Final Lecture #6 Flashcards
chronic illness?
managed rather than cured, most common arthritis followed by HTN
Preventive phase (NO S/S), definitive phase (S/S and diagnosis present), crisis phase (life threatening), acute phase (active illness; hospital), stable phase, unstable phase, downward phase, and dying phase
occurs suddenly and often w/o warning
acute illness
normal age-related decrease in reserve capacity is depleted and not able to compensate. Unintentional LBS loss, self-report exhaustion, weak grip strength, slow walking speed, low activity.
frailty
most common cause for hospital/re-hospital, and disability for those 65+, heart cannot keep up with workload of the heart, results in insufficient O2 delivery to body.
HF
HF?
LHF: pump failure to body (dyspnea)
RHF: pump failure to lungs (edema) can’t have RHF w/o LHF
CHF: swelling, edema, fluid in lungs, must remove fluid
Diuretics: reduce fluid retention
B-Blockers: improve contractility of heart muscles
Progressive disease, DOPAMINE is lost or inhibited
neuro-parkinson’s disease
classic triad for PD
Cogwheel rigidity (small jerking movements), bradykinesia/dyskinesia (all skeletal muscles affected, shuffling), resting/non intention tremors (fine, rhythmic, purposeless tremors).
GERD symptoms
persistent cough, asthma, exacerbations, laryngitis, intermittent chest pain
mod with OP
low birth/body wight (underweight), low ca+ intake, estrogen deficiency, low testosterone, inadequate exercise or activity, use of steroids or anticonvulsants, excess coffee or ETOH intake, and current cig smoking.
non-mod with OP
female gender, northern European ancestry, advanced age, fam history of OP
OA
bones and joints rubbing together. Most common locations = neck, lower back, hands, fingers, thumbs, knees. Deformities = Heberden’s node (DIP) – OA and Bouchard’s node (PIP) – OA and RA. Older adults, may be unilateral, shorter period of morning stiffness, and pain with activity.
RA
Chronic, progressive, systemic inflammatory autoimmune disease. Women > men, symmetrical (hands and feet), MCP and PIP, prolonged morning stiff > 30 M, and pain > with inactivity.
absolute deficiency of insulin production
DMT1
combo if relative insulin deficiency and insulin resistance, genetics, lifestyle, and aging influences it
DMT2
thyroid hormones
calcitonin (decrease ca+ loss from bone), T4 (produced by follicular cells, thyroid gland), T3 (4x stronger than T4, more potent), TSH (pituitary gland), TRH (hypothalamus).
