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Geriatrics > 1. Introduction > Flashcards

1. Introduction Flashcards

1
Q

Today _ in _ number of people will live past 65, what was it in previous history

A

8 in 10…. 1 in 10

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2
Q

The number of Americans>65 increased more than _fold from 1900-2000

A

10

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3
Q

By 2030 the number of people over 65 will be _ or _% of the population

A

70 million or 20% of the population

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4
Q

By 2050 >85 years old will reach _or _% of the population

A

19 million or 5% of the population

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5
Q

Disability prevalence and severity both increase with…

A

age

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6
Q

What are the top ten causes of disability in the US in order of most to least common

A
  • Arthritis or rheumatism
  • Back/spine issues
  • Heart issues
  • Lung/respiration issues
  • Mental/emotional issues
  • Diabetes
  • Deafness
  • Stiffness in extremities
  • Blind
  • Stroke
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7
Q

Whats the most common chronic disease people over 65 present with

A

HTN

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8
Q

In 2001 what was the leading cause of death in people 65 and over

A

heart disease

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9
Q

Over the years, complete tooth loss has

A

declined

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10
Q

Number of dentures being made in dentistry is (rising/falling)

A

rising because even though more elderly people are keeping their teeth they are also living longer

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11
Q

The number of high income people over 65 has (increased/decreased) with time

A

increased

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12
Q

The percentage of people over 65 that will have some disability is

A

more than 35%

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13
Q

Gerontology is the study of the

A

biology, psychology and sociology of aging

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14
Q

First to suggest aging is a developmental process rather than deterioration

A

adolph quetelet

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15
Q

First to suggest life expectancy would improve with health and sanitation improvements

A

roger bacon

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16
Q

Pavlov with aging was known for

A

first lab studies on aging

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17
Q

Aging is viewed in 4 processes what are they

A
  • 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)
18
Q

Geriatiric population has subdivisions, what are they

A
  • Young-old (65-75)
  • Old-old (75-85)
  • Oldest Old (>85)
  • Well old
  • Frail old
  • Functionally dependent
19
Q

What is environmental press

A

-Demands that social and physical environments make on the individual to adapt, respond, or change

20
Q

What is competence

A

theoretical upper limit of an individuals abilities to function in the areas of health, social behavior and cognition

21
Q

How does competence influence environmental press

A

the higher the competence the greater the environmental press can be tolerated

22
Q

What is the problem with eliminating environmental stress

A

-Removes challenge –> leads to decline in functioning

23
Q

What are the four components of geriatric care

A
  • Physical status
  • Cognitive status
  • ADL (activities of daily life)
  • IADL (Instrumental activities of daily life)
24
Q

ADL includes…

A

-Eating, toileting, bathing, dressing

25
Q

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

A

no

26
Q

Instrumental actitivities of daily life are

A

-Telephone, arranging transportation, managing finances

27
Q

A person’s functional status is used to

A
  • assess severity of disease state
  • Measure a persons need for care
  • Monitor change over time
28
Q

Psycho-social considerations

A
  • 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
29
Q

Personality change in the last stage of life

A

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)

30
Q

The feminine side of a male is referred to as… the masculine side of a female is referred to as

A
  • anima

- animus

31
Q

Jung theorized what about the personality changes that take place during aging

A

you adopt more qualities of the opposite sex (males become more passive and females more assertive)

32
Q

Aging reflects and (increase/decrease) in impulsiveness

A

decrease

33
Q

What are the four personality types among the aged

A
  • Integrated type
  • Armoured-defensive type
  • Passive dependent type
  • Disorganized (or unintegrated) type
34
Q

Describe the integrated type personality in the aged

A
  • Self-actualized
  • Satisfied
  • High self-esteem
35
Q

Describe the armoured defensive type of personality

A
  • Ambitious
  • Aggressive (fight aging)
  • Not successful at adapting to aging
  • Refuse to stop working despite poor health
36
Q

Passive-Dependent type

A
  • High satisfation if their dependency needs are met
  • Delegate important tasks to others “you decide doc”
  • Not typically bitter
37
Q

The disorganized (or unintegrated) type

A
  • 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
38
Q

T/F There is a higher incidence of depression among the people as they age

A

f

39
Q

Depression in the elderly is higher is those is generally (good/poor) health

A

poor

40
Q

Describe how to interpret the scores for a depression scale

A
  • > 5 responses that are yes suggest depression and merit a follow up
  • > 10 almost always depression and some therapy is needed

Geriatrics (11 decks)

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