Chapter 13 Health Aging- FINAL Flashcards

1
Q

Aging:

-___, ___ process programmed into our __ at ___.

A

Inevitable
natural
genes
conception

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2
Q

Does good nutrition prolong life?
Yes and No!

-Yes, as it helps to ___ the life expectancy (average at ___)
No, it does not help increase the __ __ __( ___ ___ at which people ___ ~ ___ years)

A

increase
life expectancy (Average at death)
maximum life span(max age at which people die appx. 114)

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3
Q

Why should we encourage adults to be well-nourished?

-Stay ___
Maintain ___
Avoid ___ a ___ ___
Maintain ___ ___

A

well
health
developing chronic disease
functional independence

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4
Q

Demographic Trends:

  • % of ___ ___ ___ population will increase.
  • __%of the population in 2010 & __% of the population in 2030 will be >___ years old
A

older adult minority
14%
20%
65

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5
Q

The United States ranks __the in the world in life. expectancy.

-___ is highest with ___ years

A

38th
Japan
82.6

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6
Q

Common Chronic Diseases in Older Adults:

  1. ____
  2. ___
  3. ___ __ ___
  4. ____
A

Diabetes
Arthritis
Congestive Heart Failure
Dementia

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7
Q

Other Common Diseases:

  • ___
  • ___ ___ ___ ___
  • ___ ___ ___
  • ___
  • ___
A
Cancer
Chronic obstructive pulmonary disease
Coronary heart disease
Hypertension
Osteoporosis
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8
Q

Aging and Nutritional Status:

-Members of the ___ ___ vary greatly
___, ___, and ___ situations
____ capacity
____ condition

A

older population
Social, economic, and lifestyle
Functional
Physical

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9
Q

Most of the population older than 65 yrs of age:

  • Live at ___
  • Only ___% of older population live in nursing homes
  • Are fully ___
  • Have lives of ___ ___
A

home
4.4%
independent
good quality

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10
Q

How Aging Affects Nutritional Status:

  • Altered ____ capacity
  • ____
  • ___
  • ____
  • ____
  • ___
  • ___
A
functional
sensory
endocrine
gastrointestinal
cardiovascular
renal
neuromuscular
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11
Q
Nutrient Needs (in older people):
↑ \_\_\_\_
↑ \_\_\_ \_\_\_
↑ \_\_\_\_ \_\_\_
-\_\_\_-\_\_\_ \_\_\_ \_\_\_ diet
A

Calcium
vitamin D
vitamin B12
low-calorie, nutrient-rich -

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12
Q

Anthropometric Assessment:

  1. Height
    - loss of height associated with ___
  2. Weight/BMI
    ___ = BMI ≥ 25.0 ___ inches for men
    > ___ inches for women
A
osteoporosis
Overweight
Obesity
android obesity
40 inches
35 inches
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13
Q

Biochemical Assessment:

  • ___ ___ ___
  • ___-__
  • ___-___
  • ___
  • ___ ___
  • __ ___
A
Total blood cholesterol
LDL-C
HDL-C
Hemoglobin
Serum Albumin 
blood glucose
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14
Q

Clinical Assessment:

Individual/family medical history

  • Polypharmacy
  • Use of ___ or more prescribed medications
  • ___ ___of over-the-counter medications
  • ____ quackery
  • ___-___ interactions

__ ___ exam
-___ exam
___ ___
Hypertension = > __/__ mmHg

A
3
daily use 
Nutrition
Drug-nutrient 
Oral cavity
physical 
blood pressure
140/90
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15
Q

Dietary Assessment:

  1. ___ ___
  2. __ __ __
  3. ___-__ ___ ____
A

Food diary
Food frequency questionnaire
24-hour food recall

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16
Q

Mini Nutritional Assessment:

  • Sponsored by ___
  • ___ and more ___ than the Nutrition Screening Initiative
A

Nestle

Longer and more detailed

17
Q

** How is functional independence defined?

  1. ___ of ____ ___ (ADL) Scale
    ___ activities involved with ___ ___.
    Based upon ___ criteria
    A __ ___ means that a person is more able to take care of him/herself.
A
Activities of Daily Living
Everyday
personal care
6
high score
18
Q

6 ADL Criteria:

  • Bathing with ___, __, or ___
  • ___
  • ___ Use
  • ___ (in and out of __ or ___)
  • ___ and ___Continence
  • ___
A
sponge, bath, or shower
dressing
toilet 
transferring (in and out of bed or chair)
urine and bowel continence 
eating
19
Q

Scoring:

-Each criteria is graded on level of _____
Performs ____
Performs with ___
__ to ___ (assigned 1 point each)

A

dependence
independently
assisstance
able, perform

20
Q

ADL Interpretation:

-Level of ADL Dependence graded via ____
Dependence in ADLs suggested by score of __ to ___
Independent in ADLs increases as score approaches ___

A

score
0 to 1
6

21
Q

How is functional independence defined?

