Shared Flashcard Set

Details

Geriatrics - CardioPulm
Cardiopulmonary eval/intervention
24
Health Care
Graduate
02/23/2013

Additional Health Care Flashcards

 


 

Cards

Term
C/V disease
Definition
Leading cause of death, greater than all other leading causes combined
Term
C/V disease: morbidity
Definition

66% never fully recover from heart attack

71% lose their ability to work avg of 7 years after stroke

Term
Physiologic cardiopulm changes
Definition
Biggest one she mentioned was aerobic capacity but know others from aging physiology lecture
Term
Impaired Aerobic Capacity: Causes
Definition

Physiologic changes

Sedentary

Chronic diseases: COPD, CHF, PVD

Term
Objective Eval
Definition

HR, BP, O2 sat, RR

BP in supine, sitting, standing

Term
HRmax
Definition
205 - (0.5 x age)
Term
HR Contraindication and Precaution to Exercise
Definition

>150bpm

>120bpm

Term
BP Contraindication to Exercise
Definition

Systolic >200mmHg

Diastolic 115mmHg

Term
O2 Sat Response to Exercise
Definition

should remain above > 90%

 

Relative indication to stop <90%

 

Absolute indication to stop <85%

 

Supplemental O2 86-89%

Term
Problems with TM testing
Definition

↓ balance/confidence

↓ neuromuscular coordination

↓ vision/somatosensation/vestibular function

↓ cardiopulm function

Term
Testing Aerobic Capacity
Definition

2MWT

6MWT

Step Test - may be difficult with jt. dysfunction; modified chair - assesses adaptation to gradual increase in workload, every 2-3 min

Seated Step Test

Term
Self-Report: Duke Activity Status Index
Definition

Yes/no

weighted relative to MET level

estimate of max O2 consumption - higher=better

Term
Self-Report: SF-36 (physical function component)
Definition
10/12 reflect aerobic capacity
Term
Self-Report: PASE
Definition

10 ?s w/ multiple parts (long)

 

related to leisure, household, and work-related activity

Term
Short Physical Performance Battery (SPPB)
Definition

Measure of LE performance using tasks essential for indep living

5-10 mins to complete, need stopwatch, walkway, chair

Prognosticates mortality, disability, institutionalization, cognitive impariments, etc.

Total score=12, MCID=1.34pts, Severe=0-3, Moderate=4-6, Mild=7-9, Minimal=10-12

 

 

Term
Cardiac Precautions
Definition

No pushing

No Lifting

No arms above head

Term
AACR Guidelines
Definition

Warm up/Cool down

Assessment of exercise tolerance

Cardiac Precautions

Endurance training

Education: strategies to ↓ risk factors, managing symptoms, survival management, discussion of OP cardiac rehab programs

Term
Dyspnea Index
Definition

1=light, barely noticeable

2=moderate, bothersome

3=moderately severe, very uncomfortable

4=most severe or intense ever experienced

Term
RPE
Definition

Go for GREEN

13-16 on RPE

8-12x for strengthening

Term
ACSM Guidelines
Definition

Intensity: 5-6 on 10 point RPE, 12-14 on 20 point RPE

mod: 5x/wk 30 min/day 150-300min/wk

vigorous: 3x/wk 20-30min/day 75-100min/wk

INCREASE DURATION BEFORE INTENSITY

 

Term
Dolansky et al
Definition

Barriers to HEP completion: staff, cognitive status, time

Ways to improve employee compliance: incentives, include family members

Important for transition

Term
Assistive Device Pros/Cons
Definition

Walker with a seat allows for rest breaks, UE support facilitate muscles of respiration

 

Slower gait velocity, prevents normal gait mechanics such UE swing or step-through

Term
Assistive Device Energy demands
Definition
Standard walker had the greatest increase in energy expenditure and other AD increased compared to no AD (Foley et al)
Term
MCD's
Definition

6MWT: 54m

SPPB: 1pt

Gait speed: 0.1m/s

Supporting users have an ad free experience!