Intro to Geriatrics

Question 1

biological aging

Answer 1

gradual and progressive deterioration of fxn

Question 2

what else is biological aging called

Answer 2

senescence

Question 3

optimal aging

Answer 3

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

Question 4

domains –> optimal aging

Answer 4

physical

cognitive

emotional

social

spiritual

Question 5

successful aging

Answer 5

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

Question 6

young older adults

Answer 6

55/60-69

Question 7

middle older adults

Answer 7

70-79

Question 8

old older adults

Answer 8

80 yrs and up

Question 9

educational attainment

Answer 9

associated with higher life expectancy

Question 10

% of older adults that are physically inactive

Answer 10

28%

Question 11

% physically inactive adults with chronic dz

Answer 11

58% (30% increase)

Question 12

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

Answer 12

76%

Question 13

recommendation for physical activity

Answer 13

150 min of moderate intensity exercise

Question 14

leading causes of death over 65

Answer 14

heart dz

cancer

covid

stroke

COPD, asthma, emphysema, bronchitis

Question 15

practice settings

Answer 15

prehab

inpatient acute care

inpatient rehab

subacute rehab

home health

outpatient

community resources

Question 16

principle 1

Answer 16

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

Question 17

how many principles are there for best practice in geriatric PT

Answer 17

6

Question 18

what does principle 1 include

Answer 18

collaboration b/w PT and pt

foster pt autonomy

create individualized programs based on pt goals

Question 19

principle 2

Answer 19

strive for anti-ageist practice

Question 20

what should we use in principle 2

Answer 20

fxnal markers

Question 21

age is a poor predictor of health status

Answer 21

true

Question 22

what should we avoid –> principle 2

Answer 22

images and languages portraying youth as positive and age as negative

Question 23

what should we use –> principle 2

Answer 23

communication strategies considering older adults important members of society

Question 24

veterans

Answer 24

1922-1945

majority have 2 or more chronic conditions

need clear explanations

Question 25

baby boomers

Answer 25

1946-1960 acknowledgement of health responsibility, chronic conditions and alternative health care "team approach"

Question 26

principle 3

Answer 26

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

Question 27

principle 3 includes

Answer 27

comprehensive history fxnal mobility exam use validated outcome measures

Question 28

principle 4

Answer 28

completing interventions that are based on the best available evidence

Question 29

principle 4 includes

Answer 29

use high intensity exercise do not underdose create individualized program

Question 30

principle 5

Answer 30

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

Question 31

principle 5 includes

Answer 31

exercise is medicine engage caregivers and pt's social network give community resources

Question 32

principle 6

Answer 32

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

Question 33

principle 6 includes

Answer 33

collaborate with different healthcare workers, pt and caregivers

Question 34

geriatric 5 Ms

Answer 34

mobility mind and mentation medication multicomplexity what matters most

Question 35

mobility

Answer 35

fxn, gait, balance

Question 36

mind and mentation

Answer 36

dementia, depression, delirium

Question 37

medication

Answer 37

polypharmacy adverse effects

Question 38

multicomplexity

Answer 38

multiple chronic conditions complicated biopsychosocial needs

Question 39

what matters most

Answer 39

care preferences meaningful health outcomes

Question 40

social determinants of health definition

Answer 40

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

Question 41

social determinants of health

Answer 41

education access and quality economic stability health care access and quality neighborhood and built environment social and community context