Lecture 2- Aging Flashcards
People are living longer, in better health, with less infant and midlife mortality. The effect of this is _________ the pyramid
Columnizing
Someone who has lived to age 100 is called….
A Centenarian, NOT a centurion
Iatrogenesis definition
When we harm our patients
What is the increasing number of elderly people doing to social frameworks like social security
It is using an unsustainable amount of the money available… Young people pay into it and there are not enough young people to support the number of old expecting/needing social security
- in addition, fewer pensions are offered.
Medicare costs are going _______, revenues are going ________
Up, Down
Medicare ranks _______ in terms of a purchaser of personal health care in the United states
2nd!- just behind private health insurance.
Almost 1/4 of all purchased
Medicaid pays for about how much in total nursing home costs in the U.S.?
Almost 1/2 of all nursing home costs are paid for by medicaid
______% of geriatric patients have three or more chronic illnesses
50%
cycle of frality
Decrease in total energy expenditure –> Chronic undernutrition –> Loss of muscle mass (Sarcopenia) –> decreased metabolic rate
What is meant by homeostenosis?
The function level of the body starts to decrease around middle age- and the body’s ability to fight that dysfunction decreases as well. Your “reserves” to fight traumatic events goes down
What are the Activities of Daily Living?
Transferring- "get up and go" Bathing or showering Dressing Eating Hygiene/Grooming Toileting
What are the Instrumental Activities of Daily Living?
Housekeeping Meal Prep Managing medication Checkbook (managing money) shopping Telephone Transportation
these activities aren’t necessary to live on own- but do need them to “function highly in society”
What is vulnerability?
The state of being open to injury
What is dependency?
Reliance on someone or something else
______, not age, should be the top criterion in medical decision making
Function
What percentage of people 85 and older are depend on others for assistance with everyday activities?
50%
The functional classification of age groups
Young adult- 20-39 (1st half of working life)- 90-100% of function
Middle Age- 40-64 (2nd half of working life) - 10-30% decreased function
Old Age - 65-74 (immediate post-retirement period) - significant loss of function but maintain homeostasis
What percentage of seniors report frequent attendance at religious events or practices?
50%
What percentage of seniors have Alzheimer’s?
7%
Is dementia a “normal aspect of aging”
NO- it is a deterioration of the mind and not normal
Dementia ranks as the ____ leading cause of death in seniors
5th
