L1 Intro Flashcards
Demographics, Terminology, Role of PT
What is aging?
dynamic, fluctuating, diverse, challenging, complex
synonymous with living
What is a generation?
cohort born in specific time period
develops and holds a collective worldview based on prevailing cultural influences, major events
cohort will reject or rebel against the worldview of generation before
What impacts the generational worldview?
economy, politics
work life balance
social constructs
language
values
How will generational identity impact patients?
needs, wants, and goals may differ from HCP
their approach to healthcare, health, wellness, aging
beliefs about their body, exercise
Silent Generation
1928 to 1945
major events include WW2, polio, TV
pts: healthcare is an entitlement, prefer clear explanations
colleagues: follow rules and expect professionalism
Baby Boomers
1946 to 1964
major events: vietnam, civil rights, feminism, computers
pts: alternative health, individualized approach
collagues: work is an identity, interested in learning
Gen X
1965 to 1979
events: family structure shifts, corporate downsixing, AIDs
pts: less access to PCPs, dislike bureaucracy
colleagues: dislike micromanaging, prefer education and efficiency
Millennial
1980 to 1996
Events: 9/11, Iraq, reality TV, cellphones
pts: increased obesity, least likely to be insured
colleagues: informal, need feedback
Gen Z
1997 to 2012
Events: Obama, recession, social media
pts: pragmatic, social, individualistic
colleagues: expect diversity, ready to enact change
Medicare definition of older adult
people who are 65 or older
Older Americans Act definition of older adult
individual who is 60 years of age or older
AARP definition of older adult
people age 50 and over
Senior games definition of older adult
athletes age 50 and older
Master athletics definition of older adult
athletes of 35 years of age and over
healthy aging
being capable of matching the challenges of aging
Slippery Slope of Aging
without exercise, will begin to go from fun, function, fraility to failure
muscle mass begins to decrease by age 30
Exercise initiated at…
middle age can still provide functional independence in old age
Ageism
bias against, discrimination towards, or bullying of individuals and groups on the basis of their age
Examples of ageism
addressing as honey, dear, young lady
limiting vocab, dumbing things down
using sing-song voice
assuming dx due to age
assuming function due to age
Psychosocial Aspects of Aging
- whole person approach
- Successful aging
- Cultural/Spiritual Influences
- Personality Traits
- Motivation & Engagement
- Life Transitions
- Sex and Intimacy
- Trauma Informed Care
Whole person approach
successful aging
patient is not simply a collection of physical impairments and functional limitations alone
Successful aging
process and an outcome with subjective and objective elements
Cultural and spiritual influences
individual cultures have unique understanding within each community and interact with aging differently
spirituality involves the recognition of a feeling or sense or belief that there is something greater than self, and that they are part of a cosmic/divine entity
Personality Traits
may affect longevity and a healthy aging process
various methods of characterizing a person’s personality
can impacted by resiliency, wisdom, loss, loneliness, grief, etc
Big five personality traits
extraversion
agreeableness
conscientiousness
neuroticism
openness
Motivation and Engagement
the general desire or willingness of someone to do something
involves ethical principles, ethical dilemma, personalization, social support, patient-centered goals, integrating personality
Motivation and engagement
increased patient participation in goal setting and treatment planning improves outcomes and patient satisfaction
link activities to goals, patients are boss, optimize intensity
Methods that patients can be motivated
beliefs
unpleasant physical sensations
individualized care
social support
goal identification
Life Transitions
occur through various stages of our lives and are when a person adopts and adjusts to a new life role
marital status change, birthday, job status, relocation, family role change
Sex & Intimacy
sexuality and intimacy are core dimensions of life across the lifespan and should be considered as it relates to psychosocial implications and a activity restrictions
can be emotional, intellectual, physical, experiential, spiritual
Trauma Informed Care
awareness of patient’s prior trauma as well as any existing mental health conditions can increase a whole-body approach, necessitate collab with other disciplines, may increase PT empathy
Current life expectancy in America
76.4 years
One hallmark of aging is the
uniqueness of each person
Aging is
developmental
gift of tech and scientific advancement
There is no…
universally accepted theory of aging
Assumptions of theories of aging
increased mortality w/age
reduced ability to adapt
increased vulnerability to disease
consistent changes of body
Who is alive today?
silent
baby boomers
gen x
millennial
gen z
gen alpha
Five levels of patient participation
- Open ended or free choice
- Multiple choices
- Confirmed choice (offering suggestion)
- Forced choice (checking for consent)
- Prescription/no choice
Enhanced Med Rehab Principles for Motivation
Link activities to goals. Patient as boss, optimize intensity
interviewing patient to figure out what activities would be best
use self-efficacy and outcome measures to motivate
link progress and functional activities to functional activities
Interventions to strengthen efficacy beliefs
- Verbal encouragement
- Role models
- Decrease unpleasant sensations
- Encourage practice
- Educate about benefits
Using unpleasant physical sensations as motivations
- Relieve discomfort with pain meds
- Use alternative modalities
- Behavioral therapy surrounding pain
Individualized care as motivation
- Demonstrate kindness
- Use humor
- positive reinforcement
- Recognition of individual needs
- Write out what patient needs to do
Social support as motivation
- Evaluate pts social network
- Teach significant others how to verbalize support
- Use social supports to help with goals
Goal identification as motivation
- Develop realistic goals
- Set goals that are short term
- Set goals that are challenging but attainable
- Use clear and specific goals
