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PREVIEW OF EMT/EMR GERIATRIC EMERGENCIES POWERPOINT TRAINING PRESENTATION

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Bruce Vincent
Bruce Vincent

Discusses the problems that are often seen in the elderly patients including demographics, sensory problems, changes in body systems, myocardial infarction, heart failure (CHF), pneumonia, pulmonary embolism, dementia, neuropathy, delirium, gastrointestinal bleeding, and medication use issues. Presentation is over 95 slides in length. Recommended classroom time is 8 hours and 4 hours lab time.

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PREVIEW OF EMT/EMR GERIATRIC EMERGENCIES POWERPOINT TRAINING PRESENTATION
OBJECTIVES Be able to Explain aging Describe assessment needs of elderly Identify sensory problems with aging Describe specific illnesses in seniors Identify elder abuse
PATIENTS OVER 65+ Over half over 85 live alone or with spouse Only 5% live in nursing homes 35,000,000 over 65 in US in 2000 1 in 8 of US population Est 54,000,000 by 2020 Most take multiple medications
AGE 1900 vs. today Age’s 65-74: 8 times large Age’s 75-84: 13 times larger Ages 85+: 24 times larger Currently 12.6% US population
VISION Decreased vision Inability to differentiate colors Decreased night vision Decreased ability to see close up Decreased depth perception
HEARING Inability to hear high- frequency sounds Use of hearing aids
NERVOUS SYSTEM 6 to 7% brain weight decrease 45% brain cell loss in some areas 15 to 20% blood flow reduction 15% conduction speed decrease
CARDIOVASCULAR CHANGES IN THE ELDERLY Degeneration of valves Degeneration of conduction system Vascular changes Muscular changes Stroke volume Cardiac output Dysrhythmias
ASSESSMENT TOOLS Often has previous cardiac history Cardiac medications Nitroglycerin Symptoms exceeding 10-15 minutes Pulse oximetry
PNEUMONIA An infection of the lung from bacterial, viral, or fungal causes
PREVIEW OF EMT/EMR GERIATRIC EMERGENCIES POWERPOINT TRAINING PRESENTATION
PULMONARY EMBOLISM A sudden blockage of the pulmonary artery by a venous clot
ASSOCIATED SIGNS & SYMPTOMS Sudden onset of dyspnea Shoulder/back/chest pain Syncope Anxiety/apprehension Fever Leg pain/redness/unilateral pedal edema Fatigue Cardiac arrest
POSSIBLE CHANGES IN PHYSICAL ASESSMENT Changes in circulation Tachycardia Adventitious noises such as wheezing, rales or decrease breath sounds Decreased pulse oximetry reading of 70 percent or lower Hypotension
NEUROVASCULAR CHANGES IN THE ELDERLY Atrophy of the brain tissue Deterioration of the nervous system Neuropathy
DETORIATION OF THE NERVOUS SYSTEM FUNCTION IN CONTROLLING Rate and depth of breathing Heart rate Blood pressure Hunger and thirst Temperature Sensory perception – including audio, visual, olfactory, touch, and pain
NEUROPATHY Damage to nerves which may impair sensation, movement, gland or organ function or other aspects of health, depending upon nerve affected
SENSORY NEUROTHAPY Signs & Symptoms Numbness in touch & vibration Reduced position sense Poor coordination & balance Reduced sensitivity to temperature change & pain Spontaneous tingling or burning pain
DEMENTIA A chronic, generally irreversible condition that causes a progressive loss of cognitive abilities, psychomotor skills, & social skills Alzheimer’s disease is a form of dementia
DEMOGRAPHICS World wide about 36,000,000 with Dementia 10% of people develop it sometime in their life Due to increased life expediency it is becoming a more prevalent disease One of the most common causes of disability in the elderly
GASTROINTESTINAL SYSTEM Anatomical & Physiological changes, & pathophysiology
GASTROINTESTINAL (GI) CHANGES IN THE ELDERLY Dental problems Decrease in saliva Poor muscle tone of smooth muscle sphincter between esophagus and stomach can cause regurgitation leading to heartburn, and acid reflux Decrease in hydrochloric acid in the stomach Alterations in absorption of nutrients
GASTROINTESTINAL (GI) CHANGES IN THE ELDERLY Slowing peristalsis causing constipation Rectal sphincter may become weak resulting in fecal incontinence Liver shrinks Blood flow to the liver declines Decrease metabolism in the liver
ENDOCRINE CHANGES IN THE ELDERLY Decreased metabolism of thyroxine Decreased conversion of thyroxine to triiodothyronine Reduction in pancreatic beta cell secretion causing hyperglycemia Reduction of the hormones secreted by the hypothalamus and pituitary gland Increase in secretion of antidiuretic hormone and atrial natriuretic hormone causing fluid imbalance Increase in levels of norepinephrine
MUSCULOSKELETAL CHANGES IN THE ELDERLY Atrophy of muscles and muscle wasting Degenerative changes and loss of bone Loss of strength Degenerative changes in joints Loss of elasticity in ligaments and tendons Thinning of cartilage and thickening of synovial fluid Osteoporosis is a bone disease that decreases bone density
POLYPHARMACY The use of multiple medications, often prescribed by different doctors that can cause adverse reactions in the patient
To purchase this presentation go to www.bravetraining.com Or tap the above link

