Ageing population

Question 1

State 5 challenges caused by UK’s ageing population?

Answer 1

1) Strain on pension and social security
2) Increasing demands for health care
3) Bigger need for trained health workforce
4) Increase demand for long term care
5) Pervasive ageism- deny older ppl rights and opp

Question 2

State 5 reasons behind UK ageing population?

Answer 2

1) Improvement sanitation, housing, nutrition and medical intervention
2) Life expectancy rising
3) Rates fertility falling
4) Decline in premature mortality
5) More ppl reach old age, fewer children born

Question 3

Who lives longer men or women?
Why?

Answer 3

Women
Biological- 20%- premenopausal women protected heart disease by hormones
Environmental- 80%- men take more lifestyle risks

Question 4

Name 2 types of ageing?

Answer 4

Intrinsic- natural, inevitable
Extrinsic- depend external factors
- UV rays, smoking, air pollution

Question 5

State physical changes of ageing?

Answer 5

Loss skin elasticity
Loss hair
Weight and height loss
Loss joint flexibility
Tate, smell, hearing, sight

Question 6

What are different types of diseases?

Answer 6

Physical or cognitive
Congenital or developmental

Question 7

What is disease called that can’t be cured?

Answer 7

Chronic

Question 8

Define institutionalising death?
Define medicalisation death?

Answer 8

Institutionalising death- more ppl die in hospital
Medicalisation death- death is failure, have prolong life at any cost

Question 9

What study conducted into dying?
4 contexts?

Answer 9

Awareness of dying- Glaser and Strauss 1965
Observational study interactions between dying ppl, relatives and staff
Identify 4 awareness contexts?
1) Close awareness
2) Suspicion awareness
3) Mutual pretence
4) Open awareness

Question 10

Define social death?

Answer 10

People die in social terms before biological death

Question 11

Define good death?

Answer 11

Demedicalise death

Question 12

List 5 ways of measuring limitations amongst elderly?

Answer 12

1) Katz ADL Scale (activities of daily life)
2) IADL (instrumental activities of daily living)
3) MMSE (mini mental state examination)
4) Barthel ADL index

Question 13

Explain Katz ADL Scale?

Answer 13

Katz ADL Scale (activities of daily life)
Bathing
Dressing
Toilet use
Transferring- in and out of bed and chairs
Urine and bowel continence
Eating

Question 14

Explain IADL Scale?

Answer 14

Instrumental activities of daily living
Use of telephone
Travel by car/use public transport
Food/clothes shopping
Meal prep
Housework
Medication use
Manage money

Question 15

Explain Mini Mental State Examination?

Answer 15

Orientation, immediate memory
Short term memory
Language functioning

Question 16

Explain Barthel ADL Index? (10 items measure daily functioning)

Answer 16

Feeding
Moving wheelchair to bed
Grooming
Transfer to and from toilet
Bathing
Walk lvl surface
Stairs
Dressing
Continence bowels
Continence bladder