1. Introduction Flashcards
Today _ in _ number of people will live past 65, what was it in previous history
8 in 10…. 1 in 10
The number of Americans>65 increased more than _fold from 1900-2000
10
By 2030 the number of people over 65 will be _ or _% of the population
70 million or 20% of the population
By 2050 >85 years old will reach _or _% of the population
19 million or 5% of the population
Disability prevalence and severity both increase with…
age
What are the top ten causes of disability in the US in order of most to least common
- Arthritis or rheumatism
- Back/spine issues
- Heart issues
- Lung/respiration issues
- Mental/emotional issues
- Diabetes
- Deafness
- Stiffness in extremities
- Blind
- Stroke
Whats the most common chronic disease people over 65 present with
HTN
In 2001 what was the leading cause of death in people 65 and over
heart disease
Over the years, complete tooth loss has
declined
Number of dentures being made in dentistry is (rising/falling)
rising because even though more elderly people are keeping their teeth they are also living longer
The number of high income people over 65 has (increased/decreased) with time
increased
The percentage of people over 65 that will have some disability is
more than 35%
Gerontology is the study of the
biology, psychology and sociology of aging
First to suggest aging is a developmental process rather than deterioration
adolph quetelet
First to suggest life expectancy would improve with health and sanitation improvements
roger bacon
Pavlov with aging was known for
first lab studies on aging
Aging is viewed in 4 processes what are they
- Chronological aging (Someone who is 70 is older than someone that is 60 but biologically they may not always be older)
- Biological aging- physical changes
- Psychological aging
- Social aging- changing roles and relationships (old people rely socially on others more)
Geriatiric population has subdivisions, what are they
- Young-old (65-75)
- Old-old (75-85)
- Oldest Old (>85)
- Well old
- Frail old
- Functionally dependent
What is environmental press
-Demands that social and physical environments make on the individual to adapt, respond, or change
What is competence
theoretical upper limit of an individuals abilities to function in the areas of health, social behavior and cognition
How does competence influence environmental press
the higher the competence the greater the environmental press can be tolerated
What is the problem with eliminating environmental stress
-Removes challenge –> leads to decline in functioning
What are the four components of geriatric care
- Physical status
- Cognitive status
- ADL (activities of daily life)
- IADL (Instrumental activities of daily life)
ADL includes…
-Eating, toileting, bathing, dressing
If a person can perform activities of daily life but not instrumental activities of daily life do they need to be put in assisted living
no
Instrumental actitivities of daily life are
-Telephone, arranging transportation, managing finances
A person’s functional status is used to
- assess severity of disease state
- Measure a persons need for care
- Monitor change over time
Psycho-social considerations
- Is the patient able to understand and make decisions
- Can the patient communicate
- Can the patient travel
- Can the patient afford the care
- Can the patient maintain their condition
- Id the patient dependent on others
- Is there social support
- Is the patient depressed of apathetic
Personality change in the last stage of life
throughout life you expereince 8 stages of the development of the ego.
-The last one is integrity v.c despair (one attempts to establish a sense of meaning in one’s life, verses despair or bitterness that life was wasted)
The feminine side of a male is referred to as… the masculine side of a female is referred to as
- anima
- animus
Jung theorized what about the personality changes that take place during aging
you adopt more qualities of the opposite sex (males become more passive and females more assertive)
Aging reflects and (increase/decrease) in impulsiveness
decrease
What are the four personality types among the aged
- Integrated type
- Armoured-defensive type
- Passive dependent type
- Disorganized (or unintegrated) type
Describe the integrated type personality in the aged
- Self-actualized
- Satisfied
- High self-esteem
Describe the armoured defensive type of personality
- Ambitious
- Aggressive (fight aging)
- Not successful at adapting to aging
- Refuse to stop working despite poor health
Passive-Dependent type
- High satisfation if their dependency needs are met
- Delegate important tasks to others “you decide doc”
- Not typically bitter
The disorganized (or unintegrated) type
- Gross deterioration in cognition and emotional function (ususally result of adult onset demential or personality disorder since youth)
- Poorly adapted to environment
- Little satisfaction with life
T/F There is a higher incidence of depression among the people as they age
f
Depression in the elderly is higher is those is generally (good/poor) health
poor
Describe how to interpret the scores for a depression scale
- > 5 responses that are yes suggest depression and merit a follow up
- > 10 almost always depression and some therapy is needed