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PREVIEW OF EMT/EMR GERIATRIC EMERGENCIES POWERPOINT TRAINING PRESENTATION

  • 2. OBJECTIVES Be able to Explain aging Describe assessment needs of elderly Identify sensory problems with aging Describe specific illnesses in seniors Identify elder abuse
  • 3. PATIENTS OVER 65+ Over half over 85 live alone or with spouse Only 5% live in nursing homes 35,000,000 over 65 in US in 2000 1 in 8 of US population Est 54,000,000 by 2020 Most take multiple medications
  • 4. AGE 1900 vs. today Age’s 65-74: 8 times large Age’s 75-84: 13 times larger Ages 85+: 24 times larger Currently 12.6% US population
  • 5. VISION Decreased vision Inability to differentiate colors Decreased night vision Decreased ability to see close up Decreased depth perception
  • 6. HEARING Inability to hear high- frequency sounds Use of hearing aids
  • 7. NERVOUS SYSTEM 6 to 7% brain weight decrease 45% brain cell loss in some areas 15 to 20% blood flow reduction 15% conduction speed decrease
  • 8. CARDIOVASCULAR CHANGES IN THE ELDERLY Degeneration of valves Degeneration of conduction system Vascular changes Muscular changes Stroke volume Cardiac output Dysrhythmias
  • 9. ASSESSMENT TOOLS Often has previous cardiac history Cardiac medications Nitroglycerin Symptoms exceeding 10-15 minutes Pulse oximetry
  • 10. PNEUMONIA An infection of the lung from bacterial, viral, or fungal causes
  • 12. PULMONARY EMBOLISM A sudden blockage of the pulmonary artery by a venous clot
  • 13. ASSOCIATED SIGNS & SYMPTOMS Sudden onset of dyspnea Shoulder/back/chest pain Syncope Anxiety/apprehension Fever Leg pain/redness/unilateral pedal edema Fatigue Cardiac arrest
  • 14. POSSIBLE CHANGES IN PHYSICAL ASESSMENT Changes in circulation Tachycardia Adventitious noises such as wheezing, rales or decrease breath sounds Decreased pulse oximetry reading of 70 percent or lower Hypotension
  • 15. NEUROVASCULAR CHANGES IN THE ELDERLY Atrophy of the brain tissue Deterioration of the nervous system Neuropathy
  • 16. DETORIATION OF THE NERVOUS SYSTEM FUNCTION IN CONTROLLING Rate and depth of breathing Heart rate Blood pressure Hunger and thirst Temperature Sensory perception – including audio, visual, olfactory, touch, and pain
  • 17. NEUROPATHY Damage to nerves which may impair sensation, movement, gland or organ function or other aspects of health, depending upon nerve affected
  • 18. SENSORY NEUROTHAPY Signs & Symptoms Numbness in touch & vibration Reduced position sense Poor coordination & balance Reduced sensitivity to temperature change & pain Spontaneous tingling or burning pain
  • 19. DEMENTIA A chronic, generally irreversible condition that causes a progressive loss of cognitive abilities, psychomotor skills, & social skills Alzheimer’s disease is a form of dementia
  • 20. DEMOGRAPHICS World wide about 36,000,000 with Dementia 10% of people develop it sometime in their life Due to increased life expediency it is becoming a more prevalent disease One of the most common causes of disability in the elderly
  • 22. GASTROINTESTINAL (GI) CHANGES IN THE ELDERLY Dental problems Decrease in saliva Poor muscle tone of smooth muscle sphincter between esophagus and stomach can cause regurgitation leading to heartburn, and acid reflux Decrease in hydrochloric acid in the stomach Alterations in absorption of nutrients
  • 23. GASTROINTESTINAL (GI) CHANGES IN THE ELDERLY Slowing peristalsis causing constipation Rectal sphincter may become weak resulting in fecal incontinence Liver shrinks Blood flow to the liver declines Decrease metabolism in the liver
  • 24. ENDOCRINE CHANGES IN THE ELDERLY Decreased metabolism of thyroxine Decreased conversion of thyroxine to triiodothyronine Reduction in pancreatic beta cell secretion causing hyperglycemia Reduction of the hormones secreted by the hypothalamus and pituitary gland Increase in secretion of antidiuretic hormone and atrial natriuretic hormone causing fluid imbalance Increase in levels of norepinephrine
  • 25. MUSCULOSKELETAL CHANGES IN THE ELDERLY Atrophy of muscles and muscle wasting Degenerative changes and loss of bone Loss of strength Degenerative changes in joints Loss of elasticity in ligaments and tendons Thinning of cartilage and thickening of synovial fluid Osteoporosis is a bone disease that decreases bone density
  • 26. POLYPHARMACY The use of multiple medications, often prescribed by different doctors that can cause adverse reactions in the patient
  • 27. To purchase this presentation go to www.bravetraining.com Or tap the above link