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Falls Prevention
Geriatric Medicine
Question | Answer |
---|---|
USPSTF screening recommendations for osteoporosis | all women 65+ |
__% of women >50 have osteopenia | 40 |
__ of women >50 have osteoporosis | 7 |
what is a T score | a measure (in SDs) below the young adult mean value for bone mineral density |
WHO T-score for osteoporosis vs. National Osteoporosis Foundation | 2.5 vs 2.0 |
12 risk factors for osteoporosis | age, low body wt or BMI, not on ERT, white/asian, hx of fracture, family hx, low physical activity, smoking, excessive EtOH or caffeine, low calcium/vit D, medication use |
prevention of osteoporosis | calcium, vit D and weight-bearing excercise, consider women and men, drugss (fosamax) |
leading cause of death for all age 65+ | heart disease |
wt loss for obese patients will reduce __ | cardiovascular load and assist in mgmt of DM and HTN |
cholesterol lowering drug treatment __ years decrease risk of CHD by 30% in people with high total cholesterol or average colesterol and low HDL-C | 5-7 |
all patients (regardless of lipid level shoud be counseled about | dietary mods, regular physical activity, avoiding tobacco, maintaining a healthy wt |
treatment of HTN in the elderly significantly reduces | cardiac mortality, reduces rates of fatal and nonfatal endpoints for stroke, CHD, and CVD |
JNC VII recommendations for HTN treatment | wt reduction, physical activity and medical treatment |
National Stroke Association recommendations for BP screening | at every office visit and self monitor BP at home |
most important preventable problem associated with treatment | iatrogenesis-the more aggressive the treatment the greater the chance of an adverse effect (polypharmacy) |
therapeutic window | as the response to therapy decreases the susceptibility to toxic side effects increases, space between therapeutic dose and toxic dose narrows with age |
risks associated with hospitalization | medical errors, risks of bed rest, infection, delerium, sundowning, falls, dependancy, nursing home placement |