treat the poatient and notify the recieving facility of your findings of abuse
Contact the police to report your suspicion.
Ask the patient if she is being abused.
Treat the patient for a possible broken arm.
Confront the caregiver regarding the bruises to the patient’s arm.
orthostatic or postural hyptension, going from a lying to standing position, drop in systolic and heart reat
“I get so dizzy when I get up off of the couch.”
When lying in bed, I have a hard time breathing.”
“I go through periods where my heartbeat seems irregular.”
My shoes are tight because my ankles are swollen.”
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.
damage to the optic nerve.
clouding of the lens
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 fell and broke my left ankle last year.”
I was recently diagnosed with cataracts.”
I have been told I have peripheral neuropathy.”
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 was fine until just after eating lunch.
Her doctor prescribed an antibiotic for her sinus infection.
She has not been feeling well for three days.
a chronic condition with a sudden onset.
altered mental status with a reversible underlying cause.
a chronic and irreversible condition.
altered mental status rooted in a psychiatric disorder.
External rotation of the hip
Heart rate of 120 beats per minute
Weak pedal pulse in the right foot
most would remember ww2, i guess not treating becasue they are combative and old would eb the best
asks family members for medical information when the patient is confused
disregards an advance directive when a geriatric patient requests you to do so.
does not attempt to assess combative elderly patients with dementia.
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 are rough with me when I wet myself.”
They do not give me my high blood pressure medications.”
They wake me up every 3 hours at night to see if I am incontinent.”
They are spending my money on illegal drugs.”
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.
Geriatrics actually comprise a smaller number of EMS calls and transports than thought
Many of the elderly have a combination of different diseases in various stages.
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