Tutorial 4

Question 1

what is ageism ?

Answer 1

stereotyping and discrimination against people just because they are old

Question 2

what are the three main causes of death in poor countries?

Answer 2

heart disease
stroke
chronic lung disease

Question 3

what are the different types of population triangles?

Answer 3

stable 
constrictive
expansive 
stationary 
- low fertility and low mortality

Question 4

give some reasons for decreasing premature mortality ?

Answer 4

migration 
heath education programmes 
medical advances 
malarial prevention 
clean water 
nutrition

Question 5

what is the fastest growing age band?

Answer 5

+80yrs

Question 6

state some changes in the population in scotland?

Answer 6

people living longer with higher life expectancies
lower birth rates
more >50yrs living alone

Question 7

state some effects on health due to the growing population?

Answer 7

increased number of geriatrician required
increased facilities for elderly medicine will be required
care of long term conditions such as DM and HTN will become more complex due to mulitmorbidity

Question 8

state some effects on social due to the growing population?

Answer 8

grandparent, grandchild relationship will change
housing demands will likely change as more older people will be living alone
more demand for care homes and sheltered housing
older people will become increasingly dependant on their family

Question 9

state some effects on economic due to the growing population?

Answer 9

increasing retirement age
state pension may not be enough for people to live on without a private pension
less proportion paying tax
finding employment in high up jobs will become harder for younger people
increasing cost of “free personal are for the elderly” policy

Question 10

state some effects on politics due to the growing population?

Answer 10

current work force planning must take the ageing population into account
increasing elderly population may potentially have power to influence political decisions to relation to their specific concerns

Question 11

what plan can be done for someone close to the end of their life?

Answer 11

anticipatory care plan

Question 12

state some features of a proactive journey?

Answer 12

on GP register 
usual GP with support phone calls 
preferred place of care decided 
care plan and medication issued to home 
symptoms treated 
dies in preferred place
staff reflect and learn

Question 13

state some features of a reactive journey?

Answer 13

problems with pain and anxiety 
crisis calls to OOHs 
admitted to hospital after 999 call 
dies in hospital 
no discussion with patient or family 
no reflection of staff

Question 14

what are the three major sections of an anticipatory care plan?

Answer 14

legal
personal
medical

Question 15

who is responsible for planning and coordinating the care for the elderly ?

Answer 15

care manager

Question 16

what would be under the legal section of the ACP?

Answer 16

power of attorney

guardianship

Question 17

what would be under the personal section of the ACP?

Answer 17

next to kin contacts 
statement of wishes of treatment 
who else to consult 
religious/cultural beliefs 
current level of support

Question 18

what would be under the medical section of the ACP?

Answer 18

home care package
resuscitation status
electronic care summary
current aids

Question 19

what is the predictor of risk of admission?

Answer 19

PHEONY2