Health Promotion in the Aging Population Flashcards

1
Q

what are the 5 goals for Healthy People 2020 in older adults

A
  1. increase the # of older adults with 1+ chronic conditions who report confidence in maintaining their conditions
  2. reduce the proportion of older adults who have moderate-to-severe functional limitations
  3. increase the proportion of older adults with a reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-term physical activities
  4. increase the proportion of older adults who receive diabetes self-management benefits
  5. increase the proportion of the health care workforce with geriatric certification
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2
Q

This is individual for each person. The goal is optimal level of performance active and taking care of lifestyle. Having no excessive medications and are independent.

A

Healthy aging

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3
Q

Listed are all of the physiological concerns for health promotion. Name 5

A
  1. heart disease
  2. cancer
  3. chronic lung disease
  4. stroke
  5. smoking
  6. alcohol abuse
  7. limitations in ability to care for self
  8. nutrition
  9. dental problems
  10. exercise
  11. falls
  12. sensory impairments
  13. pain
  14. medication use
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4
Q

what are the 4 immunizations you should receive if you are 65+

A
  1. influenza
  2. pneumococcal/pneumonia
  3. tetanus
  4. herpes boster
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5
Q

Listed are activities for health promotion. Name 5

A
  1. screening activities(BP, mammography, depression)
  2. regular exercise
  3. weight reduction if overweight
  4. eating a low-fat, well-balanced diet
  5. moderate alcohol use
  6. regular dental visits
  7. smoking cessation
  8. stress management
  9. socialization
  10. good handwashing
  11. regular checkups with healthcare providers
  12. immunizations
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6
Q

what are the 2 immunizations for pneumococcal/pneumonia and how often do you get them

A
  1. PCV 13
  2. PPSV 23
    * one year apart
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7
Q

how often should you get a tetanus immunization

A

every 10 years

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8
Q

how many doses are in the herpes boster? how many times do you get the series and after what age?

A

2 doses; 1 series; after 60

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9
Q

what are the 5 dental issues that older adults should watch out for

A
  1. dental caries
  2. gingival disease
  3. xerostonia
  4. oral cancer
  5. dentures
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10
Q

what is xerostomia

A

dry mouth; saliva production is less

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11
Q

what percent of adults over 65 have lost all of their teeth

A

25%

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12
Q

what is the 2 leading causes of tooth decay in older adults

A
  1. periodontal disease

2. tooth decay

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13
Q

what is the definition of health literacy

A

the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions

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14
Q

what percent of US adults have the health literacy skills needed to manage the demands of our complex health care system

A

12%

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15
Q

what are the 4 factors that influence health literacy

A
  1. stress or illness
  2. evaluation
  3. older adults
  4. education level
  5. language
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16
Q

name 5 of the red flags for low literacy

A
  1. frequently missed appointments
  2. incomplete registration forms
  3. non-compliance with medication
  4. unable to name medications, explain the purpose or dosing
  5. identifies pills by looking at them, not reading the label
  6. ask fewer questions
  7. lack of follow-through on tests or referrals
17
Q

what are the 5 strategies to improve patient understanding

A
  1. focus on what patients need to know
  2. use the teach-back method to ensure understanding
  3. use visuals and demonstrations
  4. repeat and summarize
  5. be positive, helpful and empowering
18
Q

what is the AARP’s definition of aging in place

A

simply a matter of preserving the ability for people to remain in their home or neighborhood as long as possible

19
Q

what is the CDC definition of aging in place

A

the ability to live in one’s own home and community safely, independently, and comfortably, regardless of age, income, or ability level.

20
Q

what are 3 life events that impede aging in place

A
  1. hospitalization
  2. confusion
  3. housing concerns
21
Q

name 5 barriers to aging in place

A
  1. financial
  2. illness/health condition
  3. mobility/pain
  4. caregiver burnout
  5. lack of social support/community
  6. housing
  7. decline in cognition
22
Q

definition of functional assessment

A

assessment of the ability to independently complete activities necessary to daily living

23
Q

what are the 4 domains that relate functional assessment

A
  1. physical
  2. psychological
  3. cognitive
  4. social
24
Q

what does ADL stand for and what are some examples

A

Activities of daily living

- eating, dressing, toileting, bathing, personal hygiene, walking, transfers

25
Q

what does IADL stand for and what are some examples

A

Instrumental activities of daily living
- managing finances, driving/transportation, cooking, managing meds/appt., shopping, house cleaning, laundry, home/property maintenance, managing communication/telephone

26
Q

what are 5 ways to create a safe home environment

A
  1. lighting
  2. temperature
  3. cleanliness
  4. furniture
  5. bathroom hazards
27
Q

every ____ minutes an older adult dies from a fall in the US

A

20

28
Q

reasons why an older adult may fall (7)

A
  1. age-related changes
  2. improper use of mobility aids
  3. medications
  4. unsafe clothing
  5. disease-related symptoms
  6. environmental hazards
  7. caregiver-related factors
29
Q

name 5 ways to prevent falls

A
  1. remove throw rugs
  2. improve lighting
  3. add grab bars and railing on stairs
  4. wear appropriate footwear and socks with grips
  5. change positions slowly
  6. keep walker or can within reach
  7. keep electrical cords short and out of the way
  8. sit in chairs with arms
  9. keep room clear of clutter
30
Q

how many incidents with bed rails occurred between 1985 and January 1, 2009

A

803

31
Q

of the 803 bed rail incidents, how many died, nonfatal injuries, or were not injured

A

480; 138; 185

32
Q

what are 5 ways that older adults are vulnerable

A
  1. crimes
  2. fire safety
  3. thermoregulation
  4. driving
  5. abuse
33
Q

what are the 7 things that a caregiver should be aware of when creating a nourishing home environment

A
  1. cognition
  2. spouse/caregiver support
  3. financial concerns
  4. medications
  5. mobility
  6. pain
  7. home safety