Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
Define gerontology:
|
scientific study all aspects (biological, medical, social, legal, psychological, anthropological)
|
|
|
What is geriatrics?
|
Branch of medicine which treats all problems peculiar to old age and aging.
|
|
|
What is senescence?
|
Combination of deleterious effects leads to deterioration of function & increased probability of death that occurs with advancing age
|
|
|
What are the theories of aging?
|
1) biological: clocks & Gene expression
2) damage: environmental insults result in cumulative damage 3) Gene regulation: shortening telomeres with mitosis. |
|
|
Describe the trend of population with regards to elderly in the US
|
Proportion of elderly:young people is growing - by 2050, more elderly than young for 1st time ever.
|
|
|
Major sources of income for those >65 include:
|
- Social Security
- Assets - Private pensions - Earned (working) - Government Pensions |
|
|
Describe social/living arrangements for many elderly.
|
2million live with grandchildren in home
- 1/2 million are the primary caregiver for their grandchildren |
|
|
Describe trends for elderly with regards to health & health care.
|
- Avg hospital stay: 5-6days (4.8d for <65)
- 7.1 office visits/year (vs 3.7) - out of pocket 12.9% (vs 6.4%) |
|
|
Define the following groups:
- Young-old - Mid-old - Old-old |
young old = 65-74
mid-old = 75-84 old-old = 85+ |
|
|
Define "aging"
|
Normal physiologic changes +/- disuse and disease
|
|
|
Describe medical goals for elderly.
|
- promote wellness via prevention & screening
- Maintain/improve function & independence - End of life advanced directives/DNR (care vs cure) - Capacity vs competence (legal system) - avoid bias & myths |
|
|
What is resilience?
|
- response produced by adversity leads to mobilization in order to deal with stressor event
|
|
|
What is motivation?
|
Drive or need to respond a certain way to achieve a certain response
|
|
|
What factors help determine a patient's overall state of health ina functional assessment?
|
- anticipated declines (CV, MSS, bone, CNS)
- environmental factors - resilience/motivation |
|
|
___ may be an early (1st) indicator of decline in mental or physical health.
|
Change in how a pt negotiates everyday life.
|
|
|
Timed up & go test should be performed by having the pt ______, in what amoutn of time?
|
1) rise from chiar without arms, walk 10 feet, return to chair, sit down
2) 15 seconds or less |
|
|
What tests can be used to perform a mini-cog exam?
|
1) give 3 unrelated words
2) draw a clock set to 11:10 3) recall words |
|
|
A positive screen for minicog impairment would include what on a clock/word recall test:
|
- 0 words with normal or abnormal clock
-1-3 words with abnormal clock |
|
|
What are the 5 options for mini-cog testing?
|
1) unrelated words + clock
2) Unrelated words repeated immediately, then in 3-5 mins 3) Clock only 4) Clock with 4 sets of fruits, etc naming (score <15 in sets) 5)MMSE (<23-25/30) |
|
|
What are the 9 I's of functional assessment review?
|
- Immobility
- instability - impaired intellect, vision, or hearing - Incontinence/ Irritable bowel - Infection - Isolation - Insomnia - Immunity - Iatrogenesis |
