ch4 Flashcards

1
Q

by the end of this chapter you should be able to

A

describe the diff types of longevity measures and how bio sex, race, and ethnicity influence them

differentiate health and illness, and describe how changes in the immune system, acute and chronic disease, and stress affect life quality

describe cancer and diabetes as examples of common chronic diseases and discuss how pain is managed

describe how adults manage their med regimens

id and describe models of disablement and how functional health status is determined

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2
Q

what is average longevity

what is max longevity

what is active life expectancy

what is dependent life expectancy

A

average longevity - age at which half ind’s born in a particular year will have died

max longevity - the oldest age to which an ind of a species lives

active life expectancy - living to healthy independent old age

dependent life expectancy - years of living after losing independence

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3
Q

__ factors are a strong predictor of your longevity

what 4 environmental factors can influce age

most environmental factors are the result of _____ activity and needlessly shorten lives

A

genetic factors are a strong predictor of one’s longevity

disease, toxins, lifestyle, social class

most environmental factors are the result of human activity and needlessly shorten lives

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4
Q

10 environmental factors example that affect length of life on slide 5

A

access to Health Care

access to Healthy Food

Long-Term Stress

Pollution

Income

Discrimination and Bias

Resilience

Neighborhood

Safe Housing and Transportation

Educational Opportunities

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5
Q

people of diff racial, ethnic, and sex groups do not have the same average longevity at birth

___ people have shorter life than white

___ people have longer life than white

A

black have shorter average longevity that white americans

latinos have longer average longevity than white americans

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6
Q

women live about __ years longer than men

___ are more risk takers

__ smoke and drink more than ___

___ allow stress to enter their lives more than ___

none of these hypotheses are strongly supported

A

women live about 5 years more than men

men are bigger risk takers

men smoke and drink more than women

men allow stress to enter their lives more than women

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7
Q

international diffs in average longevity

4 factors that contribute to this

A

some developing countries have lower overall average longevity compared to developed countries

Genetic
SocioCultural
Economic
Access to Health Care

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8
Q
A
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9
Q

definiton of Health and definition of Illness

___ of health are very predictive of future health outcomes

A

Health - state of complete physical, mental and social wellbeing, not merely the absence of disease

Illness - presence of a physical or mental disease or impairment

self ratings of health typically are very predictive of future health outcomes

socioeconomic and ethnic differences

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10
Q

what is valuation of life

A

degree to which one is attached to their present life

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11
Q

how is the SOC model used in quality of life

A

one can use SOC model to manage one’s life resulting in succesful aging

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12
Q

developmental changes in the immune system

older adult’s immune systems take longer to ___ ____ ____

older adult’s are more prone to ___

A

older adults immune systems take longer to build up defences

older adults are more prone to serious consequences from illnesses

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13
Q

what is Autoimmunity

A

refers to an aberration in body’s normal development that causes the immune system to mount an attack against its cells

immune system attacks body itself

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14
Q

what is Rheumatoid Arthritis

A

chronic disease that causes inflammation around body and commonly presents with pain in joints

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15
Q

what is Thymus

diff between young and old thymus

A

the organ primarily responsible for production and maturation of immune cells

young - thymosin production, T-cell lymphocytes

old - decreased thymosin production, decreased T-cell function

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16
Q

in old thymus there is decreased defense against ___ and ___

in old thymus there is decreased B-cell function that Causes

A

decreased defense against viruses and Monocellular and Multicellular organisms

decreased B cell function causing
- decreased antibodies
-failure of self-regulation
-increased autoantibodies

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17
Q

what is PsychoNeuroImmunology

A

study of the relations among psychological, neurological, and immunological system that raise or lower our susceptibility to and ability to recover from disease

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18
Q

covid-19 is more likely to affect __ ___ adults

has an exaggerated response among ____ adults and something called ___________

A

covid-19 is more likely to affect older adults of colour

Inflamm-Aging and exaggerated response among older adults

19
Q

__% of people with HIV are over the age of __

why are older adults more likely to contract HIV

A

50% are over age 50

20
Q

what are Acute diseases

A

conditions that develop over a short period of time and cause a rapid change in health

