Exam #1: General Principles of Aging Flashcards

1
Q

What is aging?

A

Decrease homeostatic reserve

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2
Q

What are the consequences of immobilization?

A

1) Stiffness/ contracture
2) Atrophy
3) Confusion, sensory loss, depression
4) Dependence & institutionalization
5) Instability & loss of confidence
6) Dehydration & electrolytle imbalance
7) Malnutrition
8) Pressure sores

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3
Q

How long does it take for a geriatric patient to recover from a single day admission to the hospital?

A

3 days

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4
Q

How should you describe older patients?

A

In terms of their FUNCTION

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5
Q

What are the functional classifications of age?

A
  • Young adult
  • Middle age
  • Old age
  • Very old
  • Oldest old age
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6
Q

What is a young adult?

A

Someome in the first half of working life w/ 100% of function (20-39)

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7
Q

What is middle age?

A

Someone in second half of working life i.e. 10-30% decreased function (40-64)

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8
Q

What is old age?

A

Someone in immediate post-retirement period–significant loss of function but homeostasis maintained (65- 74)

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9
Q

What is very old?

A

Likely impairment of function or ADLs–general potential for relative independence (74-84)

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10
Q

What are the factors that affect the rate of aging?

A
  • Cellular wear & tear
  • Free radicals
  • DNA damage
  • Hormonal changes
  • Immune system changes
  • Programmed longevity
  • Glycation
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11
Q

What are the biological changes that happen with aging?

A

Changes in anatomy & physiology that happen with aging e.g.

  • graying or hair
  • impaired memory
  • loss of hearing
  • vascular stiffness
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12
Q

What are the social changes that happen with aging?

A
  • Changes in social habits (retirement/ job loss= less socialization)
  • May no longer be able to do acquired habits
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13
Q

Why do the economically advantaged tend to live longer?

A

1) Afford a better diet
2) Have better housing
3) Can get better healthcare
4) Have labor saving devices

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14
Q

What age range is most likely to be successful during a suicide attempt?

A

65+ white males

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15
Q

What are the psychological changes that occur with aging?

A
  • Attitude toward life
  • Self-image/ self-worth
  • Value to society
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16
Q

What is the definition of life span?

A

Length of life (birth to death)

17
Q

What is the definition of longevity?

A

Number of years of life

18
Q

What is the definition of mean longevity?

A

Life expectancy

19
Q

What is the definition of maximum longevity?

A

Maximum life span (110-120 years)

20
Q

What are the factors that affect longevity?

A
  • Diet
  • Personal habits
  • Georgraphy
  • Marital status
  • Psychological influences
  • Local environment
  • Parental age at conception
  • Disease
21
Q

What are the unique aspects that affect caring for older patients?

A

1) Different types & number of disease
2) Altered reactions to disease
3) Altered response to treatment
4) Accumulation of non-lethal disease
5) Altered presentations of disease

22
Q

What is the Beer’s criteria/list?

A

This is a list of drugs & classification of drugs that are NOT recommended for geriatric patients

23
Q

Generally, how are geriatric patients treatment responses altered?

A

1) Increased vulnerability to drug effects
2) Decrease ability to compensate
3) Treatment interactions

24
Q

What are the manifestations of stress in the elderly?

A
  • Decrease immune sx function
  • Increased heart disease
  • Increased GI disorders
  • Increased depression/ anxiety
  • Increased skin disorders
25
Q

What can diffuse pruritus be a manifestation of?

A

Malignancy

26
Q

What is the Iceberg phenomenon?

A
  • Under-reporting of problems
  • Fear of hospitalization
  • Fear of unpleasant investigations
  • Fear of treatment
  • Lack of information
  • Fear of removal from home
  • Low health expectations
  • Failure to recognize the problem