Aging Flashcards
what do damage/error theroies of aging describe?
the accumulation of damage to DNA, cells and tissue. For example, loss of telomeres or oxidative damage as the cause of ageing. If we could repair this damage, we could prevent ageing.
what do programmed aging theories describe?
how genetic, hormonal and immunological changes over the lifetime of an organism lead to the cumulative deficits we see as ageing. These theories suggest that this is part of an inescapable biological timetable, just as growth and puberty are programmed to occur.
define frailty
decreased reserve and resistance to stressors resulting from cumulative decline across multiple physiologic systems and causing vulnerability to adverse outcomes
define dementia
chronic, progressive, degenerative disease which cause a decline in cognition. The most common types (Alzheimer’s and vascular) often start with memory problems, but over time include all cognitive functions
Define delerium
acute episode of confusion, usually with a clear precipitant such as infection or medication changes.
Describe changes that occur in the brain with age
increased CSF volume
enlarging of ventricles
gaps between gyri widen
List advantages of MOCA
covers variety of domains
breif and quick to do
validated
translations are available
List disadvantages of MOCA
education level affects results language level affects results floor and ceiling affects (too hard or too easy) can be poorly administered practice/coaching effects
4 things to consider when doing cognitive test on elderly
shorter attention span slower processing and rxn time hearing impairment visual impairment inability to write