Principles of Geriatric Medicine Flashcards
Human aging is characterized by progressive constriction of the homeostatic reserve of every organ system.
Homeostenosis
When is homeostenosis evident
3rd decade
Time-consuming even when it is tailored to the problem
evaluation
old age
65-75 y/o
oldest old
> 85 y/o
middle old
75-85 y/o
nonagenarian
> 90 y/o
Gerontology
the scientific study of aging
functions of the msk system
limb movement
structural support
protection of the tissue
age- and disease-related loss of adaptation
frailty
symptoms of frailty
unintentional weight loss of at least 10 lbs over the year
self-reported exhaustion
weakness
slow walking speed
low physical activity
major cause of morbidity in older population
falls
common fractures in the older population
forearm, hip, and pelvis
risk factors for falls
age
physical impairments
cognitive impairments
previous falls
medications
comorbid conditions
chronic pain and arthritis
poor functional status
degenerative disease of the entire joint
Osteoarthritis
low bone density among older adults
osteopenia and osteoarthritis
bone mineral density score of pts w osteopenia
-1.0-(-2.5)
risk factors for osteopenia and osteoporosis
increasing age
FHx
Glucocorticoid therapy
smoking