Healthy Aging Flashcards

1
Q

Healthy aging

A

Process of developing, maintaining, and improving functional abilities, independence, QOL, and transitions

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2
Q

Productive Aging

A

An older adults ability to participate in social roles including employment, civic engagement, education, health management, and LTC services

Emphasis on inclusion in social/economic activities to enhance aging outcomes

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3
Q

Successful aging

A

Traditionally, low probability of disease or disease related disability, increased cognitive and physical functional capacity, and engagement in life

Older adults define it in areas of spirituality, financially, environmentally, socially, and psychologically

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4
Q

Biological theories of aging

A

Molecular, cellular, and organism level, genetics

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5
Q

Psychological theories of aging

A

Explains behavioral changes that occur focusing on client factors, performance patterns, performance skills

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6
Q

Sociological theories of aging

A

Social aspects of aging process, focusing on social structures, institutions, and interactions influencing people’s experiences, roles in society

Aging in the context it occurs in

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7
Q

Interventions for well being of older adults

A

Incorporating health behaviors into routines and teaching coping strategies and opportunities to practices skills over an extended period of time

Nutrition, medication management, regular exercise

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8
Q

Well being

A

Presence of positive emotions/moods, absence of negative emotions, satisfaction with life, fulfillment, and positive functioning

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9
Q

8 elements of wellbess

A

Emotional
Environmental
Financial
Intellectual
Occupational
Physical
Social
Spiritual

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10
Q

Health promotion

A

Process if enabling people to increase control over and improve their health

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11
Q

Disease prevention: Primary Prevention

A

Education or health promotion efforts to prevent onset and decrease incidences of unhealthy conditions

Beneficial to individuals with conditions and general population

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12
Q

Primary prevention interventions

A

1) ID, reduce, or eliminate risk factors
2) modify physical/social environment
3)increased nutrition education, meal planning/prep
4)increased physical activity via leisure education
5) smoking cessation
6) health screening

Workplace injury prevention
Self management, socioemotional skills
Conflict resolution
Parenting skills
Health literacy
Fall prevention

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13
Q

Secondary level prevention

A

Screening, early detection i.e. long handled mirror for skin check and intervention after onset

Limiting secondary conditions

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14
Q

Tertiary level prevention

A

Designed to prevent progression of disease

Advocacy, self sufficiency, full participation

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15
Q

Secondary prevention interventions

A

Education on eating habits and activity levels secondary to disability due to obesity/mobility limitations
Stress management and adaptive coping strategies
Osteoporosis mgmt and fall prevention

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16
Q

Tertiary prevention interventions

A

Transitional independent living skills
Leisure participation groups to improve socialization and QOL
Social participation in activities at a drop in center
Stroke support groups for survivors/caregivers focusing on occupational engagement to reduce caregiver burden

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17
Q

Lifestyle Redesign

A

Preventative OT promoting awareness of relationship between everyday occupations and gealth

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18
Q

5 characteristics of life style redesign

A

1) narrative reasoning
2) collaborative problem solving
3) occupational self analysis
4) autonomy
5) enhancing occupations, performance patterns

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19
Q

Capable program

A

Community aging in place: client-centered promoting aging in place and decreased disability among older adults

Home visits across 4 months with 4 nurse visits and 6 OT visits, $1300 for home repairs

65+ years old

$3000 pp saves $30000 in readmissions

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20
Q

Interventions promoting socialization

A

Group or individual format
Peer exchanges, personal exploration, addressing participation difficulties, adapting activities, exploring transportation options, occupation based goals setting

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21
Q

Community based OT

A

Interventions at community level to promote health and wellness, productive aging

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22
Q

Characteristics of community health paradigm

A

Client centered
Evidence based
Ecologically sound
Occupation based
Dynamic systems theories
Strength based

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23
Q

HOPE Questinnaire

A

Open ended questions to explore spirituality and other support systems
H = source of hope
O= organized religion
P= personal spirituality and practices
E= effects on end of life and medical care

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24
Q

Systems of belief inventory

A

Self-administered questionnaire to measure spiritual and religious practices, beliefs, and social supports sharing similar beliefs

25
Q

Spiritual distress

A

The distress of self, nature, or power greater than one’s self

-onset of life threatening d/s can challenge person’s spirituality and cause a disturbance in one belief systems
-results in anger, hopelessness, lack of peace

26
Q

Signs of spiritual distress

A

Asking questions about meaning of life
Questioning your own belief system
Questioning pain and sufferings
Bad thoughts or negative self talk
Feelings of anger, despair, sadness, depression, anxiety, feeling alone/abandoned by GOD
Feeling lost
Difficulty falling asleep
Seeking spiritual or religious guidance

27
Q

Interventions for religious distress

A

Diary/keep journal
Connecting with spiritual/religious beliefs

28
Q

Benefits of spiritual and religious beliefs

A

Decreased depression/anxiety
Decreased feelings of isolation/loneliness
Help cope with effects of illness and treatment
Increased ability to enjoy life
Find meaning
Improve health

29
Q

Common difficulties of sleep in older adults

A

Trouble falling asleep
Waking up
Shorter sleep time
Not feeling rested
Needing to nap
Disrupted sleep
More shallow sleep stages

30
Q

Sleep medications effects

A

Increase daytime fatigue, sleepiness, falls, and decreased cognitive function, decreased sleep duration, trouble falling asleep, trouble staying asleep, increased ER visits

