Quiz #1 Flashcards
What is acute illness?
Sudden onset and reversible
What is chronic illness?
6 months or longer
Maximal body functioning occurs during what age?
Early adulthood (20-40 y/o)
What are the high risk groups of early adulthood?
Breast CA, testicular, skin, drug use, endocrine
MVA, homicide, suicide, injuries are the leading causes of death in which age group?
Early adulthood (20-40 y/o)
When is middle adulthood?
40-65 y/o
During this age related assessment, you can see a slight decrease in respiratory capacity, cardiac fxn, hair and skin changes, menopause, decreased testosterone, sperm count, HTN, CV, DM, arthritis, generativity vs stagnation
Middle adulthood
Integrity vs despair, leading causes of death are CV, COPD, lung CA, colorectal CA, PNA, chronic illness, and polypharmacy
Late adulthood 65+
What is the #1 killer of the elderly?
CAD
CHF, HTN, A. fib, type II DM, abdominal aortic aneurysm, diverticular dz and CVA are are common illnesses of
elderly
Urinary incontinence is NOT a physiological change. T/F. Why?
TRUE. It is a symptom and can be improved if not cured
What does DRIP stand for?
Delirium/drugs, restricted mobility, infection/inflammation, polyuria
What are the female GU etiologies?
weak pelvic floor muscles (s/p childbirth and menopause), cystourethrocele, hypermobile bladder neck, idiopathic detrusor underactivity, bladder tumor/stones
BPH, bladder tumor/stones, prostate surgery/irradation are
male GU etiologies
What are some of the general GU etiologies?
Parkinsonism, stroke, dementia, depression, NPH, cerebral/spinal cord tumor/lesion, autonomic neuropathy
What are some fall etiologies?
Pain (DJD, Paget’s dz, peripheral neuropathy, poor fitting shoes), joint stiffness/spasm (DJD, kyphosis, scoliosis, contractures, parkinsonism), muscle weakness (osteomalacia, peripheral neuritis), incoordination/ataxia (dementia, neurosyphilis, pernicious anemia, vestibular dz), unsafe environment/poor vision (dim lights, loose rugs, slippery floors, sidewalk cracks), and dizziness/vertigo, medications (sedatives, tranquilizers, antiseizure, antiHTN, diuretics, and antidepressants)
Soft tissue injuries, fractures, subdural hematomas are complications of
falls
What is post fall syndrome?
Develops post fall in which an elderly pt develops a lack of confidence and anxiety about further falls, leading to immobility w/ risks of urinary incontinence, pressure sores, pneumonia, loss of independence and eventually death
Name 3 vision deficits
Glaucoma, macular degeneration, and cataracts
Presbycubis is what kind of sensory deficit?
Hearing loss
This involves altered LOC, usually acute onset, may be superimposed over dementia, most often caused by illness, must treat underlying dz
Delirium
Demented patients respond to questions appropriately.
FALSE
Dementia involves
acquired, progressive intellectual impairment with clear consciousness loss of memory, changes in cognition, language, visulospatial skills, and must impact social or occupational functioning
What is a reversible deficiency of dementia?
nutritional (Vitamin B12)
Name 4 irreversible etiologies of dementia?
Alzheimer’s, multi-infarct, Pick’s, and subcortical
