Aging Flashcards

1
Q

Mental illness is more common in older people

A

False, mental illness actually occurs less

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2
Q

Gender Differences in Mental illness in older individuals

A

Gender Differences equal out, decrease

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3
Q

Mental illness is underestimated in older individuals

A

True, may be due to them focusing on more somatic symptoms and seeking out medical rather than psychological help

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4
Q

Difficulty in diagnosing mental illness in 65+

A

Mental health issue or normal age-related cognitive decline.

Mental illness symptoms or chronic illness issue

Medicinal side effects

Overlapping symptoms

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5
Q

Client Issues with Treatment for 65+

A

Beliefs about treatment

Transportation issues

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6
Q

Systematic issues with 65+ treatment

A

Not enough services and resources to deal with mental illness in elders

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7
Q

Therapist issues with 65+ treatment

A

Not enough experience with mental illness in elders

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8
Q

What treatment do elders prefer

A

Psychotherapy

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9
Q

Number of suicides are reduced because they perceive time as limited

A

False, # of completed suicides increase

They use more lethal means

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10
Q

Why does the suicide rate increase

A

Elders have less social support meaning there are less interventions

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11
Q

Major risk factor for Suicide

A

Inability to perform daily functioning activities

Eating
Bathroom
Dressing

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12
Q

Schizophrenia’s two variations

A

Typical onset

Late onset

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13
Q

Late onset schizophrenia starts

A

After 40

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14
Q

LO Schizophrenia more common in?

A

Women

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15
Q

LO schizophrenics have more bizarre Hallucinations and less flat affect

A

True, they have a better range of emotions therefore a less flat affect

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16
Q

What approaches are used towards schizophrenia in elders

A

Anti-psychotic meds

Psychotherapy

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17
Q

Sleep-wake Disorders are less common in Older people

A

False, sleep- wake disorders increase

Less deep sleep and REM sleep

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18
Q

What does lack of REM sleep cause in elders

A

There is less restoration of psychological energy

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19
Q

Lack of deep sleep causes

A

Lack of restoration of physical energy

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20
Q

Older individuals tend to forget old facts due to normal aging

A

False,
Their crystallized intelligence is stable
H/E fluid Intelligence (ability to learn new things)decreases

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21
Q

Older people have difficulty ,making new memories

A

TRUE,

their long-term memory is stable but new memories are harder to make

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22
Q

Attention abilities decrease in Elders

A

Simple attention is stable but divided attention abilities decrease

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23
Q

Declined word retrieval abilities

A

True, they have trouble finding the right word to express their thought but their language skills are not affected

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24
Q

Slow in problem-solving abilities

A

They can problem-solve just fine but they are slower due to a decline in processing speed

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25
Q

Successful aging

A

Researchers: Physical functioning w/out disabilities

Elders: Adaptation and subjective wellbeing

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26
Q

Theories of successful Aging

A

Selective Optimization with Compensation
Socio-Emotional Selectivity Theory
Strength and Vulnerability Integration Theory

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27
Q

Selective Optimization with Compensation

A

Adapting to losses

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28
Q

Socio-Emotional Selectivity Theory

A

Changing goals with changing perceptions

Younger = Unlimited time = physical goals

Older = Limited time = Emotional goals (more positive)

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29
Q

Strength and Vulnerability Integration Theory

A

Better emotional regulation

Use strats to avoid negative experiences and increase well-being

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30
Q

What mental illnesses increase in old age

A

Sleep-wake Disorders

Neurodegenerative Disorders

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31
Q

Common age-related Sleep-Wake problems

A

Less time asleep
Less proportion of slow wave sleep
Less REM sleep
More frequent Awakenings

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32
Q

Most common sleep-wake disorder in older adults

A

Insomnia

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33
Q

What treatment works best for insomnia

A

Psychotherapy

Meds are just a temporary solution

34
Q

Second most common sleep-wake disorder

A

Restless Leg syndrome

35
Q

Treatment for RLS

A

Meds

36
Q

Sleep Apnea

A

5+ periods of stopping breathing for more than 10 seconds

37
Q

Sleep apnea is more common in

A

Men

38
Q

Treatment for sleep apnea

A
Weight loss
Change of sleep position
Avoid certain substances 
CPAP machine 
Surgery
39
Q

