Chapter 6

Question 1

Assessment is “multidimensional” what does this mean?

Answer 1

it uses interviews, standardized measures, self-and family report

Question 2

What 5 things does assessment measure?

Answer 2

Menal status
Functional abilites
Physical examinations
Specific symptom measures
clinical interviews

Question 3

What 3 things do you need to take into account when assessing older adults

Answer 3

1) assessment should be tailored to older adults

2) you need to account for sensory, motor, and cognitive, limitations

3) biases and stereotypes

Question 4

Does depression increase as we get older?

Answer 4

No, rates for major depression are lower in the elderly compared to younger adults

Question 5

What is the term for bad memory due to major depression

Answer 5

Sudo-dementia

Question 6

Why are there lower levels of depression for older adults?

Answer 6

1) older adults may not be correctly diagnosed for major depressive disorder

2) sub-syndromal depressive symptoms (not enough to be diagnosed) may be more prevalent in older adults

3) older adults are better at regulating their emotions

Question 7

What are 2 treatments for depression that might also be dangerous for older adults

Answer 7

1) SSRI’s (can cause addiction)
2) Electroconvulsive therapy (ECT) - can cause short term memory loss

Question 8

What is the difference between pseudo dementia and dementia

Answer 8

Pseduodementia = have a more abrupt onset (happens fast out of no where) and realize they have memory loss, also have a higher level of depression

Dementia = happens over time (insidious onset), dont realize they have dementia, and show lots of emotions

Question 9

What age groups is suicide more common

Answer 9

young adults and older adults (not in between)

Question 10

What is the most common Anxiety disorder

Answer 10

generalized anxiety disorder (GAD) which is persistent and excessive worry

Question 11

The prevalence of GAD is __x higher in older adults, and rates are higher in ________.

Answer 11

2x, women

Question 12

What is a big issue with anxiety and people who are older

Answer 12

there’s a lack of age-appropriate anxiety measures

Question 13

Anxiety can be masked by comorbid _________ __________.

Answer 13

Medical conditions

Question 14

What is a medical treatment for anxiety

Answer 14

SSRI can help with short and long term anxiety disorders (also works for depression)

Question 15

Why should we be especially worried if an older adult has an addiction

Answer 15

their aging bodies and brains are more vulnerable to harmful effects of substances

Question 16

What is Benevolent Ageism

Answer 16

when physicians worry about being disrespectful when confronting older patients about potential substance abuse

Question 17

The baby boom generation has used more drugs compared to any other cohort, why does this go unnoticed?

Answer 17

because they dont go to treatment programs

Question 18

Why is moderate alcohol consumption common with baby boomers?

Answer 18

Because its part of the Mediterranean diet, which is becoming more popular for overall health

Question 19

What percentage of older adults have an alcohol use disorder

Answer 19

6-10%

Question 20

What does “Tailoring” mean?

Answer 20

making treatments appropriate for certain groups
ex.shorter sessions, online therapy

Question 21

What is the #1 barrier for older adults in finding treatments for their addictions

Answer 21

Qualifications (not many professionals know how to work with older adults