Age Related Changes Flashcards
gerontology
study of aging
geriatrics
medical treatment of aging people
what is aging?
interation among genetics, environmental influences, lifestyles, and the effects of the disease process
who coordinates care to address all aspects of rehab needs
occupational and speech
who coordinates care and exchange critical patient info
nursing
who coordinates discharge plans and equipment needs
case manager
who coordinates care and exchange critical patient info
physician/PA
who obtains essential info on patient’s PLOF and discharge options; caregiver involvement in pt care
family
you want to unhook the PEG tube during PT treatment, who do you consult
nurse
the pt is coughing after drinking orange juice, who do you consult
speech
you need clarification on the family/home situation, who do you consult
case manager
patient
nurse
the pt is unable to manipulate utensiles during meals, who do you consult
OT
the pt shows increased confusion during treatment today, who do you consult
speech
nurse
you want to find out what equipment the pt owns and the pt is unable to tell you, who do you consult
case manager
family
79% of people 70 and older have one or more of these 7 chronic conditions:
arthritis HBP diabetes lung disease stroke cancer
65 and older, what percentage of people have chronic conditions
30% of 65 and older have 3 or more chronic conditions
what are the principles of geriatric rehab
- variability of capabilities
- inactivity/sedentary lifestyle
- optimum health and overall well being
variability of capabilities
physical, cognitive abilities and motivation will varg greatly
inactivity/sedentary lifestyle
inactive lifestyle contributes to debility
optimum health and overall well being
related to optimum functional ability
geriatric rehab is directed toward what
- stabilizing primary problems
- preventing secondary complications
- restoring lost function
successful aging
high capacity to tolerate stressors
exercise causes robust, positive changes
wider homestatic windo = greater phsyical reliance
unsuccessful aging
low tolerance: susceptible to illness
positive changes occur but at smaller magnitude
narrow homeostatic window = reduced adaptation to even low stress
what is the main MSK system changes in older adults
bone loss
sarcopenia
age related decline in muscle mass
dynapenia
age related decline in stength
what fibers do you lose with aging
loss of type II
cachexia
decline in muscle/body wasting that does not respond to nutritional support
decreased water content in connective tissue =
decreased height
loss of water in articular cartilage =
osteoarthritis
increased collagen crosslinks and water loss =
joint stiffness and reduced shock absorption
reduction of elastin =
saggy wrinkled skin
aging connective tissue contributes to what
sports injuries and decreased performance
displaced internal organs
