geriatric emergencies l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Geriatric Emergencies PowerPoint Presentation
Download Presentation
Geriatric Emergencies

Loading in 2 Seconds...

play fullscreen
1 / 66

Geriatric Emergencies - PowerPoint PPT Presentation


  • 180 Views
  • Uploaded on

Geriatric Emergencies. Topics . Demographics of the Elderly The Aging Process Assessment & Management of the Elderly Patient. The Elderly. Are one of the fastest growing segments of our population. Are persons age 65 or older.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Geriatric Emergencies' - dillian


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide2

Topics

  • Demographics of the Elderly
  • The Aging Process
  • Assessment & Management of the Elderly Patient.
the elderly
The Elderly...
  • Are one of the fastest growing segments of our population.
  • Are persons age 65 or older.
  • And their growing number presents a challenge to all health care providers.
the facts
The Facts
  • The mean survival rate of older persons is increasing.
  • The birth rate is declining.
  • There has been an absence of major wars or other catastrophes.
  • Health care and living standards have improved significantly since WWII.
  • By 2030, 70 million people will be 65 or older.
slide5
Gerontology is the scientific study of the effects of aging and age-related diseases on humans.
  • Geriatrics is the study and treatment of diseases of the aged.
societal issues
Societal Issues
  • Elderly persons living alone represent one of the most impoverished and vulnerable parts of society.
  • Factors include living environments, poverty, loneliness, social support.
  • A deterioration of independence is not inevitable and not necessarily a function of aging. It may well be a sign of a heretofore untreated illness.
ethics
Ethics
  • In the course of caring for elderly patients, ethical concerns frequently arise. You may be confronted with:
    • Multiple decision-makers
    • Questions about a patient’s competency
    • Advanced directives, or DNRs
financing resources for health care
Financing & Resourcesfor Health Care
  • Medicare
  • Medicaid
  • Veterans Administration
pathophysiology
Pathophysiology
  • The body becomes less efficient with age.
  • The elderly often suffer from more than one illness or disease at a time.
  • The existence of multiple chronic diseases in the elderly often leads to the use of multiple medications.
factors that may decrease compliance in the elderly
Factors that may decrease compliance in the elderly:
  • Limited income
  • Memory loss
  • Limited mobility
  • Sensory impairment
  • Fear of toxicity
  • Child-proof containers
  • Duration of drug therapy
factors that may increase compliance in the elderly
Factors that may increase compliance in the elderly:
  • Good patient-physician communication
  • Belief that a disease or illness is serious
  • Drug calendars
  • Compliance counseling
  • Blister packaging
  • Pill boxes
  • Transportation services to the pharmacy
  • Ability to read
  • Clear simple directions
falls
Falls
  • Present an especially serious problem.
  • Represent the leading cause of accidental death among the elderly.
  • May be intrinsic or extrinsic.
  • The elderly should be encouraged to make their homes safe.
communications
Communications
  • Normal physiological changes may include impaired vision, impaired or loss of hearing, an altered sense of taste or smell, and/or a lower sensitivity to touch.
  • Any of these conditions can affect your ability to communicate with the patient.
factors in forming a general assessment
Factors in Forming a General Assessment
  • Living situation
  • Level of activity
  • Network of social support
  • Level of independence
  • Medication history
  • Sleep patterns
slide34
Only experience and practice will allow you to distinguish acute from chronic physical findings in the elderly patient.
  • When caring for the elderly:
    • Encourage patients to express their feelings.
    • DO NOT trivialize their fears.
    • Avoid questions.
    • Confirm what the patient says.
    • Recall all that you have learned about communicating with the elderly.
    • Assure patients that you understand that they are adults.
respiratory disorders
Respiratory Disorders
  • Pneumonia
  • COPD
  • Pulmonary embolism
  • Pulmonary edema
  • Lung cancer
cardiovascular disorders
Cardiovascular Disorders
  • Angina pectoris
  • Myocardial infarction
  • Heart failure
  • Dysrhythmias
  • Aortic dissection/aneurysm
  • Hypertension
  • Syncope
neurological disorders
Neurological Disorders
  • Cerebrovascular disease (stroke)
  • Seizures
  • Dizziness/vertigo
  • Parkinson’s disease
  • Delirium, dementia, Alzheimer’s
metabolic endocrine disorders
Metabolic & Endocrine Disorders
  • Diabetes mellitus
  • Thyroid disorders
gi disorders
GI Disorders
  • GI hemorrhage
    • Upper GI bleed
    • Lower GI bleed
  • Bowel obstruction
  • Mesenteric infarct
skin disorders
Skin Disorders
  • Skin diseases
    • Pruritus
    • Herpes zoster
  • Pressure ulcers (decubitus ulcers)
musculoskeletal disorders
Musculoskeletal Disorders
  • Osteoarthritis
  • Osteoporosis
renal disorders
Renal Disorders
  • Glomerulonephritis
urinary disorders
Urinary Disorders
  • Urinary tract infections
  • Urosepsis
environmental emergencies
Environmental Emergencies
  • Hypothermia
  • Hyperthermia
toxicological emergencies
Toxicological Emergencies
  • Lidocaine
  • Beta-blockers
  • Antihypertensives/diuretics
  • ACE inhibitors
  • Digitalis (digoxin, Lanoxin)
  • Antipsychotropics
  • Parkinson’s disease medications
  • Analgesics
  • Corticosteroids
substance abuse
Substance Abuse

Factors that contribute to substance abuse in the elderly include:

  • Age-related changes
  • Employment loss
  • Loss of spouse
  • Multiple prescriptions
  • Malnutrition
  • Loneliness
  • Moving to an apartment/care home
behavioral psychological disorders
Behavioral/Psychological Disorders

Some of the common classifications of psychological disorders related to age include:

  • Organic brain syndrome
  • Depression
  • Dependent personality
  • Paranoid disorders
slide55
Trauma is the leading cause of death in the elderly.
  • Factors include:
    • Osteoporosis
    • Reduced cardiac reserve
    • Decreased respiratory function
    • Impaired renal function
    • Decreased elasticity in the peripheral blood vessels
assessment
Assessment
  • Remember that blood pressure and pulse readings can be deceptive indicators of hypoperfusion.
  • Leading causes of trauma in the elderly include falls, motor vehicle crashes, burns, assault, and syncope.
  • Observe the scene for signs of abuse and neglect.
slide58

Many states have laws that require

EMS personnel to report suspected cases

of Geriatric abuse and/or neglect.

general management
General Management

When caring for elderly patients, consider the various changes and underlying conditions which may affect your care, such as:

  • Cardiovascular considerations
  • Respiratory considerations
  • Renal considerations
slide61

Modifications in positioning, immobilization, and packaging may be necessary in the elderly patient.

specific injuries
Specific Injuries
  • Orthopedic injuries
  • Burns
  • Head and spine injuries
orthopedic injuries common fractures in the elderly
Orthopedic Injuries—Common Fractures in the Elderly
  • Hip or pelvis fractures
  • Proximal humerus
  • Distal radius
  • Proximal tibia
  • Thoracic and lumbar bodies
burns
Burns

People age 60 and older are more likely to suffer death from burns than any other group except neonates and infants. Factors include:

  • Slower reaction time
  • Pre-existing diseases
  • Age-related skin changes
  • Immunological/metabolic changes
  • Reductions in physiological function
summary
Summary
  • Demographics of the Elderly
  • The Aging Process
  • Assessment & Management of the Elderly Patient