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
Successful aging
Researchers: Physical functioning w/out disabilities Elders: Adaptation and subjective wellbeing
26
Theories of successful Aging
Selective Optimization with Compensation Socio-Emotional Selectivity Theory Strength and Vulnerability Integration Theory
27
Selective Optimization with Compensation
Adapting to losses
28
Socio-Emotional Selectivity Theory
Changing goals with changing perceptions Younger = Unlimited time = physical goals Older = Limited time = Emotional goals (more positive)
29
Strength and Vulnerability Integration Theory
Better emotional regulation Use strats to avoid negative experiences and increase well-being
30
What mental illnesses increase in old age
Sleep-wake Disorders | Neurodegenerative Disorders
31
Common age-related Sleep-Wake problems
Less time asleep Less proportion of slow wave sleep Less REM sleep More frequent Awakenings
32
Most common sleep-wake disorder in older adults
Insomnia
33
What treatment works best for insomnia
Psychotherapy | Meds are just a temporary solution
34
Second most common sleep-wake disorder
Restless Leg syndrome
35
Treatment for RLS
Meds
36
Sleep Apnea
5+ periods of stopping breathing for more than 10 seconds
37
Sleep apnea is more common in
Men
38
Treatment for sleep apnea
``` Weight loss Change of sleep position Avoid certain substances CPAP machine Surgery ```
39
Delirium
Disturbance in attention, awareness and cognition
40
Common symptoms of Delirium
``` Poor attention Disorganized thinking Altered consciousness Memory impairment Hallucinations Aggression Confusion over simple things ```
41
Duration of Delirium
Less than a week
42
Is Delirium fatal
Yes. in 40% of cases
43
Presentation of Delirium
Hypoactive Hyperactive Mixed presentation
44
Hypoactive Delirium
Sleepy/drowsy Less talking and activity Often missed
45
Hyperactive Delirium
Agitated Restless Irritable Hallucinations
46
Treatment for Delirium
Treat underlying cause
47
Gender Differences in Neurocognitive Disorders
More commonly women
48
Are neurocognitive disorders fatal
Yes they are all fatal
49
What criteria is needed to be diagnosed with Mild neurocognitive disorder
Memory Impairment Normal cognitive functioning Normal social and occupational functioning No major NCD
50
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
51
Is Mild NCD a risk factor for anything
5-10x more likely to develop dementia
52
Common issues in stage 1 Alzheimer's
Memory problems Concentration problems Unclear thinking
53
Common issues in Stage 2 Alzheimer's
``` Amnesia Aphasia Apraxia Agnosia Trouble making decisions ```
54
Amnesia
ST memory loss
55
Aphasia
Language troubles
56
Apraxia
Difficulty moving
57
Agnosia
Trouble naming things
58
Stage 1 Alzheimer's is difficult on?
Difficult on patient
59
Stage 2 Alzheimer's is Difficult on?
Difficult on care takers
60
Late stage Alzheimer's consists of?
Mobility troubles | Delusions and Hallucinations
61
Causes of Alzheimer's
Tangles and Plaques kill brain cells Atrophy of the cortex Genes
62
Where does cell death start in Alzheimer's
Hippocampus
63
Progression of Alzheimer's
8-10 years for complete cell death
64
Cure for Alzheimer's
None
65
Therapy for Alzheimer's
Patients: focus on challenging behaviours Caretakers: Reducing distress
66
Vascular Dementia
Cognitive slowing Memory retrieval problems Executive Dysfunction
67
What is VD caused by
Strokes
68
Progression of VD
Gets worse with each stroke
69
Treatment for VD
``` Lifestyle interventions (Reduce risk factors) Meds ```
70
Alzheimer's gene affects mostly
Women
71
Frontal Temporal Dementia
Personality and Psychological changes
72
FT Dementia affects more
Younger adults
73
Emotional changes in FT Dementia
Loss of empathy and Apathy (lack of interest)
74
Behavioural changes in FT Dementia
Impulsive Inappropriate in social situations Isolation
75
Psychological changes in FT Dementia
Poor judgement | Increased cravings for sweet food
76
When does memory loss occur in FT Dementia
In the last stage
77
Lewy Body Dementia
Lewy bodies cause interruption in brain messages
78
Key features of LB Dementia
Psychosis Fluctuating cognition Parkinsonism
79
Psychosis in LB Dementia
Hallucinations (visual) | Delusions
80
Fluctuating cognition
Variation in alertness and attention
81
Treatment for LB Dementia
Meds for symptoms