Exam 2 Aging And Grief

Question 1

Bathing 
Dressing
Feeding
Hygiene
Transferring
Toileting

Answer 1

Activities of daily living

Question 2

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

Answer 2

iADL’s

Question 3

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

Answer 3

Frailty

Question 4

Increased sympathetic nervous system tone in old people causes;

Answer 4

Increased cortisol -> impairment in the immune system

Question 5

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

Answer 5

More sensitive

Question 6

Significant deficits in two or more areas of cognition

Answer 6

Dementia

Question 7

Areas of cognition:

Answer 7

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

Question 8

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

Answer 8

Visuospatial skills

Question 9

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

Answer 9

Alzheimer’s dementia

Question 10

Visual hallucinations, change in LOC, falls, parkinsonian

Answer 10

Lewy body dementia

Question 11

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

Answer 11

Vascular dementia

Question 12

Miscellaneous causes of dementia

Answer 12

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

Question 13

Causes of falls

Answer 13

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

Question 14

Three changes older adults will have with sleep

Answer 14

Increased sleep latency
Increased sleep fragmentation
Decreased REM sleep

Question 15

Peak of depressive symptoms after spousal bereavement

Answer 15

Usually within the first few months

Question 16

Is depression a normal part of aging?

Answer 16

No

Question 17

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

Answer 17

Dementia syndrome of depression

Pseudodementia

Question 18

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

Answer 18

Anxiety disorders

Question 19

Most common in older adults at any given time

Answer 19

Phobia

Question 20

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

Answer 20

Elder abuse

Question 21

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

Answer 21

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

Question 22

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

Answer 22

Power of attorney

Question 23

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

Answer 23

Guardianship

Question 24

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

Answer 24

Hospice

Question 25

Kubler ross stages

Answer 25

Denial
Anger
Bargaining
Depression
Acceptance

Question 26

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

Answer 26

Konigsburg concept of grief

Question 27

Differences between grief and depression?

Answer 27

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

Question 28

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

Answer 28

2-3 months