31
Q

Non-pharmaceutical sleep interventions

A

Relaxation techniques
Stress management
Daily physical activity
Education on + sleep habits
Sleep diaries
Nutrition
Cognitive therapy
Cognitive behavioral interventions

32
Q

Cognitive behavioral interventions for sleep

A

Progressive muscle relaxation
Meditation
Guided imagery
Health education
Sleep hygiene education
Sleep diaries
Group problem solving
Computerized training/didactic class
Cognitive restructuring
Mind body relationships

Across 7 weeks and 3 month consultation

33
Q

Effects of poor sleep

A

Obesity, inactivity, cigarette smoking

Increased risk of chronic conditions: heart attack, stroke, asthma, COPD

34
Q

Pittsburgh sleep quality index

A

Sleep routine, sleep quality self report

35
Q

Epworth sleepiness scale

A

Assesses experience of excessive sleepiness

36
Q

Unsafe driving in older adults

A

Come from vision impairment, cognitive impairment, side effects or medication, slower reaction time, muscular difficulties, limited ROM

Seniors have fewer crashes but are more likely to be injured/killed

Greater risk than self

Will benefit from education on optimal vehicle fit to benefit from safety features

37
Q

OTs role in assisting older drivers

A

Advocate with policymakers

ADL assessment to determine if an older driver will benefit from driving specialist

Clinical and on road driving assessment and treatment plans

Modifying driving habits, AE in automobile

Ease seniors through possible transition to other transportation

38
Q

Augmentative mobility

A

All means of locomotion that supplement ambulation

39
Q

Certified driver rehab specialist

A

Individual who meets educational and experiential requirements and successfully completed the certification exam with association of driver rehab specialist

40
Q

Driver rehab specialist

A

Specialists who plans, develops, coordinates, and implements driver rehab services (evaluating/training in driving/safe transportation)

41
Q

Community mobility

A

Moving self in community and using private and public transportation such as driving or accessing buses, taxis, or public transportation systems, traffic safety

42
Q

Driver educator

A

Professional with college degree in education with specialized study in driver education or traffic safety

43
Q

Driver safety

A

Operation of motorized vehicle with or without AE to travel in a safe manner in coordination with other drivers on public roadway

44
Q

Driver instructor

A

Required by many states, individual with HS degree and clean driving record, completed driver education training program and licensed by state MVC

45
Q

Ecological validity

A

Degree to which standardized test results can be used to generalize and predict an individual’s performance in a naturalistic environment

46
Q

Environmental scanning

A

Process of analyzing trends that allows decision-makers both to understand the external environment and the interconnections of its various sectors and to translate into planning and decision making processes

47
Q

Operational demands of driving

A

Basic control of a motorized vehicle such as steering, acceleration, and braking functions

48
Q

Strategic demands of driving

A

Highest level of the 3 demands; involves judgment, planning, and foresight such as choosing to reschedule trip due to a snowstorm

49
Q

Tactical demands of driving

A

Ongoing decisions made while interacting with traffic while driving such as time/space, judgment of a safe gap for L turn

50
Q

Assessment areas of driving rehab

A

Vision: acuity, ocular ROM, saccades, convergence/divergence, depth perception

Physical: UE ROM, LE ROM, ROM of head, neck, trunk, muscle tone, endurance, coordination, sensation, break reaction

Cognitive: clock drawing test, MMSE, judgment, rule of the toad

51
Q

Driving intervention: Education

A

1) AARP 55-alive mature driver education program
2) CarFit program-educate older adults about the safety features of their vehicles and strategies improv personal fit to these safety features
3) driving restrictions (not at night)
4) driving cessation and caregiver education: at the crossroads: family conversations about Alzheimer’s Disease, dementia and driving

52
Q

Driving intervention: cognitive perceptual training

A

Assess when driving cessation is needed, computer based cognitive speed of processing training

use field of view (R hemisphere stroke) decrease at fault crashes

visual tracking, visual selective attention, dual attention, video based hazard perception training

Limited evidence regarding prisms, bioptic telescopic lens

53
Q

Driving intervention: physical fitness

A

Graduated exercise program with focus on axial and extremity conditioning, coordination, strength

Leads to fewer critical errors in behind the wheel assessment, no assessment on effectiveness in reducing crash

Beneficial for physical and cognitive perceptual approach

54
Q

Driving intervention: simulator training

A

Decreased use in clinical intervention and research due to cost and simulator sickness

Positive simulator training and active personalized feedback improved identification of peripheral hazards, receptiveness in changing driving behaviors, improved anticipation/perception of signs, visual scanning, and L turns

55
Q

Driving intervention: behind the wheel training

A

Based on coaching, emphasis on approaching and navigating hazards decreases crash risk

56
Q

Impact of driving cessation

A

Relationship with depressive symptoms secondary to loss of personal identity and independence experienced with driving cessation, increased rates of isolation

57
Q

Interventions for driving cessation

A

Find community resources that promote social engagement, develop coping mechanisms, education on alternative transportation

58
Q

Working older adult

A

18% of 65+ work full time
Volunteering leads to meaning and social/civic engagmenet

Interventions: environmental modifications, environmental adaptations, and health promotion strategies

59
Q

Productive Aging framework

A

Based on specific needs of older adults and communities, OT prioritizes health promotion interventions

Strategies for aging in place
Promote community mobility and driving
Support engagement in work and civic life