Aging Final Flashcards
Hunching forward of shoulder, loosing height
Kyphosis
Types of Dementia (ALFV)
Alzheimer’s
Lewy Body
Frontotemporal
Vascular
Most common type of dementia
Alzheimer’s
Dementia with symptoms of sleep disturbance, rigid muscles, and hallucinations
Lewy Body
Dementia affecting planning and judgement, talking, emotions; aka Pick’s Disease
Frontotemporal
Dementia due to changes in veins that supply blood to brain; multiple mini strokes
Vascular
General symptoms of Dementia
Aphasia, Agnosia, Apraxia
Dementia patient exhibits changes in mood, personality, or behavior in the late afternoon and early evening
Sundowning
OT intervention types (HRMM)
Health promotion
Remediation
Maintenance
Modification
Assessment designed to detect early stages of impairments with cognition & memory
Self-administered Gerocogntive Exam (SAGE)
Dementia order of approach
- Palliative Care
- Scheduling/Structure
- Medications
ACL: Responds to internal cues (pain, reflexes, looks to auditory stimuli); Total Assist
Level 1 - Awareness
ACL: Postural actions, righting reactions, aimless walking/grabbing; Max Assist
Level 2 - Gross body movements
ACL: reactions in response to tactile cues, repetitive , 30 min attention span; Mod Assist
Level 3 - Manual Actions
ACL: goal directed actions, understands cause & effect but cannot anticipate, able to go home with supervision, 1 hr attention span; Min assist
Level 4 - Familiar activity
ACL: trial & error learning/problem solving, poor judgement, impulsive, able to be home alone with check ins; Standby assist
Level 5 - New Learning
Erickson Stages for middle-mature adulthood
Generativity v. Stagnation
Ego Integrity v. Despair
Erickson Stage referring to understanding about own value in society
Generativity v. Stagnation
Three phases of retirement (HLR)
Honeymoon, Let-down, Reorientation
What part of Medicare refers to inpatient care and hospital services
Part A
What part of Medicare refers to physician covered, and medical covered services
Part B
What part of Medicare refers to private insurance plans aka medicare advantage
Part C
What part of Medicare refers to coverage for prescription drugs
Part D
Coverage for low income families
Medicaid
Classification based on clinical & functional information collected from the minimum data set (MDS)
Patient driven payment model (PDPM)
Key tool for assessing functional capabilities of patients in SNF
minimum data set (MDS)
Rates for residents in nursing homes are based on case mix system using what two assesments?
RUGSIII & RAI
inpatient program for acute events with intent to return to previous level of functioning
Subacute Care
Seniors in good health who seek supportive svcs for participation in occupations
senior centers & wellness promotion centers
Day program for adults with declining functions, usually group setting
Adult Daycare center
Seniors who are functionally disabled who need substantial assistance w/at least 2 of 3 ADLs
Home Health Care
Facility providing skilled nursing, rehab svcs, on daily basis; patient may return to previous living or remain at facility long term
SNF
An unlicensed residential program providing personal care to those with known and unscheduled ADL needs
Assisted Living
Characteristics of Senescence (growing old)
Universality
Intrinsically
Progressiveness
Deleteriousness
Inability to interpret sensations or identify objects/people
Agnosia
Inability to understand or express speech
Aphasia
Inability to perform/initiate planned movements
Apraxia
Disturbance of consciousness w/decreased ability to attend
Delirium
Comparing personal perceptions w/other members in a group & receiving feedback
Consensual Validation
Normal course of development
Ontogeny
description of language or culture via internal elements
Emic
OT intervention categories (OPP)
Occupation based
Purposeful activity
Preparatory Methods
Mosey’s 5 Stages of development (PPECM)
Parallel Project Egocentric Cooperative Mature
Law mandating reforms in nursing homes
OBRA
National Assoc. of Activities Professionals (NAAP) categories (SME)
Supportive, Maintenance, Empowerment
Goals of Aging in Place
Quality of Life
Modification for people who plan to stay in homes
Maslow's Hierarchy of Needs Teach All Animals, Ugly Elephants Buy Spendy Purses
Transcendence Actualization Aesthetic Understand Esteem Belongingness Safety Physiological
Self-Actualization
realizing own potential
Alderfer’s Motivational Needs
Growth
Relatedness
Existence
Difficulty seeing far away
Presbyopia
Difficulty hearing high notes
Presbycusis