21
Q

what are Chronic diseases

A

conditions that last at least 3 months and may result in impairment that necessitates long-term management

22
Q

as age increases, __ diseases decline and ___ diseases increase

A

as age increases Acute diseases Decline

and Chronic diseases Increase

23
Q

the role of stress - stress as a _________ response

5 effects

A

stress as a Physiological response

prolonged exposure results in damaging influences from the sympathetic nervous system

Cardiovascular Disease

Impaired Immune System function

some forms of Cancer

Shortening Telomeres

24
Q

what is stress and the coping paradigm

A

the stress coping paradigm gives explanation of the effects of stress on health according to a contextual approach that underlines how the coping process allows to diminish the neg effects of stress and favour adaptation in difficult or conflicting situations

25
the role of stress primary appraisal - secondary appraisal - reappraisal -
Primary Appraisal - Categorizes the Event Secondary Appraisal - Evaluates our perceived ability to cope w harm, threat, or challenge ReAppraisal - changes in the situation may change the appraisal
26
coping is defined as problem focused coping emotion focused coping
dealing with stressful events problem focused coping - attempts to tackle the problem head on emotion focused coping - dealing with one's feelings about the stressful event
27
3 effects of stress on health
immune system suppression increases risk of Atherosclerosis and Hypertension increased level of LDL Cholesterol
28
common chronic conditions - Diabetes Mellitus
pancreas produces insufficient insulin type I and type II
28
cancer - risk increases with ___, ___ are at more risk cancer targets
increased with age, males at more risk cancer targets specific genetic structures of tumours
29
common chronic conditions Incontinence - 4 major reasons most forms can be alleviated with _______
stress urge overflow functional alleviated with interventions
30
managing pain pharmalogical - 1 method non pharmalogical - 8 methods
Pharmalogical - non narcotic and narcotic meds non pharmalogical physical therapy deep and superficial stim of skin electrical stimulation to spine or pain site acupuncture and acupressure biofeedback distraction techniques relaxation hypnosis
31
patterns of medication use 2 notes
explosion of new medication available increase in chronic diseases results in increases in the number of medications taken
32
developmental changes in how meds work regarding Absorption and Distribution
Absorption - time needed for meds to ender bloodstream may increase w age Distribution once in bloodstream the drug is distributed throughout the body - drug metabolism and excretion - can lead to toxicity several drugs not recommended for older adults - told to 'start low and go slow'
33
___ adults have highest risk of adverse drug affects what is Polypharmacy
older adults have highest risk of adverse drug affects Polypharmacy is the use of multiple meds that can cause interactions this is why accurate medication histories are essential
34
adherence to medication regimens adherence ___ w complexity increase in adverse ___ ____ new technology for this is
adherence decreases with complexity increase in adverse drug reactions smartphone apps and telemedicine approaches
35
slide 30 - chart of patient characteristics vs treatment context moderators what r each
patient characteristics - coping style, traits, expectancies or beliefs treatment context moderators - treatment controllability, predictability or illness severity
36
disability definition
the effects of chronic conditions on people's ability to engage in activities that are necessary, expected, and personally desired in their society
37
what is compression of morbidity
becoming disabled later with a shorter period of disability before death
38
Verbrugge and Jette Model of Disability risk factors
risk factors - long standing behaviors or conditions that increase one's chances of functional limitation or disability
39
Verbrugge and Jette Model of Disability intervention strategies
extraindividual factors - environmental and healthcare intraindividual factors - behavioural and personality
40
Verbrugge and Jette Model of Disability Exacerbators
situations that make the situation worse than it was originally
41
what are Activities of Daily Living Instrumental Activities of Daily Living Physical Limitations
ADL - basic self care tasks IADL - require intellectual competence and planning PLIM - limited ability walking or sitting
42
slide 33 - functional health and disability determining functional health status hierarchy of loss and frail older adults
need to look up frail older adults - physical disabilities, very ill, cognitive or psychological disorders
43