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Geria Lec > Guccione - Chapter 1 > Flashcards

Guccione - Chapter 1 Flashcards

1
Q

Specific elements of successful aging

A

Absence of disease or disability
High cognitive and physical functionin
Active engagement with life

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2
Q

“the capacity to function across many domains—physical, functional, cognitive, emotional, social, and spiritual—to one’s satisfaction and in spite of one’s medical conditions.” (Brummel-Smith)

A

Optimal aging

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3
Q

domains that are essential to cross for optimal aging

A

physical
functional
cognitive
emotional
social
spiritual

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4
Q

Four distinctive functional levels of the slippery slope of aging

A

Fun
Function
Frailty
Failure

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4
Q

continues to accomplish most work and home activities but may need to modify performance and will substantially self-restrict leisure activities (fun) because of declining physiological capacity.

A

Function

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4
Q

the highest level, represents a physiological state that allows unrestricted participation in work, home, and leisure activities.

A

Fun

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4
Q

occurs when managing basic activities of daily living (BADLs; walking, bathing, toileting, eating, etc.) consumes a substantial portion of physiological capacity, with substantial limitations in ability to participate in
community activities and requiring outside assistance to accomplish many home or work activities.

A

Frailty

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4
Q

Major role of PT in Geriatrics

A

maximize older pts’ vigor and keep them at their optimal functional level

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5
Q

reached when an individual requires assistance with BADLs as well as instrumental
daily activities and may be completely bedridden.

A

Failure

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5
Q

Four stages of clinical expertise

A

student
novice
competent
master

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6
Q

One of the three anchors of EBP

A

clinical expertise

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7
Q

Types and sources of knowledge

A

mentors
patients
students
education

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8
Q

Philosophy of practice

A

decision-making
physicality
community
teaching

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9
Q

common themes when considering an answerable question related
to older adults

A

patient
intervention
comparison of intervention
outcomes

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10
Q

continuum of evidence

A

foundational concepts and theories
initial testing of foundation concepts
definitive testing of clinical applicability
aggregation of the clinically applicable evidence

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11
Q

Key journals particularly relevant to Geriatric PT

A

Journal of American Geriatric Society
Journal of Gerontology: Series A; Medical and Biological Sciences
Journal of Geriatric Physical Therapy
Physical Therapy

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12
Q

+7

A

a very great deal better

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13
Q

+5

A

a good deal better

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13
Q

+6

A

a great deal better

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14
Q

+4

A

moderately better

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15
Q

+3

A

somewhat better

16
Q

+2

A

a little better

17
Q

+1

A

almost t he same

18
Q

0

A

no change

19
Q

-1

A

almost the same, hardly any worse at all

20
Q

-2

A

a little worse

21
Q

-3

A

somewhat worse

22
Q

-4

A

moderately worse

23
Q

-5

A

a good deal worse

24
Q

-6

A

a great deal worse

25
Q

-7

A

a very great deal worse

26
Q

reasonably consistent findings from several high-quality definitive studies of clinical applicability

A

good evidence

27
Q

reasonably consistent findings from several moderate-quality studies of clinical applicability

A

fair evidence

28
Q

reasonably consistent findings from primarily foundational studies with finding not yet rigorously tested on relevant pt groups

A

weak evidence

29
Q

there is insufficient or markedly conflicting evidence that does not allow a recommendation to be made for or against intervention

A

inconclusive evidence

30
Q

clinical consequence of decline in VO2max

A

smaller aerobic workload

30
Q

clinical consequence of decline in MHR

A

smaller aerobic workload

31
Q

clinical consequence of stiffer and less compliant vascualr tissues

A

higher BP
slower ventricular filling time

32
Q

clinical consequence of loss of cells from the SA node

A

slower heart rate
lower MHR

33
Q

clinical consequence of reduced contractility of the vascular walls

A

slower HR
lower VO2max
smaller aerobic workload

34
Q

clinical consequence of thickened basement membrain in capillary

A

reduced arteriovenous O2 uptake

35
Q

clinical consequence of loss of water from the matrix

A

shrinkage of articular cartilage, vertebral discs
decreased ability to absorb shock
decreased ROM

36
Q

clinical consequence of increase in number of collagen crosslinks

A

stiffer tissues
grater passive tension within tissues
more effort required to move
loss of end ROM

37
Q

clinical consequence of loss of elastic fibers

A

sagging of skin and organs

38
Q

clinical consequence of myelin axonal loss

A

slower nerve conduction
fewer ms fibers
loss of fine sensation

39
Q

clinical consequence of ANS dysfunction

A

slower systemic function w altered sensory input

40
Q

clinical consequence of loss of sensory neurons

A

reduced ability to discern hot, cold, or pain

41
Q

clinical consequence of slowed response time

A

increased risk of falls

42
Q

non-modifiable risk factors for bone loss

A

women w small frames
caucasian
hispanic
women > 50 y/o
FHx of osteoporosis
premature @ birth
low estrogen
childhood malabsorption disease
seizures

43
Q

modifiable risk factors for bone loss

A

1200 mg/day intake of calcium
smoking
drinking
low BMI
low estrogen: anorexia, amenorrhea
inactivity
substituting soda for milk
insufficient protein
inadequate vit D
hpyerthyroidism

44
Q
A

Geria Lec (2 decks)

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