Intro to Geriatrics Flashcards

1
Q

biological aging

A

gradual and progressive deterioration of fxn

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2
Q

what else is biological aging called

A

senescence

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3
Q

optimal aging

A

individual can fxn across many domains in spite of one’s medical condition

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4
Q

domains –> optimal aging

A

physical

cognitive

emotional

social

spiritual

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5
Q

successful aging

A

ability to have a good perceived QOL and well being as they are transitioning to advanced stages of life

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6
Q

young older adults

A

55/60-69

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7
Q

middle older adults

A

70-79

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8
Q

old older adults

A

80 yrs and up

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9
Q

educational attainment

A

associated with higher life expectancy

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10
Q

% of older adults that are physically inactive

A

28%

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11
Q

% physically inactive adults with chronic dz

A

58% (30% increase)

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12
Q

what percentage of older adults did not meet recommendations for physical activity

A

76%

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13
Q

recommendation for physical activity

A

150 min of moderate intensity exercise

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14
Q

leading causes of death over 65

A

heart dz

cancer

covid

stroke

COPD, asthma, emphysema, bronchitis

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15
Q

practice settings

A

prehab

inpatient acute care

inpatient rehab

subacute rehab

home health

outpatient

community resources

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16
Q

principle 1

A

utilize person-centered care to elicit and prioritize the individuals preferences, values and goals to drive the plan of care

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17
Q

how many principles are there for best practice in geriatric PT

A

6

18
Q

what does principle 1 include

A

collaboration b/w PT and pt

foster pt autonomy

create individualized programs based on pt goals

19
Q

principle 2

A

strive for anti-ageist practice

20
Q

what should we use in principle 2

A

fxnal markers

21
Q

age is a poor predictor of health status

A

true

22
Q

what should we avoid –> principle 2

A

images and languages portraying youth as positive and age as negative

23
Q

what should we use –> principle 2

A

communication strategies considering older adults important members of society

24
Q

veterans

A

1922-1945

majority have 2 or more chronic conditions

need clear explanations

25
Q

baby boomers

A

1946-1960

acknowledgement of health responsibility, chronic conditions and alternative health care

“team approach”

26
Q

principle 3

A

conduct a holistic assessment and evaluation utilizing sound outcome measures based on the pt’s stated goals

27
Q

principle 3 includes

A

comprehensive history

fxnal mobility exam

use validated outcome measures

28
Q

principle 4

A

completing interventions that are based on the best available evidence

29
Q

principle 4 includes

A

use high intensity exercise

do not underdose

create individualized program

30
Q

principle 5

A

prioritize physical activity to promote health, well being, chronic dz management and enhance mobility

31
Q

principle 5 includes

A

exercise is medicine

engage caregivers and pt’s social network

give community resources

32
Q

principle 6

A

champion interprofessional collaborative practice that is inclusive of pts and their caregivers

33
Q

principle 6 includes

A

collaborate with different healthcare workers, pt and caregivers

34
Q

geriatric 5 Ms

A

mobility

mind and mentation

medication

multicomplexity

what matters most

35
Q

mobility

A

fxn, gait, balance

36
Q

mind and mentation

A

dementia, depression, delirium

37
Q

medication

A

polypharmacy

adverse effects

38
Q

multicomplexity

A

multiple chronic conditions

complicated biopsychosocial needs

39
Q

what matters most

A

care preferences

meaningful health outcomes

40
Q

social determinants of health definition

A

conditions in the environments that affect a wide range of health, fxning and QOL outcomes and risks

41
Q

social determinants of health

A

education access and quality

economic stability

health care access and quality

neighborhood and built environment

social and community context