Gero 25 Flashcards
Autonony
The capacity to have the say-so about your own well-being The capacity to act on your own decisions freely and independently Have professional, patient and self autonomy This principle is emphasized in patient/person-centered care
Baby boomers
Cohort born between 1946 and 1964 Baby boomers began turning 65 in 2011 hence the first cohort to collect Social Security Significant because they are the larges number of older adults in history
Beers List/criteria
Developed by an expert panel in 1991 The list initially provided guidance on what drugs should be avoided for older adults living in a nursing home In the next decade the list expanded to cover older adults in all settings Guides doctors, pharmacists, and practitioners on drugs to avoid, but it rates the severity of the drug and its potential harm to older adults Used in conjunction with patient and family history, evaluation and expert opinion
Belmont report
3 fundamental ethical principles used for any human subject research: 1. Respect for persons; protecting autononmy treating with respect and common courtesy 2. Beneficence; philosophy of “do no harm” and maximize benefits 3. Justice - fair distribution of costs and benefits; selection consent, informed consent, and assessment of risks and benefits
Beneficence
Brining about good, acting to benefit another Can be seen along continuum of: Do no hare, remove harm when it is being inflicted, and bring about positive good
Bereavement
Refers to both the situation and the process of adjusting to a loss of someone to whom we feel close There are physical, emotional, intellectual and spiritual aspects
Biological aging
Aging is a complex biological process with changes occurring at the molecular, cellular, and systems/organ level causing increasing difficulty in the body’s ability to respond to internal and/or external stressors The process of cells dying faster than the can be replaced
BPSS Biopsychosicialspirtual Framework
Aging is due to multiple forces: Biological (genetic and health) Psychological (internal perceptual, cognitive, emotional, and personality Sociocultural (interpersonal, societal, cultural and ethnic) Life-cycle (differences in how the same event or combination of BPSS forces affect people at different points in life Culture and ethnic (provide status social settings living conditions and personal experiences for people of all ages)
Blinding
Withholding potentially biasing information to ensure the researcher doesn’t know which person(s) is/are the object of observation in a setting
Board and care
Usually small residences that provide meals, light housekeeping, and social care but have only state regulations
Captitalist system
Devalues labor; seeks cheaper and cheaper labor (NAFTA); created new global markets, new products Some are improvements, but we end up controlled as consumers. New drugs to conquer diabetes without exercise or diet
Cardiovascular disease
Cardiovascular disease generally refers to conditions that involve narrowed or blocked blood vessels that can lead to a heart attack, chest pain (angina) or stroke. Other heart conditions, such as those that affect your heart’s muscle, valves or rhythm, also are considered forms of heart disease. With aging come a number of physiological and morphological changes that alter cardiovascular function and lead to subsequently increased risk of cardiovascular disease, even in healthy asymptomatic individuals.
Caregiver
A person either paid or voluntary who helps and provides an older adult with their ADLSs, healthcare, finances, companionship, and social interactions. This usually is a female (wife or daughter) family member or friend. Help provide ongoing assistance with a wide variety of functions ranging from periodic chores, housework and transportation to 24 hour monitoring and help with ambulation and eating.
Informal caregiver
Provide extraordinary, uncompensated care predominantly in the home setting involving significant amounts of time and energy over months and years. May experience physical, emotional, social and financial stress due to their caregiver role.
Cataracts
A condition which affects the ocular lends of the eye causing a cloudy or opaque lens that impairs vision by interfering with light rays passing through the lens. Most common age related disorder affecting 70% of those 70 years or older. Risk factors: age, gender (more females), elevated BMI, diabetes, nutrition, smoking, alcohol consumption, hypertension Symptoms: blurred vision/depth of perception, difficulty seeing when moving from brightly lit to dimly lit settings, alterations in color perception, especially yellows, halos