Aging Flashcards
Mental illness is more common in older people
False, mental illness actually occurs less
Gender Differences in Mental illness in older individuals
Gender Differences equal out, decrease
Mental illness is underestimated in older individuals
True, may be due to them focusing on more somatic symptoms and seeking out medical rather than psychological help
Difficulty in diagnosing mental illness in 65+
Mental health issue or normal age-related cognitive decline.
Mental illness symptoms or chronic illness issue
Medicinal side effects
Overlapping symptoms
Client Issues with Treatment for 65+
Beliefs about treatment
Transportation issues
Systematic issues with 65+ treatment
Not enough services and resources to deal with mental illness in elders
Therapist issues with 65+ treatment
Not enough experience with mental illness in elders
What treatment do elders prefer
Psychotherapy
Number of suicides are reduced because they perceive time as limited
False, # of completed suicides increase
They use more lethal means
Why does the suicide rate increase
Elders have less social support meaning there are less interventions
Major risk factor for Suicide
Inability to perform daily functioning activities
Eating
Bathroom
Dressing
Schizophrenia’s two variations
Typical onset
Late onset
Late onset schizophrenia starts
After 40
LO Schizophrenia more common in?
Women
LO schizophrenics have more bizarre Hallucinations and less flat affect
True, they have a better range of emotions therefore a less flat affect
What approaches are used towards schizophrenia in elders
Anti-psychotic meds
Psychotherapy
Sleep-wake Disorders are less common in Older people
False, sleep- wake disorders increase
Less deep sleep and REM sleep
What does lack of REM sleep cause in elders
There is less restoration of psychological energy
Lack of deep sleep causes
Lack of restoration of physical energy
Older individuals tend to forget old facts due to normal aging
False,
Their crystallized intelligence is stable
H/E fluid Intelligence (ability to learn new things)decreases
Older people have difficulty ,making new memories
TRUE,
their long-term memory is stable but new memories are harder to make
Attention abilities decrease in Elders
Simple attention is stable but divided attention abilities decrease
Declined word retrieval abilities
True, they have trouble finding the right word to express their thought but their language skills are not affected
Slow in problem-solving abilities
They can problem-solve just fine but they are slower due to a decline in processing speed
Successful aging
Researchers: Physical functioning w/out disabilities
Elders: Adaptation and subjective wellbeing
Theories of successful Aging
Selective Optimization with Compensation
Socio-Emotional Selectivity Theory
Strength and Vulnerability Integration Theory
Selective Optimization with Compensation
Adapting to losses
Socio-Emotional Selectivity Theory
Changing goals with changing perceptions
Younger = Unlimited time = physical goals
Older = Limited time = Emotional goals (more positive)
Strength and Vulnerability Integration Theory
Better emotional regulation
Use strats to avoid negative experiences and increase well-being
What mental illnesses increase in old age
Sleep-wake Disorders
Neurodegenerative Disorders
Common age-related Sleep-Wake problems
Less time asleep
Less proportion of slow wave sleep
Less REM sleep
More frequent Awakenings
Most common sleep-wake disorder in older adults
Insomnia
What treatment works best for insomnia
Psychotherapy
Meds are just a temporary solution
Second most common sleep-wake disorder
Restless Leg syndrome
Treatment for RLS
Meds
Sleep Apnea
5+ periods of stopping breathing for more than 10 seconds
Sleep apnea is more common in
Men
Treatment for sleep apnea
Weight loss Change of sleep position Avoid certain substances CPAP machine Surgery
Delirium
Disturbance in attention, awareness and cognition
Common symptoms of Delirium
Poor attention Disorganized thinking Altered consciousness Memory impairment Hallucinations Aggression Confusion over simple things
Duration of Delirium
Less than a week
Is Delirium fatal
Yes. in 40% of cases
Presentation of Delirium
Hypoactive
Hyperactive
Mixed presentation
Hypoactive Delirium
Sleepy/drowsy
Less talking and activity
Often missed
Hyperactive Delirium
Agitated
Restless
Irritable
Hallucinations
Treatment for Delirium
Treat underlying cause
Gender Differences in Neurocognitive Disorders
More commonly women
Are neurocognitive disorders fatal
Yes they are all fatal
What criteria is needed to be diagnosed with Mild neurocognitive disorder
Memory Impairment
Normal cognitive functioning
Normal social and occupational functioning
No major NCD
Do other people have to notice the memory issues in Mild NCD?
Yes, the memory impairment must be collaborated with other people because elders tend to be paranoid about memory issues occurring
Is Mild NCD a risk factor for anything
5-10x more likely to develop dementia
Common issues in stage 1 Alzheimer’s
Memory problems
Concentration problems
Unclear thinking
Common issues in Stage 2 Alzheimer’s
Amnesia Aphasia Apraxia Agnosia Trouble making decisions
Amnesia
ST memory loss
Aphasia
Language troubles
Apraxia
Difficulty moving
Agnosia
Trouble naming things
Stage 1 Alzheimer’s is difficult on?
Difficult on patient
Stage 2 Alzheimer’s is Difficult on?
Difficult on care takers
Late stage Alzheimer’s consists of?
Mobility troubles
Delusions and Hallucinations
Causes of Alzheimer’s
Tangles and Plaques kill brain cells
Atrophy of the cortex
Genes
Where does cell death start in Alzheimer’s
Hippocampus
Progression of Alzheimer’s
8-10 years for complete cell death
Cure for Alzheimer’s
None
Therapy for Alzheimer’s
Patients: focus on challenging behaviours
Caretakers: Reducing distress
Vascular Dementia
Cognitive slowing
Memory retrieval problems
Executive Dysfunction
What is VD caused by
Strokes
Progression of VD
Gets worse with each stroke
Treatment for VD
Lifestyle interventions (Reduce risk factors) Meds
Alzheimer’s gene affects mostly
Women
Frontal Temporal Dementia
Personality and Psychological changes
FT Dementia affects more
Younger adults
Emotional changes in FT Dementia
Loss of empathy and Apathy (lack of interest)
Behavioural changes in FT Dementia
Impulsive
Inappropriate in social situations
Isolation
Psychological changes in FT Dementia
Poor judgement
Increased cravings for sweet food
When does memory loss occur in FT Dementia
In the last stage
Lewy Body Dementia
Lewy bodies cause interruption in brain messages
Key features of LB Dementia
Psychosis
Fluctuating cognition
Parkinsonism
Psychosis in LB Dementia
Hallucinations (visual)
Delusions
Fluctuating cognition
Variation in alertness and attention
Treatment for LB Dementia
Meds for symptoms