treat the poatient and notify the recieving facility of your findings of abuse
Ask the patient if she is being abused.
Confront the caregiver regarding the bruises to the patient’s arm.
Contact the police to report your suspicion.
Treat the patient for a possible broken arm.
orthostatic or postural hyptension, going from a lying to standing position, drop in systolic and heart reat
When lying in bed, I have a hard time breathing.”
“I get so dizzy when I get up off of the couch.”
My shoes are tight because my ankles are swollen.”
“I go through periods where my heartbeat seems irregular.”
stenosis is the calcium builduop , narrowing of the valve opening , thickening of heart walls is called cardiac hypertrophy
widespread hardening of arteries which leads to hypertension and fucked up baroreceptor sensitivity(this tells vessels to contract or restrict)
introocular pressure damages the optic nerve , second leading cause of blindness.
clouding of the lens
damage to the optic nerve.
lack of tear production.
it says intermitent blindness but it is associated with cloudy vision.
loss of peripheral vision.
diabetes or peripheral nueropathy, this is the loss of function in the nerves of motor , pain, sensory tracts in almost anywher eof the body
I was recently diagnosed with cataracts.”
I have been told I have peripheral neuropathy.”
I fell and broke my left ankle last year.”
I have a history of congestive heart failure.”
accidental aspiration of food or vomit into the lungs
Her legs and ankles seem more swollen today.
She has not been feeling well for three days.
Her doctor prescribed an antibiotic for her sinus infection.
She was fine until just after eating lunch.
a chronic condition with a sudden onset.
altered mental status rooted in a psychiatric disorder.
altered mental status with a reversible underlying cause.
a chronic and irreversible condition.
Weak pedal pulse in the right foot
External rotation of the hip
Heart rate of 120 beats per minute
most would remember ww2, i guess not treating becasue they are combative and old would eb the best
disregards an advance directive when a geriatric patient requests you to do so.
does not attempt to assess combative elderly patients with dementia.
asks family members for medical information when the patient is confused
asks all geriatric males if they remember World War II.
that is the only one thsat constitutes neglect and not a form of abuse
They do not give me my high blood pressure medications.”
They are rough with me when I wet myself.”
They are spending my money on illegal drugs.”
They wake me up every 3 hours at night to see if I am incontinent.”
make up majority of ems calls, they have not one but multiple diseas and conditions
Dementia and chronic disease are both an inevitable part of the aging process.
Assessment can be difficult since most persons older than 70 have some degree of dementia.
Many of the elderly have a combination of different diseases in various stages.
Geriatrics actually comprise a smaller number of EMS calls and transports than thought
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