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Human Disease > Medicine for the Elderly > Flashcards

Medicine for the Elderly Flashcards

1
Q

How many elderly patients have some decayed or unsound tooth?

A

> 50%

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2
Q

Elderly patients are more likely to have chronic diseases such as?

A

Cardiovascular
Neurological
Respiratory
Diabetes
Rheumatological

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3
Q

What are the 2 groups of elderly people?

A

Healthy
Frail

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4
Q

Fraility can be defined as 2 or more of what?

A

Depression
Dementia
History of smalls
MUST score of 1 or more

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5
Q

How can fraility be measured?

A

Rock wood fraility score

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6
Q

Elderly people may be have disabilities how can this affect them dental aspect?

A

Less manual dexterity
Less accessible unless they have cater
Deafness
Impaired taste
Visual problems

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7
Q

As a dental professional what should you consider when an elderly patient has disabilities?

A

Poor OH
Communication issues
Allow extra time
Respect

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8
Q

What is dementia?

A

Chronic confusion

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9
Q

What are the 3 main causes of dementia?

A

Alzheimer’s (60%)
Multi Infarct (20%)
Lewy Body (15%)

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10
Q

What are the 3 stages of dementia?

A

Inital
Mid
Late

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11
Q

What happens during the initial stage of dementia?

A

Simple forgetfulness
Reduced self care
Hardening of personality traits

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12
Q

What happens during the Mid stage of dementia?

A

Struggle with complex tasks
Loss of independence
Behavioural change

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13
Q

What happens during the late stage of dementia?

A

Inability to communicate
Total dependence
Unrecognisable

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14
Q

How is dementia diagnosed?

A

History
Exam
Cognition Tests

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15
Q

What is the treatment for dementia?

A

Non medical mostly supportive

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16
Q

What is in place in regards to consent in someone with dementia?

A

Adults with incapacity act 2000 Sect 47

17
Q

What is delirium?

A

Acute confusional state

18
Q

How is delirium diagnosed?

A

Confusion assessment method
4AT screening

19
Q

What may cause frail body?

A

Age
Multimorbidy
Illness
Malnutrition

20
Q

What may cause fail mind?

A

Age
Stoke
Dementia
Depression

21
Q

Depression is very common in elderly people. What should you consider as a dental professional?

A

Oral neglect
Compliance
Allow time

22
Q

10% of elderly people are malnourished. Why is this?

A

Lack of accessibility
Unable to eat or unwilling
Impaired appetite
Gastrointestinal problems

23
Q

What to consider when an elderly
patient is malnourished?

A

Identify the cause
Treatment if intra oral SE
Communicate to GP

24
Q

What medical considerations should you have with an elderly patient?

A

Avoid NSAIDs in over 80 yrs
Avoid overuse of antibiotics
Small dose of analgesics

25
Q

Frail people have limited life expectancy. What should you consider with this?

A

Realistic treatment and time frame
Treat the patient NOT the teeth

Human Disease (16 decks)

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