Gerontologists divide the term elderly into three
specific categories, as follows:
Middle age: ____ to ____ years of age
Late age: ____ to ____ years
... [Show More] of age
Older age: ____ years of age and older - correct answer Gerontologists divide the term elderly into three
specific categories, as follows:
Middle age: 50 to 64 years of age
Late age: 65 to 79 years of age
Older age: 80 years of age and older
The astute prehospital care provider always keeps this concept in mind during the assessment and notes clues from the primary and secondary assessments that may point to a medical problem that precipitated the injury, such as the following:
■
■
■ - correct answer The astute prehospital care provider always keeps this concept in mind during the assessment and notes clues from the primary and secondary assessments that may point to a medical problem that precipitated the injury, such as the following:
■ Observations made by bystanders that a victim appeared unconscious prior to a crash
■ A Medic Alert bracelet that indicates the patient has an underlying condition such as diabetes
■ An irregular heartbeat or cardiac dysrhythmia seen during electrocardiogram monitoring
This key information is passed on to the receiving facility.
The exact extent of elder abuse is not known for the
following reasons:
1.
2.
3.
4. - correct answer The exact extent of elder abuse is not known for the
following reasons:
1. Elder abuse has been largely hidden from society.
2. Abuse and neglect of elderly persons have varying
definitions.
3. Elders are uneasy or fearful of reporting the problem to law enforcement agencies or human and social welfare personnel. A typical victim of elder abuse may be a parent who feels ashamed or guilty because he or she raised the abuser. The abused may also feel traumatized by the situation or fear continued reprisal by the abuser.
4. Some jurisdictions lack formal reporting mechanisms. Some areas do not even have a statutory provision requiring the reporting of elder abuse.
The usual profile of the abuser includes the following signs:
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■
■
■
■
■ - correct answer The usual profile of the abuser includes the following signs:
■ Existence of household conflict
■ Marked fatigue
■ Unemployment
■ Financial difficulties
■ Substance abuse
■ Previous history of abuse
The elderly adult most likely to be abused fits into the following
profile:
■
■
■
■
■
■
■ - correct answer ■ Over 65 years of age, especially women over 75 years of age
■ Frail
■ Multiple chronic medical conditions
■ Demented
■ Impaired sleep cycle, sleepwalking, or loud shouting at night
■ Incontinent of feces, urine, or both
■ Dependent on others for activities of daily living or incapable of independent living
Abuse can be categorized in the following ways:
1.
2.
3.
4.
5. - correct answer Abuse can be categorized in the following ways:
1. Physical abuse
2. Psychological abuse
3. Financial abuse
4. Sexual assault and/or abuse.
5. Self-abuse.
The management of prehospital trauma must reflect these contingencies. The goals, however do not change:
1.
2.
3. - correct answer The management of prehospital trauma must reflect these contingencies. The goals, however do not change:
1. Gain access to the patient
2. Identify and treat life-threatening injuries
3. Packaging transport the patient to the closest appropriate facility in the least amount of time.
Prehospital Trauma Life Support (PHTLS) is different in the following ways:
1.
2.
3.
Ch. 18 - correct answer Prehospital Trauma Life Support (PHTLS) is different in the following ways:
1. It provides current, evidence-based management practices for the trauma patient
2. It provides a systematic approach for establishing priorities of patient care for trauma patients who have sustained injury to multiple body systems
3. It provides an organizational scheme for interventions
The "Golden Principles of Prehospital Trauma Care." (15)
Ch. 18 - correct answer The "Golden Principles of Prehospital Trauma Care."
1. Ensure the Safety of the Prehospital Care Providers and the Patient
2. Assess the Scene Situation to Determine the Need for Additional Resources
3. Recognize the Kinematics Produced the Injuries
4. Use the Primary Assessment to Identify Life-Threatening Conditions
5. Provide Appropriate Airway Management While Maintaining Cervical Spine Stabilization as Indicated
6. Support Ventilation and Delivery Oxygen to Maintain an SpO2 Greater Than 95%
7. Control Any Significant External Hemorrhage
8. Provide Basic Shop Therapy, Including Appropriately Splinting Musculoskeletal Injuries and Restoring and Maintaining Normal Body Temperature
9. Maintaining Manual Spinal Stabilization Until the Patient Is Immobilized
10. For Critically Injured Trauma Patients, Initiate Transport to the Closest Appropriate Facility as As Possible After EMS Arrival on Scene
11. Initiate Warmth Intravenous Fluid Replacement In Route to the Receiving Facility
12. Ascertain the Patient's Medical History and Inform a Secondary Assessment When Life Threatening Problems Have Been Satisfactorily Managed or Have Been Ruled Out
13. Provide Adequate Pain Relief
14. Provide Thorough and Accurate Communication Regarding the Patient and the Circumstances of the Injury to the Receiving Facility
15. Above All, Do No Further Harm
In children, pregnant patients, and elderly patients, injury should be considered:
1.
2.
3.
Ch. 18 - correct answer In children, pregnant patients, and elderly patients, injury should be considered:
1.To be more serious than their outward appearance
2.To have a more profound systemic influence
3. To have a greater potential for producing rapid decompensation
Endotracheal intubation may be considered for patients with the following: (6)
(Ch. 18 pg. 480) - correct answer Endotracheal intubation may be considered for patients with the following: [Show Less]