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FOPC > Ageing well or not so well > Flashcards

Ageing well or not so well Flashcards

1
Q

In terns of health, what is different in elderly?

A 
Homeostatic reserve
Disease presents in different ways
Normal peak flow rate is affected by age
Drug handling alters
Treatable diseases are frequently describes as "normal ageing"
Lifestyle changes are worthwhile
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2
Q

What is ageism?

A

Process of systematically discriminating against people because they are old.

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3
Q

What is the expected proportion of the world’s population over 60 in 2050?

A

22%

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4
Q

From 200-2050, by how much will the number of over 80s increase?

A

By 4 fold

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5
Q

A 63yo who gives up smoking will decrease risk of premature death by how much?

A

50%

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6
Q

Describe the population pyramids of more developed regions such as USA, UK, Australia and Japan.

A

More over 60

Less under 15

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7
Q

Describe the cause of the shape of the population pyramid for more developed regions.

A

Reduced fertility, reduced premature mortality, migration, health education, public health improvement

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8
Q

Describe the population pyramid fro less developed countries such as Iraq, Thailand and Jamaica.

A

Less over 60

Pace of population ageing developing faster

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9
Q

Describe the population pyramid fro least developed countries such as Nigeria, Malawi, Sudan, Vietnam.

A

Reduced total fertility rate
Life expectancy increases but not as much as developed regions
60+ growth rate increasing
Greater infant mortality

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10
Q

What country in the UK has had the largest increase in over 65s?

A

Scotland

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11
Q

Describe two main reasons why the proportion of over 55, 65 and 75 had increased.

A

Baby boomers born after World War II

Older people are increasingly healthy

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12
Q

What are health challenges of an ageing population?

A

More geriatricians needed
More facilities for elderly required
Care of long-term conditions moving to primary care

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13
Q

What are social challenges of an ageing population?

A

Increasing dependence of families/carers
Increasing demand for home carers and nursing home places
Increasing demand for social activities for elderly

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14
Q

What are economic challenges of an ageing population?

A

Retirement/pension age increasing
Finding employment harder for young people
Less people paying into tax and pension finds
State pension may not be adequate enough for those not contributing to private pension –> poverty

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15
Q

What are political challenges of an ageing population?

A

Current decision making and workforce planning must take into account ageing population
Elderly may influence political decisions

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16
Q

Discuss life expectancy in males vs females.

A

Males closing gap

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17
Q

What is the latest life expectancy data from Public health England?

A

79.5 = males
83.1 = females
(different from healthy life expectancy - 63.4 and 64.1 respectively)

18
Q

What gender has a slightly greater no of years in poor health?

A

Females

19
Q

What 3 main factors result from poor health and ageing which causes pressure on health and social care systems?

A
  1. Higher prevalence of long term conditions
  2. Proportionally older population
  3. More years poor health
20
Q

How are 3rd sectors driven?

A

By values and not economic goals

21
Q

Give an example of a third sector which supports the ageing population.

A

Age Concern

22
Q

What are the benefits of third sector organisations.

A 
Understand needs of service users
Closeness to the people
Ability to deliver outcomes
Innovation 
Performance
23
Q

Describe the responsibilities of carers.

A 
Help deal with care srevices
Help with financial matters
Practical help 
Personal care help
Keep company 
Take person out 
Keep an eye on
24
Q

How many carers are there in the UK?

A

Around 6.5m

25
Q

How many carers approximately provide over 50 hours of unpaid care/week?

A

1.4m

26
Q

What percentage of carers are in receipt of disability living allowance as a result of their own disability?

A

27%

27
Q

What is the impact on the carer?

A 
Reduce household income
Cut back on essentials e.g heating 
Financial circumstances affect own health 
Relationship breakdown 
Isolation from society
28
Q

What is multi-morbidity?

A

The co-existence of two or more long-term conditions in an individual

29
Q

What are options on discharge?

A 
Home with care package
Home with family support 
Sheltered housing 
Residential home
Nursing home
30
Q

What is an anticipatory care plan?

A

Promotes discussion in which individuals, their care providers and often those close to them make decisions with respect to their future health or personal and practical aspects of care

31
Q

How can anticipatory care plans be shared?

A

Key Information Summary

32
Q

What 3 main things are involved in an anticipatory care plan?

A

Legal
Personal
Medical

33
Q

Give an example of medical considerations in an anticipatory care plan.

A

DNA CPR, Home care package, assessment of capacity, “just-in-case” medicines

34
Q

How is involved in the anticipatory care plan?

A

Individual
Carer/family
Care manager
Medical professional

35
Q

Give an example of influences of the intra-uterine environment that can have an effect on health in later life.

A

Low birth weight = increased risk of COPD

36
Q

How do elderly see health?

A

As “functioning” (instead of fitness)

37
Q

What can ageism affect?

A

Medical and surgical treatment

How elderly people see themselves

38
Q

What factors contribute to successful ageing?

A

Personal and socio-cultural factors

39
Q

Adapting well to bereavement is important in old age. What are the 5 stages of grief?

A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance
40
Q

An elderly patient, who normally cares for his wife with memory issues, suffers a stroke, causing moderate power loss on his left side. He was not previously ill or on any medications. Which members of the PHCT might be helpful in this situation?

A 
Physio
OT
Counsellor
Care manager
Social work 
Pharmacist

FOPC (10 decks)

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