Adult Flashcards
3 components of aging
biological aging, chronological aging, function
3 components of Pecks expansion of Erikson’s Ego Integrity vs Despair
ego differentiation vs work role preoccupation
body transcendence vs body preoccupation
ego transcendence vs ego preoccupation
ego differentiation vs work role preoccupation
they achieve feelings of worth from other areas ex. being a crossing guard
body transcendence vs body preoccupation
they learn to adjust to changes that are happening to your body
ego transcendence vs ego preoccupation
they understand death is coming but don’t stop living because of it ex. they get a will together, kids know where safety deposit box is
normal aging of skin
wrinkling, skin thinner, decrease in blood vessels, lentigo (dark spots on hands)
what do you need to look at with the older adult since there is a decrease in protection from UV rays?
vit D since they are not producing it
Leukoplakia
sore on lip from smoking
why are actinic and solar skin areas important to investigate?
because squamous cell carcinoma can occur underneath
since tenting is not a reliable measure of hydration in elderly what should you look at instead?
look at specific gravity in urine or weight
Deductive reasoning
general to specific (hyperparathyroid example)
Inductive reasoning
specific to general (gather Hx, you don’t know whats wrong)
visual impairment is related to what issue
loss of independence
what happens to lacramial glands and what does this cause
atrophy, dry eyes
BC>AC which type of problem
conductive loss on that side
can you hear weber in bad ear?
no
presbycusis is related to which hearing loss problem?
sensorineural
xerostomia
decreased saliva
type 1 Loss: menopausal is fast or slow? and when does it happen?
fast, happens during 1st 5-10 years of menopause
type II Loss: senescent is fast or slow? and who does it affect?
slow, effects both male and female
Sarcopenia
age related loss of muscle mass and strength
what should older people do to help with their muscles?
weight training
Detrusor instability
urge incontinence
is blood flow increased or decreased in older people?
decreased
because kidneys are less responsive to ADH in older people, what will be found in urine?
increased NA
S3 murmur is indicative of?
HF
A brisk carotid is indicative of?
aortic sclerosis
A delayed carotid is indicative of?
aortic stenosis
Brisk vs delayed carotid?
aortic sclerosis/stenosis
does BP go up or down with older people?
up
frontal lobe function
language, aphasia happens here
temporal lobe function
understanding , receptive aphasia happens here
occipital lobe function
process visual inout/info
Parietal lobe function
taste, pain, temp
are mean glucocorticoids increased or decreased with age?
increased
what happens to T3 as we age?
it decreases, they don’t need to replace it as much
old people don’t respond to vaccines so what is needed?
boosters
working memory
person can manipulate remembered info
recent memory
last 24hrs
which type of memory is the first type to be lost?
recent memory
remote memory
remembered info from past
implicit or procedural memory
memory of how to do simple things (eating, drinking)
fluid (native) intelligence
who you are, its your baseline
crystallized intelligence
what we learn, acquired through learning,
which goes first fluid or crystallized intelligence?
fluid
can Mild cognitive impairment occur with normal aging?
yes
gold standard for assessment of polypharmacy
home inspection
propreioception
the awareness of posture, movement and changes in equilibrium
what is most concerning symptom of an old person?
weight loss
what is the ideal BMI for elderly?
no ideal BMI
what is gold standard for nutrition assessment?
mini nutrition assessment
IADL (lawson)
helps to establish need for OT services, assess ability to perform 8 tasks
KATZ index
assessment for ADLs
FIC SIT
assess for balance, 4 positions
Timed up and go (TUG)
assessment for fall risk
> 20 sec for TUG tests indicates what?
impaired mobility
agnosia
unable to recognize objects
apraxia
difficulty following commands
