lect 1: aging normal v impaired Flashcards
what are the functional imapcts of MSK changes in aging
reduced mobility, strength and endurance and function in daily activtities
what are some aging changes associatied with touch and functional impact
slower nerve conduciton velocities
patho conditions of skin and NS
-Decreased response to tactile stimuli
-Alterations in perception of pain
-Adversely affected by thermal extremes
how can the motor dimension be affected
Trunk, UE, LE
hypo and hyper tone (arom, prom, strengthen)
coordination
pain/edema
decreased sensation
balance
endurance
how can the behavior dimension be affected
agitation
apathy/flat affected
disinhibition
wandering
perseveraion
mental health changes
time line and focus for LTG CLSC/LTG
up to 6 months
QOL
time line and focus for LTG inpatient
1-2 months
adls/iadls, d/c
what are some aging changes associatied with vestibular and functional impact
more postural sway and diminished vestib righting response
=diffiuclty maintain balance and gait
increased fall risk
what are the MSK aging changes
decreased muscle and strenght, flexibiulty, endurance,
ikncreaed fatty and CT
less resilient tendon and ligs
cartiligae deterioration
loss of bone mass
time line and focus for LTG acute
2 weeks to 1 month
adls/safety
how can the vision dimension be affected
perception
unilatral neglect and hemianopsia
what are the vision changes as you get older
decreased tissue elasticity and tone
dec stregth of eye myscles
decreased corneal eye transpancey
degen of sclera, pupil., iris
increased frequence of disease
clsowly of CNS info processing
what are the 5 major dimensions that could be affected with neurological conditions
motor
cognitive
behavior
visual-perceptual function
swallowing
what are some aging changes in taste buds and their functional impact
decreased number of taste buds
=higher threshold for indentificaion of substances
tasteless food = nutrition proble s
what are the PNS and CNS aging changes
cerebrum atropohies, CSF fluid spcae
neuro loss
changes to synapses and NT
cellular abnormalities (ex: plaques)
what are the aging changes with hearing
loss of sensory hair cells in coch and inner ear
degen of central auditory pathwats
loss of NTs
how can the swallowing dimension be affected
dysphaia risk
aspiration
what are the 6 ways OT can help this population
reduce fall risk
adaptation of environemtn to stay home
technical aids to increae autonomy
increase participation in meaningful again
find new roles
change societal perceptions about agingw
what are the functional impacts of hearing as aging goes on
difficulty in hearing higher frequencies (prebycusis)
dimished ability for distingusing high consonants during convo
diff filtering background noise
time line and focus for LTG outpatient
2-3 months
iadls/profuctiveity and roles
what are the ages for senior, young geri and old geri
senior = 65-75
yoiung = 76- 85
old = 85 plus
what are the headers of the ICF
body structures (OPC)
body function (OPC)
activtiy limitation (solo OPIs)
participation (more public OPIs)
personal (EC)
environemntal (EC)
what are the subfomains in sensation
vision
hearing
taste
smell
touch
vestibular
what are the functional impacts of CNS and PNS aging changes
cognitive changes (ex: recal, misplaceing, word finding)
behavior abnormals.
reduces sensibility
reduced coordination, dexterity
slower reaction time
what is the defintion of a neurological impairement
Diseases, injury, or disorders that impair the
nervous system: central nervous system
(brain and spinal cord) and peripheral
nervous system
how can the cognitie dimension be affected
memory
allertness and orientation
attention
executive function
what is the overall OT process for neuro
data collection (interview, chart, friends, IDT)
intial problem list (ICF)
further assessment and refinement
neurofunctional analysis (return home, adls/iadls, roles, enagement socially, using strength based approach)
plan/goal setting
what are the functional impacts of vision with agin
decreased enar vision (presbyopia)
poor eye coordination
disotorion of images
blurred vision
decreaed depthperceptio and periphers
compromised night vision
loss of colour sensitiviety
what are the MAJOR functional impacts associated with neurological conditions
eating
communication
alds/basic needs
leisure
productvity
IADls
what are some aging changes with smell and functional impact
degen of sensory cells of nasal muscosa
=decline in odor sensitive, ability to appreciate food flavor, to detect harmful odors
what are some other dimensions affected by again
loss of ocial contact, heart and respiratory
sleep
psycho changs
polypharmacy
