Ageing Flashcards

1
Q

Give examples of cellular level processes that change with age/ageing

A

Progressive loss of cells
DNA in the nucleus is altered affecting RNA synthesis
Mitochondrial numbers reduce (affecting energy stores)
Ribosomal changes reduces protein synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happens to the brain with ageing?

A
Brain volume is reduced 
Shrinking of the cerebral cortex 
Enlarged ventricles 
Diseased blood vessels 
Loss of dopamine producing neurones
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define dementia

A

Dementia is a syndrome characterised by the loss of cognitive functioning.
Resulting in memory loss, confusion, inability to concentrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define stroke

A

Neurological condition of sudden onset. Caused by disruption of blood supply to the brain and characterised by rapidly developing neurological signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define parkinsons disease

A

Parkinson’s disease is a brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination. Parkinson’s symptoms usually begin gradually and get worse over time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Give examples of diseases of the ageing cardiovascular system

A
Heart failure 
Hypertension 
Arrhythmias
Valve disease 
CVD: Atherosclerosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the histological features of renal ageing?

A

Glomerulosclerosis
Glomerular basement membrane thickening
Tubular atrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Give examples/features of diseases of ageing kidneys

A

Drug excretion is affected
Reduced ability of the kidneys to filter
Less able to concentrate or dilute urine
Endocrine function is reduced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List features of the ageing liver

A

Loss of functioning liver cells - reduced protein synthesis and metabolic function
Inability of cells of the liver to regenerate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does the bone structure and function change with age?

A

Bones continue to grow during puberty
Closure of the end plates of long bones occur during adulthood

Reabsorption or removal of bone cells by osteoclasts and reformation by osteoblasts make newly mineralised bone.
The strength of bones depend of mineral content (bone density)

With age Osteoclast activity outstrips osteoblast activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define osteoporosis

A

A medical condition in which the bones become brittle and fragile due to the loss of bone density.
This increases the risk of fracture.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens to the pancreas with age?

A

The ageing cells of the pancreas become less sensitive to effects of insulin.
Beta cells need higher blood glucose levels to trigger insulin release
Also increased apoptosis of beta cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define somatopause

A

The progressive decline in the levels of growth hormone and insulin-like growth factor 1.
Leading to a progressive decline in muscle mass and reduction in metabolic rate.
Increased deposition of adipose tissue (mainly abdominal fat)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List 5 personal and social impacts of age and chronic disease

A
Increased hospital admissions 
Increased cost 
Reduced quality of life 
Increased dependency 
Increased poly pharmacy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is ‘frailty’?

A

Frailty describes someones overall resilience and how this relates to their chance to recover quickly following health problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What CFS indicates someone is living with frailty?

Clinical frailty scale (CFS)

A

> 3

*(3 = managing well)

17
Q

Explain the value of assessing frailty

A

It helps guide treatment and shift the care to person focused.
*Increasingly frailer patients with multiple co-morbidites and increased poly pharmacy