The nurse is planning care for an older patient to prevent the geriatric cascade. What causes this cascade to occur in older patients? Standard Text: Select all that apply
1. Frailty
2. Acute illness
3. Institutional care
4. Lack of health insurance
5. Poor appetite and malnutrition
1,2,3
Rationale: An older patient can suffer a rapid decline and decompensation as a result of an acute illness or worsening of a chronic condition. The phenomenon of decline is the geriatric cascade and results from the interaction of characteristics. Frailty is a characteristic of this phenomenon.
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