Exam

Question 1

Patterson - Study of Aging

Answer 1

Short-term memory loss is normal, divided attention loss is normal. Difference is when these things affect our day-to-day life, ADLS! Lack of exercise, nutrition and socialization.

Question 2

Secular - Study of Aging

Answer 2

population pyramid is turning into a T.
Myth: aging is downhill
Fact: we grow new brain cells as we age
Myth: Can’t teach old brain new tricks
Fact: Our brains rewire as we age to compensate
attention part of the brain is taken over by visuals.
Myth: As we age we slow down
Fact: Visually more observant actually

Question 3

Pichora-fuller - study of aging

Answer 3

use it or lose it. older people have better vocab. 70 average for hearing aid
hearing loss and dementia- hypotheses- lack of hearing leads to social withdrawal which is less brain stimulation, loss of function

Question 4

Comprehensive Geriatric Assessment

Answer 4

older adult health and wellness is dependant on the connectedness of social, physical, mental, functional and environmental circumstances.

Question 5

what is ALWAYS inside our scope of practice

Answer 5

red flag hunting/reporting
observation
documentation
utilizing the interprofessional team

Question 6

safety with mobility lab, what is something we always check for?

Answer 6

orthostatic hypotension

Question 7

Contemplation stages

Answer 7

pre-contemplation
contemplation
preparation
action
maintenance

Question 8

OARS

Answer 8

Open ended questions
Affirmations
Reflections
Summary

Question 9

Alzheimer’s Society - how to make things accessible

Answer 9

signage, lighting, no music, extra staff, age related training, contrast in colours to see better. yellow is the first colour your eyes pick up.

Question 10

Geriatric Giants

Answer 10

Falls, incontinence, malnutrition, pressure ulcers. FRAILTY AND DELIRIUM

Question 11

Falls

Answer 11

falls leads to health issues and hospital stays. leads to greater risk of more falls and or fear of falling.
physical ability, misuse of equipment, improper shoes or lighting

Question 12

Incontinence

Answer 12

Peeing yourself because you cant make it to the bathroom in time, didn’t know you had to go or leaking.
Age, female, physical functioning, frailty.
Kegels/exercises, schedules, fluid and diet management.

Question 13

Malnutrition

Answer 13

not intaking enough calories, leading to unhealthy diet and weight-loss.
age, living situation, mental and physical functions, dietary needs.
eating with others, food modifications, snacks over meals

Question 14

Pressure Ulcers

Answer 14

Friction damage to skin from not moving/consistent pressure. 4 stages.
Heels, butt, shoulder, head.
Change positions, hydration/diet, checking

Question 15

Frailty chart

Answer 15

helps to see where the suspected challenges are in ADLs and IADLS

Question 16

Delirium

Answer 16

extremely stressful for the body and the caregiver
person is severely disoriented
unable to make sense of the situation makes providing care hard
costs a ton of money for the healthcare system
could be a side effect to meds or an infection

Question 17

Delirium vs Dementia

Answer 17

Delirium is all of a sudden, fluctuates rapidly. changes the person entirely
acute onset
can treat the underlying cause (possible to go away)

Question 18

Frailty what can we do

Answer 18

home is safe
hydration and nutrition
mobilization

Question 19

Delirium what can we do

Answer 19

education for caregiver
respond to what person is asking for (ie wife)
orient but don’t ruin reality
find clinical reason (usually one)

Question 20

Osteroporosis

Answer 20

reduced bone quality and quantity.
excessive
wrist, spine, hip
female post menopause, inadequate diet, age, medications
education, proper nutrition, exercise, medications

Question 21

Osteroarthritis

Answer 21

degenerative disease effecting joints, muscles, tendons and ligaments
excessive pain
age, female, obesity, previous injury
education, nutrition, exercise, medications

Question 22

Congestive Heart Failure

Answer 22

inability for heart to pump effectively
shortness of breath, fatigue
inactivity, smoking, obesity

Question 23

Diabetes

Answer 23

high blood sugar levels, type 1 (no insulin production), type 2 (not enough insulin).
excessive peeing, hunger, thirst. slow healing wounds.

Question 24

Chronic Obstructive Pulmonary Disease (COPD)

Answer 24

emphysema (air trapping) or chronic bronchitis (irritation and cough).
excessive coughing and shortness of breath. wheezing.

Question 25

Stroke

Answer 25

ischemic, hemorrhagic, transient ischemic attack.
excessive alcohol use, stress, genetics, ethnicity
FaceArmsSpeechTime

Question 26

Parkinson’s disease

Answer 26

TremorRigidityAkinesiaPostural changes.
freezing episodes (body is stuck).
exposure to spray chemicals, high intensity vibrations, male.

Question 27

Macular Degeneration

Answer 27

dead spot in the middle, best to approach and talk from the peripheral

Question 28

Glaucoma

Answer 28

tunnel vision, no peripheral. stand dead on looking at the person

Question 29

Cataracts

Answer 29

everything is slightly blurred and tinted. light is bigger and brighter

Question 30

Diabetes retinopathy

Answer 30

spotty vision, ask the person what is best for them

Question 31

change coach

Answer 31

capitalize strengths
autonomy
communication techniques
exploration- goals etc
empathy