according to the NHS UK?

More appropriate use of limited healthcare resources Signup and view all the answers

In the context of home care responsibilities, what does 'companionship' primarily involve?

Ensuring regular social interaction for the client Signup and view all the answers

What is the aim of supporting individuals with long term conditions?

To ensure they are involved in managing their condition(s) Signup and view all the answers

What is considered a significant part of supporting individuals with long term conditions based on the text?

Access to community support, changes in behavior, medication, and traditional treatment or therapies Signup and view all the answers

What is the primary focus of a Care Pro's responsibility in relation to personal care?

Supporting clients with daily essentials such as bathing and grooming Signup and view all the answers

What does providing 'home help' primarily involve?

Assisting with planning and preparing meals, doing light housework, and accompanying clients to appointments or shopping Signup and view all the answers