Psychology of Ageing Flashcards

1
Q

Definition of primary ageing

A

Changes that we all expect

Mainly biologically determined and intrinsic to ageing process

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2
Q

Definition of secondary ageing

A

Changes influenced by behaviour and illness

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3
Q

What are the gerontological subgroups of the ageing population

A
Young old 60-75
-current group is better educated, wealthier
Old old 75-85
Oldest old 85+
-fastest growing segment of population
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4
Q

What are the 2 main reasons for the increase in elderly

A

Population of 1960s baby boom

Increased longevity but not necasserily a healthier life expectancy

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5
Q

What are the 2 common myths of ageing

A

Commonly viewed as living with severe limitations in social, physical, functional capacity

Associated with nursing homes, physical disabilities and intellectual decline

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6
Q

What are the 2 types of ageing

What properties are associated with each type

A

Primary

  • changes that we all expect
  • mainly biologically determined and intrinsic to ageing process
  • eg, speed of info processing, wrinkles, grey hair, decreased mobility and impaired vision

Secondary

  • changes influenced by behaviour
  • illness associated with behaviour and age
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7
Q

What are the age related changes in cognitive function and why

A

Decreased processing speed, slower reactions

  • decreased brain mass, grey matter, dendritic density, synaptic speed
  • increased decision making time, decreased plasticity

Decreased attention
-decreased selectivity and integration

Short term memory loss but new learning can be protective
Intellectual abilities do not show significant decline until late 70s

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8
Q

What healthy habits that reduce secondary ageing

A

Healthy habits that predict longevity don’t change with age

Physical exercise

  • motor skill improvement, increased muscle strength
  • increased levels of cognitive peformance
  • may prevent many declines that occur with ageing
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9
Q

What are the 2 actions that can be impacted by disability

A

Activitied of daily living (ADL)

  • bathing
  • dressing
  • using the toilet

Instrumental activities of daily living (IADL)
-intellectually demanding tasks (managing money)

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10
Q

What are the current views of quality of life

What do the elderly have to cope with

A

Most don’t have illnesses that seriously impair ADL, IADL
Maintain optimistic view of themselves and lives, regard health as good
Physical declines don’t decrease satisfaction with their lives

Generally have high levels of psychological wellbeing but have to cope with

  • loss of status related to retirement
  • bereavement and financial loss
  • chronic illness
  • social isolation
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11
Q

Describe the 3 factors in the Successful Ageing Paradigm

What is the key message of the SAP
What must be changed for this to be implemented

A
Good physical health
Retention of cognitive abilities
Continued engagement in activities
-social support
-productive activity

Disengagement is NOT normal, necassery or desirable for majority of older adults

Improve QOL and services for them

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12
Q

Describe the 3 stages in the Adaptive Process to Attain Valued Goals

A

Selection
-skills you want to maintain

Optimisation
-give more attention to skill

Compensation
-use alternative approaches to make up for natural losses

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13
Q

What are the 5 main risk factors for falls

A
Sensorimotor
Psychologica
-FEAR OF FALLING IS A HUGE FACTOR
Medical
Medication
Gait, balance and function
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14
Q

Describe the vicious post fall cycle

A
Fall
Fear of falling
Less activity
Decreased muscle strength and balance
Increased risk of falling
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15
Q

How would you reduce the incidence of falls

  • individual level
  • environmental level
A

Individual

  • Address fear with CBT (exceeds actual risk)
  • exercise training, strength, confidence building, improve vision

Environmental
-OH, removing hazards in the home

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16
Q

What are the risk factors for depression

Why is depression often underdiagnosed

A
  • Increased disabling health conditions
  • Cognitive and functional impairment
  • Lack/loss of close social contacts
  • Past history of depression
  • Carer burden, financial worries

Underdiagnosed as symptoms misinterpreted as ‘just being older’

17
Q

What are the 3 stages of dementia

A

Mild

  • retains judgement
  • affects memory, work, socialisation

Moderate

  • independent living is hard
  • help needed with some ADL, IADL

Severe

  • severe impairement in all ADL
  • constant supervision
18
Q

What are the stresses on the caregiver

A

Provide practical health

Large amount of stress

  • fatigue, sleep deprivation
  • decreased immunity, physical health
  • financial burden
  • main reason for older adult entering a care home
19
Q

What do you need to keep in mind as a doctor working with older adults

A

Avoid prejudices, stereotypes and assumptions based on age

Show interest and respect for patient’s past

Set achievable goals and recognise current progress

20
Q

What are the risk factors of abuse in older adults

A

More likely from spouse

  • mental illness or alcoholism in abuser
  • financial dependency on victims
  • social isolation and external stress
21
Q

How would you detect abuse as a doctor

A

Red flags
-missed appointments, doctor hopping, unexplained injuries

Ask client about mistreatment alone

Is the carer experiencing difficulties providing care

Assess social support system