Exam 2 Aging And Grief Flashcards
Bathing Dressing Feeding Hygiene Transferring Toileting
Activities of daily living
Housework Taking medications right Managing \$\$$ Shopping Use phone Use other tech Transportation
iADL’s
Immunological, cardiac, pulmonary, and renal reserves are impaired due to change in homeostatic mechanisms.
Frailty
Increased sympathetic nervous system tone in old people causes;
Increased cortisol -> impairment in the immune system
In frailty, the brain becomes ____ to the effects of medication
More sensitive
Significant deficits in two or more areas of cognition
Dementia
Areas of cognition:
Memory, abstract thinking, judgement, language, visuospatial functioning.
Allow us to visually perceive objects and the spatial relationships among objects. Enable us to recognize a square, triangle, cube, or pyramid
Visuospatial skills
Steady decline in cognition over several years w/ deficits in language, naming, and memory most prominent. Some visual hallucinations
Alzheimer’s dementia
Visual hallucinations, change in LOC, falls, parkinsonian
Lewy body dementia
Risk factors for evidence of ischemic changes on imaging. Can be multi infarct dementia or small vessel
Vascular dementia
Miscellaneous causes of dementia
Hypothyroid, low vitamin B12, parkinsons, fronto-temporal, head injury
Causes of falls
Neuro problems, cardio probz, medicall illness, environmental factors, medications
Three changes older adults will have with sleep
Increased sleep latency
Increased sleep fragmentation
Decreased REM sleep
Peak of depressive symptoms after spousal bereavement
Usually within the first few months