Chapter 14 LECTURE 12 PART III Flashcards

Advanced Old Age and Geriatrics

1
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-Access to what is a malnutrition factor?

A

food

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2
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-A decline in what three things is a malnutrition factor?

A
  1. GI absorption
  2. GI metabolism
  3. GI elimination
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3
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-Deterioration of ____
-What two things does this include?

A

-senses
-taste and smell

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4
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-High frequency of ___ ___ is a malnutrition factor

A

dentition problems

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5
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-What kind of preferences can be a malnutrition factor?

A

cultural food preferences

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6
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-____ environment, such as ____
-What may happen?

A

-living; institutions
-sometimes they may not eat because they don’t like the food they are given

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7
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-____ resulting from disease
-What does this mean?

A

-anorexia
-they lose their appetite as a result of disease

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8
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-What is one thing to remember about anorexia?

A

If it doesn’t say “anorexia nervosa”, it means loss of appetite

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9
Q

NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-What can medications do?

A

Suppress appetite and mood

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10
Q

NUTRITIONAL-METABOLIC PATTERN: Nutritional assistance
-This is ____ supported

A

federally

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11
Q

NUTRITIONAL-METABOLIC PATTERN: Nutritional Assistance
-What are 4 types of nutritional asisstance?

A
  1. Food stamps (SNAP)
  2. Older adult nutritional programs
  3. Meals-on-wheels
  4. Congregate meals
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12
Q

HEALTH SCREENINGS
-What are 12 health screenings that older adults should get?

A
  1. Dental and eye checkups
  2. Weight
  3. Blood Pressure
  4. Thyroid
  5. Blood glucose & lipid levels
  6. Mammograms
  7. DEXA scans
  8. Prostate cancer screening
  9. Colorectal cancer screening
  10. Vaccinations
  11. Depression
  12. Alcoholism
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13
Q

HEALTH SCREENINGS
-What two things should be checked at every doctor visit?

A

Weight and blood pressure

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14
Q

HEALTH SCREENINGS
-In terms of weight, what should be checked?

A

Increased waist circumference

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15
Q

HEALTH SCREENINGS
-Of the health screenings, what two things are precursors to metabolic syndrome?

A

Increased blood glucose and lipid levels

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16
Q

HEALTH SCREENINGS
-Mammograms are done up until what age?
-Unless what?

A

-74
-there are abnormalities, such as new lumps that develop

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17
Q

HEALTH SCREENINGS
-What are DEXA scans used for?

A

To scan for osteoporosis, but ONLY if you have a reason to get this scan

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18
Q

HEALTH SCREENINGS
-When should older adults do prostate cancer screenings

A

Only if they are at risk

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19
Q

HEALTH SCREENINGS
-When does colorectal cancer screening start?

20
Q

PHYSICAL EXERCISE
-What is an old adage?

A

“Use it or lose it”

21
Q

PHYSICAL EXERCISE
-What are three actitivies that are appropriate for them?

A
  1. Walking
  2. Jogging
  3. Swimming
22
Q

PHYSICAL EXERCISE
-What will regular exercise promote?

A

mental and physical health

23
Q

PHYSICAL ACTIVITY
-What can exercise slow?
-What can exercise increase?

A

-the aging process
-life expectancy

24
Q

PHYSICAL ACTIVITY
-What will decrease as you age?
-What does this mean?

A

-regular metabolic rate
-calories need to decrease

25
Q

PHYSICAL ACTIVITY
-What does regular aerobic activity increase?

A

calorie expenditure

26
Q

PHYSICAL ACTIVITY
-What can reduce loss of muscle mass?
-It is also good to combat what?

A

-Strength training
-osteoporosis

27
Q

PHYSICAL ACTIVITY
-Physical activity has a protective effect on what?

A

Cognitive function

28
Q

SEXUALITY
-Specific changes in ___ ___ occur

A

-sexual responses

29
Q

SEXUALITY
-Older adults continue to have what

A

sexual feelings

30
Q

SEXUALITY
-What is becoming more popular?
-What does this mean?

A

-aging without protest
-accepting the changes with aging

31
Q

SEXUALITY
-What still remains a concern for older adults

32
Q

SEXUAL RESPONSES IN THE AGING WOMAN
-Menopause, or climacteric, in women decreases sexual response (T/F)

A

False; menopause, or climacteric, in women DOES NOT decrease sexual response

33
Q

SEXUAL RESPONSES IN THE AGING WOMAN
-Women may experience what 3 things?

A
  1. Dryness in the vaginal mucosa
  2. Hot flashes
  3. Other assorted hormone-related body changes
34
Q

SEXUAL RESPONSES IN THE AGING MAN
-Testosterone production (increases/decreases) between the ages of ___ and ___, but it is (stable/unstable) thereafter

A

-decrease
-40 and 60
-stable

35
Q

SEXUAL RESPONSES IN THE AGING MAN
-Decreased testosterone production causes a decrease in what two things?

A
  1. size and firmess of the penis
  2. Reduced production, motility, and lifespan of sperm
36
Q

SEXUAL RESPONSES IN THE AGING MAN
-Many men remain fertile into their ___s

37
Q

FACTORS THAT INFLUENCE SEXUALITY
-What are 6 things that can impact attitude/interests in regards to sexuality?

A
  1. Previous life experiences
  2. Body-image perception
  3. Mental function
  4. Self-expectations & image promotion
  5. Sexual contact/isolation
  6. Environment/privacy
38
Q

FACTORS THAT INFLUENCE SEXUALITY
-What are 5 things that can impact sexual health?

A
  1. Incontinence, urinary/fecal devices
  2. Reduction in mobility
  3. Impotence and menopause
  4. Chronic or terminal illness
  5. Medications & their side effects
39
Q

THE IMPACT OF ILLNESS ON SEXUALITY
-Cancer of the ____ is a risk

40
Q

THE IMPACT OF ILLNESS ON SEXUALITY: Heart Attack
-After a heart attack, they are given information about what?
-What are they rarely educated about?

A

-dietary changes
-when to resume sexual activity

41
Q

THE IMPACT OF ILLNESS ON SEXUALITY
-What can hypertension medications cause?

A

erectile dysfunction

42
Q

THE IMPACT OF ILLNESS ON SEXUALITY
-What can also impact sexuality?

A

hospitalization

43
Q

PSYCHOLOGICAL CHANGES
-A negative self-image may affect his or her ability to what?

44
Q

PSYCHOLOGICAL CHANGES
-The aging process is a ____ one that provides time for what?

A

-gradual
-coping and adaptation to physical changes

45
Q

PSYCHOLOGICAL CHANGES
-What requires adaptation and acceptance?

A

Role adjustments