Exam 2 Aging And Grief Flashcards

1
Q
Bathing 
Dressing
Feeding
Hygiene
Transferring
Toileting
A

Activities of daily living

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2
Q
Housework
Taking medications right
Managing \$\$$
Shopping 
Use phone
Use other tech
Transportation
A

iADL’s

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3
Q

Immunological, cardiac, pulmonary, and renal reserves are impaired due to change in homeostatic mechanisms.

A

Frailty

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4
Q

Increased sympathetic nervous system tone in old people causes;

A

Increased cortisol -> impairment in the immune system

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5
Q

In frailty, the brain becomes ____ to the effects of medication

A

More sensitive

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6
Q

Significant deficits in two or more areas of cognition

A

Dementia

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7
Q

Areas of cognition:

A

Memory, abstract thinking, judgement, language, visuospatial functioning.

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8
Q

Allow us to visually perceive objects and the spatial relationships among objects. Enable us to recognize a square, triangle, cube, or pyramid

A

Visuospatial skills

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9
Q

Steady decline in cognition over several years w/ deficits in language, naming, and memory most prominent. Some visual hallucinations

A

Alzheimer’s dementia

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10
Q

Visual hallucinations, change in LOC, falls, parkinsonian

A

Lewy body dementia

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11
Q

Risk factors for evidence of ischemic changes on imaging. Can be multi infarct dementia or small vessel

A

Vascular dementia

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12
Q

Miscellaneous causes of dementia

A

Hypothyroid, low vitamin B12, parkinsons, fronto-temporal, head injury

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13
Q

Causes of falls

A

Neuro problems, cardio probz, medicall illness, environmental factors, medications

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14
Q

Three changes older adults will have with sleep

A

Increased sleep latency
Increased sleep fragmentation
Decreased REM sleep

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15
Q

Peak of depressive symptoms after spousal bereavement

A

Usually within the first few months

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16
Q

Is depression a normal part of aging?

A

No

17
Q

Cognitive impairment caused by depression that can be confused w/ true dementia
Less language impairment than in true dementia

A

Dementia syndrome of depression

Pseudodementia

18
Q

Most prevalent psychiatric disorders in older adults but onset usually occurs in childhood or young adulthood

A

Anxiety disorders

19
Q

Most common in older adults at any given time

A

Phobia

20
Q

An act or omission which results in harm or threatened harm to the health or welfare of an elderly person

A

Elder abuse

21
Q

A legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves bc of illness or incapacity. May appoint a decision maker

A

Advance health care directive /
Living will/
Personal directive /
Advance decision / advance decision

22
Q

When patient is found to no longer have capacity or when they legally direct a person to begin. This person will make medical legal and financial decisions for them

A

Power of attorney

23
Q

Patient does not pick their medical decision maker, it is appointed through court order, often adversarial process

A

Guardianship

24
Q

Improve the quality of a patient’s last days by offering comfort and dignity

A

Hospice

25
Q

Kubler ross stages

A
Denial
Anger
Bargaining
Depression
Acceptance
26
Q

Experience of greif depends on the individual temperament, life experience, individual circumstances
Too many variables to predict reaction to grief.
Humans are “wired” to dealw grief
No right or wrong way to experience grief

A

Konigsburg concept of grief

27
Q

Differences between grief and depression?

A

Normal grief does not have S/i, hallucination, delusions, total inability to function, change in self attitude

28
Q

How long must grief meet the criteria for depression in order for it to be appropriate to actually treat depression?

A

2-3 months