Exam 1

Question 1

gerontology

Answer 1

study of the aged

Question 2

geriatrics

Answer 2

medical interentions used with the elderly

Question 3

health

Answer 3

absence of disease, optimal level of functions for a person’s age and condition

Question 4

65-75; newly retired, may still work, raise grandkids, chronic conditions managed medically

Answer 4

young old

Question 5

75-85; modification of role performance-simplification, rely more on social supports

Answer 5

mid old

Question 6

85+

Answer 6

old-old; more systems changes along with decrease in self care, use of large amounts of health financial and social services, fastest growing of the aging population

Question 7

senesence

Answer 7

stage of biological decline, begins at 30

Question 8

prevalent conditions for elderly

Answer 8

hypertension, arthritis, hearing impairments, heart disease, cancer, diabetes, visual impairments, asthma

Question 9

somatic mutation theory

Answer 9

aging to the way the immune system acts, body increasingly making mistakes b identifying own cells as foreign and reacting against them

Question 10

free radical theory

Answer 10

environmental changes, damage accumulates over time due to not all damage can be repaired by the body’s defense systems

Question 11

neuroendocrine theory

Answer 11

CNS the pacemaker of aging

Question 12

disengagement

Answer 12

withdraw from roles and activities, reduced activity level and involvement

Question 13

activity theory

Answer 13

unless constrained by health, maintain need for social interaction, important for self image

Question 14

continuity theory

Answer 14

adapting to change by using strategies to maintain continuity; living in own home, staying in same area, personal links between new and old experiences, interacting with familiar people and living environment

Question 15

life span/life course theory

Answer 15

aging occurs from birth to death, involves biological social and psychological processes

Question 16

Erikson’s theory

Answer 16

ego integrity vs ego despair, immortality vs extinction

Question 17

life is meaningful with positivites and negativites

Answer 17

ego integrity

Question 18

rejections of self and experiences, no time to change

Answer 18

ego despair

Question 19

immortality vs exstinction

Answer 19

integration of past, present and future

Question 20

Pecks stages of development

Answer 20

ego differentiation vs work preoccupation, body transcendence vs body preoccupation

Question 21

Ego differentiation vs work preoccupation

Answer 21

retirement issues-redefine worth, acept inevitability of physical changes due to aging

Question 22

body transcendence vs body preoccupation

Answer 22

comfort and happiness in human relations and mental activites, more physical decline

Question 23

ego transcendence vs ego preoccupation

Answer 23

dealing with certain death approaching, make life secure and meaningful for those who will live after death

Question 24

What is critical to thriving

Answer 24

social connectedness, ability to find meaning in life and in one’s environment, adaptation to physical patters and positive cognitive functions

Question 25

CUPID

Answer 25

cumulative, universal, progressive, intrinsic, deleterious (harmful)

Question 26

Fluid cognition

Answer 26

ability to form concepts, reason and identify similarities, intuitive, forming of new mental structures rather than making use of old ones, problem solving, decrease during later adulthood, lost if not used

Question 27

crystallized cognition

Answer 27

accumulation of facts, skills, knowledge and experience, accessing info from long-term memory, product of educational and culttural experience , unaffected by age

Question 28

Aging integumentary

Answer 28

decrease blood supply, elasticity and resistance-wrinkles, fat tissue atrophy-bruising, trouble regulating body temp

Question 29

Aging cardiopulmonary

Answer 29

heart lining and walls thicken, less elastic, arthrosclerosis, CHF, decreased tissue elasticity, poor gas exchange resulting in less o2 in lungs-decreased blood and oxygen supply, decreased energy, short of breath, dehydration

Question 30

Aging skeletal

Answer 30

atrophy of interveretebral discs--shorting, stiffness, arthritis, osteoporosis-decreased mobility,

Question 31

Aging muscular

Answer 31

lose mm mass-decreased strength, mobility, mm tone, changes in gait, decreased reaction time and speed of performance

Question 32

Aging neological

Answer 32

loss in sight, decreased reaction time, decreased proprioceptive info and kinesthetic response (poor balance) decreased salivation, taste, smell, sensitivity in fingers, tactile

Question 33

OT role during chronic and sudden illness

Answer 33

listen- be sensitive, encourage, assist in ways to gain control over illness-daily life, OT session, ID ways to decrease stress and promote social support, surround with familiar objects in room

Question 34

Prevent learned helplessness by

Answer 34

expecting elders to do as much as possible, do not impose a routine for convenience, do not display a negative attitude by making condescending remarks, encouraging the sick role

Question 35

disuse syndrome

Answer 35

results from sedentary living and limited use of capabilities

Question 36

primary prevention

Answer 36

reduce disuse syndrome, exercise, well elders

Question 37

secondary prevention

Answer 37

early ID and dx of persons with disease to improve outcome and maintain health; annual exams, monitor changes in ADL, mood, cognition, educate families

Question 38

tertiary prevention

Answer 38

prevent progression of exisitng conition

Question 39

PLISSIT

Answer 39

permission-being non-judgmental & giving it to people, Limited Infor-educate on what they need to know, Specific Suggestions-offering solutions, equipment, positions, Intensive Therapy- counseling, social worker, etc

Question 40

What should OT encourage between sexual/intimate partners

Answer 40

good communication, experimental positions, energy conservation, physical endurance, reassure pt that sex life isn't over

Question 41

sex and arthritis

Answer 41

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