Delirium

A

Disturbance in attention, awareness and cognition

40
Q

Common symptoms of Delirium

A
Poor attention 
Disorganized thinking 
Altered consciousness 
Memory impairment 
Hallucinations 
Aggression 
Confusion over simple things
41
Q

Duration of Delirium

A

Less than a week

42
Q

Is Delirium fatal

A

Yes. in 40% of cases

43
Q

Presentation of Delirium

A

Hypoactive
Hyperactive
Mixed presentation

44
Q

Hypoactive Delirium

A

Sleepy/drowsy
Less talking and activity

Often missed

45
Q

Hyperactive Delirium

A

Agitated
Restless
Irritable
Hallucinations

46
Q

Treatment for Delirium

A

Treat underlying cause

47
Q

Gender Differences in Neurocognitive Disorders

A

More commonly women

48
Q

Are neurocognitive disorders fatal

A

Yes they are all fatal

49
Q

What criteria is needed to be diagnosed with Mild neurocognitive disorder

A

Memory Impairment
Normal cognitive functioning
Normal social and occupational functioning
No major NCD

50
Q

Do other people have to notice the memory issues in Mild NCD?

A

Yes, the memory impairment must be collaborated with other people because elders tend to be paranoid about memory issues occurring

51
Q

Is Mild NCD a risk factor for anything

A

5-10x more likely to develop dementia

52
Q

Common issues in stage 1 Alzheimer’s

A

Memory problems
Concentration problems
Unclear thinking

53
Q

Common issues in Stage 2 Alzheimer’s

A
Amnesia 
Aphasia 
Apraxia 
Agnosia
Trouble making decisions
54
Q

Amnesia

A

ST memory loss

55
Q

Aphasia

A

Language troubles

56
Q

Apraxia

A

Difficulty moving

57
Q

Agnosia

A

Trouble naming things

58
Q

Stage 1 Alzheimer’s is difficult on?

A

Difficult on patient

59
Q

Stage 2 Alzheimer’s is Difficult on?

A

Difficult on care takers

60
Q

Late stage Alzheimer’s consists of?

A

Mobility troubles

Delusions and Hallucinations

61
Q

Causes of Alzheimer’s

A

Tangles and Plaques kill brain cells
Atrophy of the cortex
Genes

62
Q

Where does cell death start in Alzheimer’s

A

Hippocampus

63
Q

Progression of Alzheimer’s

A

8-10 years for complete cell death

64
Q

Cure for Alzheimer’s

A

None

65
Q

Therapy for Alzheimer’s

A

Patients: focus on challenging behaviours
Caretakers: Reducing distress

66
Q

Vascular Dementia

A

Cognitive slowing
Memory retrieval problems
Executive Dysfunction

67
Q

What is VD caused by

A

Strokes

68
Q

Progression of VD

A

Gets worse with each stroke

69
Q

Treatment for VD

A
Lifestyle interventions (Reduce risk factors)
Meds
70
Q

Alzheimer’s gene affects mostly

A

Women

71
Q

Frontal Temporal Dementia

A

Personality and Psychological changes

72
Q

FT Dementia affects more

A

Younger adults

73
Q

Emotional changes in FT Dementia

A

Loss of empathy and Apathy (lack of interest)

74
Q

Behavioural changes in FT Dementia

A

Impulsive
Inappropriate in social situations
Isolation

75
Q

Psychological changes in FT Dementia

A

Poor judgement

Increased cravings for sweet food

76
Q

When does memory loss occur in FT Dementia

A

In the last stage

77
Q

Lewy Body Dementia

A

Lewy bodies cause interruption in brain messages

78
Q

Key features of LB Dementia

A

Psychosis
Fluctuating cognition
Parkinsonism

79
Q

Psychosis in LB Dementia

A

Hallucinations (visual)

Delusions

80
Q

Fluctuating cognition

A

Variation in alertness and attention

81
Q

Treatment for LB Dementia

A

Meds for symptoms