  1. ___ __ of ___ ___ (IADL) Scale
  • Activities related to ____ living
  • Based upon __ criteria
  • A ___ ___ indicates that the person is better able to live independently
A

Instrumental Activities of Daily Living
independent
7
higher score

22
Q

7 IADL Criteria:

  1. Use of the ____ (look up numbers, dial, answer)
  2. ___ via __ or ___ ___
  3. ___ or ___ ___ (regardless of transport)
  4. ___ preparation
  5. ____
  6. ____ use (Preparing and taking correct dose)
  7. ___ of money (write checks, pays bills)
A
telephone
traveling, car, public transportation
food, clothes shopping 
meal 
housework
medication
management
23
Q

IADL Scoring:
Independent: ___ points
Assistance needed: ___ points
Dependent: ___ point

24
Q

IADL Interpretation:

-A higher score means that the person is more ___ ___.

A

higher score

functionally independent

25
USDA Sponsored Programs: - ___ ___ ___ Program - ___ __ ___ ___ Program - ___ ____ ___ ___ Program - ___ ___ ___ Program (CSFP) (Food for Families Program in LA)
Supplemental Nutrition Assistance Adult Day Care Food Senior Farmers’ Market Nutrition Commodities Supplemental Food
26
The Commodities Supplemental Food Program: Works to improve the health of: - ___-___ ___ ___ ≥ __ years of age - ___ and ___ women - Other new mothers up to __ __ postpartum - Infants and children up to __ yrs
``` Low-income elderly people 60 Pregnant and breastfeeding one year 6 ```
27
How Does the CFDP Work? 1. USDA - ____ food; - Supplies ___ for administrative costs. 2. State agencies - ___ the food - ___ to public/non-profit private ___ __ 3. Local agencies - Determine ____ - ___ the ___ - Provide ___ ___ - Provide ____ - ___ - ___ - ___
``` Purchases funds Store distribute local agencies eligibility distribute, foods nutrition education referrals SNAP Medicaid Medicare ```
28
Who is Eligible to Participate in the CFDP? 1. ___, ___, and ___ with incomes between __% and ___% of the Federal Poverty Level (if not participating in WIC) 2. ____ With incomes ≤ ___% of the Federal Poverty Level
Women, infants, children 100-185% Elderly 130%
29
In 2011, Louisiana had the___ highest level of participation of any state in the nation in the CSFP program.
third
30
___ ___ ___ ___ Program (___ ___ Program or ___) provides grants that pay for local congregate and home-delivered meals (AoA)
Older Americans Act Nutrition | Elderly, Nutrition, ENP
31
Elderly Nutrition Program: Provide meals at least __ times per week 1 meal = __/__rd of DRIs 2 meals = __/__rd of DRIs 3 meals = __% of DRIs
5 1/3rd 2/3rd 100%
32
Elderly Nutrition Program (DHHS, AoA): - __-__, ___ meals - Opportunities for ___ ____ - Nutrition ___ and ___ - Nutrition ___ and ____ assistance - ___ and ___ to other social and rehabilitation services - ____ services
``` Low-cost, nutritious social interaction screening and assessment education, shopping Counseling referral, Transportation ```
33
Private-Sector Nutrition Assistance: - ___ ___ - ___ ___ (St. Vincent de Paul) - ___ on ___ ___ ___ (MOWAA)
Food Banks soup kitchens meals on wheels Association, America
34
Nutrition Education Programs: -Goals are to raise the overall level of ____ ___. Healthy ___ ___ Benefits of ___ ___ ___ ___ ___ to provide access to nutrition, low-cost meals for the entire family
nutrition knowledge food choices physical activity Budget food dollars
35
Nutrition Education Programs: -Teach ___ ___ and ___ __. -Use ___ ___ ___ practices Food ___, ___, and ___ -Make ___ ___ for preventing ___ ___
``` shopping management, consumer skills safe food handling preparation, preservation, storage lifestyle changes, chronic diseases ```
36
Louisiana Nutrition Education Programs: 1. ___ ___ ___ and ___ ___ ___(EFNEP) 2. DEAR – ___ ___ ___ 3. ___ ___ ___Program 4. __ ___-___ program 5. ___ ___ ___ ___ Program 6. NCI 5-A-Day Program (___ __ to ___ a ___)
``` LA Expanded Food & Nutrition Education Program Diabetes Education Awareness Portions Healthy Weight LA SNAP-ED NHLBI National Cholesterol Education Now 5-to-9 A Day ```