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mental health/psych > geriatric (ch 3, 28, 29, 31) > Flashcards

geriatric (ch 3, 28, 29, 31) Flashcards

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1
Q

altered state of consciousness

  • cognitive deficits
  • emotionally labile
  • fluctuating and acute
A

delirium

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2
Q

causes of delirium (I WATCH DEATH)

A

Infections

Withdrawal
Acute Metabolic
Trauma
CNS Pathology
Hypoxia
Deficiencies 
Endocrinopathies
Acute vascular
Toxins/drugs
Heavy metals
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3
Q

what meds cannot be given to older adults

A

benzos

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4
Q

Tx delirium

A
  • look for underlying cause
  • frequent reorientation
  • close supervision
  • avoid restraints
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5
Q

loss of previous levels of cognitive, executive, and memory function in a state of full awareness

A

dementia

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6
Q

dementia S+S

A
  • personality change
  • aphasia
  • visuospatial functioning
  • level of awareness and alertness intact
  • chronic
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7
Q

Tx meds for dementia (2)

A 
cholinesterase inhibitor (prevents breakdown acetylcholine)
memantine (delays worsening)
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8
Q

Tx dementia

A
  • avoid arguments
  • redirect/distract
  • calm environment
  • simplify tasks
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9
Q

prevention cognitive symptoms of dementia

A
  • vitamins (folid acid, C, gingko, vit b12)
  • physical exercise
  • social engagement
  • manage stress
  • quit smoking
  • quit drinking
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10
Q

RF depression in elderly

A
  • widowhood

- physical disability

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11
Q

assessment for depression in elderly

A

geriatric depression scale

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12
Q

S+S depression in elderly

A
  • decreased energy
  • sleep problems
  • pain
  • weakness
  • GI disturbances
  • delusions
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13
Q

S+S bipolar in elderly

A
  • irritable (not euphoric)
  • paranoid (not grandiose)
  • dysphoric mania
  • pressured speech
  • flight of ideas
  • hyperactivity
  • morbid and pessimistic thought content
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14
Q

Tx bipolar in elderly

A
  • lithium (consider decreased renal clearance and neurotoxicity)
  • valproic acid for behavioral disturbances
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15
Q

possible causes psychosis

A
  • delirium
  • dementia
  • depression
  • substance
  • sensory impairment
  • isolation
  • polypharamcy
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16
Q

most commonly abused substance in elderly

A

alcohol

17
Q

2 classes meds that can worsen cognitive functioning in elderly

A
  • benzos

- antipsychotics

18
Q

what does the pain assessment in advanced dementia scale include (5)

A
  • breathing independent of vocalization
  • negative vocalization
  • facial expression
  • body language
  • consolability
1-3 = mild pain
4-6 = moderate pain
7-10 = severe pain
19
Q

psychosocial theory of aging: ability of individual to adapt to changing roles predicts adjustment to aging

A

role theory

20
Q

psychosocial theory of aging: actions, roles, and social pursuits are important for satisfactory aging

A

activity theory

21
Q

psychosocial theory of aging: mutual withdrawal occurs between aging person and others

A

disengagement theory

22
Q

psychosocial theory of aging: life satisfaction and activity are expressions of enduring personality traits

A

continuity theory

23
Q

psychosocial theory of aging: individuals are viewed as members of an age group with similarities to others in the group

A

age stratification theory

24
Q

psychosocial theory of aging: modern society devalues the contributions of elders and elders themselves

A

modernization theory

mental health/psych (14 decks)

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