Unit 2 Geriatrics Flashcards
Many older adults continue to work to postpone retirement, Why?
1) Because the discontinuation of the work role causes a change in lifelong habits.
2) Many individuals self-worth is directly associated with their work roles.
The job market continues to show preference to what?
The young worker over the older more skilled worker.
What contributes to how a person adjusts to retirement?
The state of the individual’s health
When a person retires, their income is usually—?
reduced
What can change a persons income at retirement?
1) The access and cost of healthcare and medications
2) Maintenance of the home.
3) Travel and leisure activities may have to be cancelled.
What affects how we cope w/ our changing bodies?
How we view aging
What has a strong impact on our self-concept?
Physical appearance
What is gradual and allows you time to adjust to the changes?
Most aging
Those individuals who can’t cope well may become what, once physical changes and chronic illnesses start?
Depressed
What may cause frequent role changes in the family?
Physical or emotional illness
Older adults begin to face the reality of dying as what happen?
Their friends and loved ones die.
What is a big adjustment that is associated with aging individuals?
Income is often reduced.
What can stress and change cause anyone to have?
Difficulties remembering appointments or to be distracted easily.
Is 65 years of age the clinical basis for the dividing line for old and young?
No, there is no established age for old and young.
Define gerontology
The study of the normal effects of aging and age-related diseases on the human body.
Define Aging
A complex phenomenon that begins w/ birth and continues throughout the life span until death.
Define gerontologist
Geriatric specialists in advanced-practice nursing, geriatric psychiatry, medicine, and social services.
Old is divided into what 3 periods and what is the age ranges?
1) Young old 65-74
2) Old 74-90
3) Very old 90+
What causes irreversible damage to the brain?
Alzheimer’s disease or other conditions
Eric Erickson is most famous for coining the phrase?
“Identity crisis”
Who coined the phrase “identity crisis”
Eric Erickson
What was Erickson’s greatest concern in his life as well as in this theory?
Development of identity
In Psychosocial Theories of Aging, which theory does this describe, “Personality and coping remain constant with aging. Aging is seen as a part of the life cycle, not as a separate terminal state.”
Continuity-Developmental Theory
Each of Erickson’s stages are marked by a _____, for which successful resolution will result in a ______?
Conflict
Favorable outcome
Favorable outcomes are sometimes known as?
1) Virtues
What is the crisis of aging years?
Integrity vs despair
Integrity vs despair is a phase that occurs during ______ and is focused on ____?
old age
Reflecting on life
Name the 3 definitions related to despair.
1) Life has been wasted.
2) Experience many regrets.
3) Feelings of bitterness
What is the favorable outcome of aging years?
1) A sense of integrity and fulfillment.
2) Willingness to face death.
Which life stage has to adjust to the death of a spouse?
Late maturity stage
Name the 4 ways a person might feel relating to integrity.
1) Feel proud of their accomplishments.
2) Few regrets
3) General feeling of satisfaction.
4) Attain wisdom, even w/ confronting death.
What is Robert J. Havighurst most famous book?
Human Development and Education
Activity Theory is part of the Psychosocial Theories of Aging, define it.
Age-related changes which decrease activity must be replaced.
Each human has 3 sources for developmental task, what are they?
1) Tasks that arise from physical maturation.
2) Tasks that arise from personal values.
3) Tasks that have their source in the pressures of society.
Havighurst’s developmental task model is _____ dependent and all serve _______ depending on their _______.
Age
Pragmatic functions
Age
There are 6 major stages in human life. What is the age range for the Later Maturity Stage?
60 years old and over
Later Maturity stage have to adjust to decreased ____ and ____.
Physical strength
Health
Based on Biological Theories of Aging, describe the Clockwork Theory or Programmed Aging Theory.
Connective tissue have an internal clock that genetically program the length of one’s life.
Which major stage of human life has to adjust to retirement and reduce income?
Later Maturity Stage
According to Biological Theories of Aging, name the theory(s) that connect to “free radicals in the atmosphere cause breakdown in the aging process.”
Free-radical theory
Somatic mutation theory
Describe Disengagement Theory.
Individual and society gradually withdraw from each other.
People in Later Maturity Stage have to establish an explicit affiliation with?
One’s age group
According to the Biological Theories of Aging, define the Wear-and-Tear (stress theory and cross-linkage or collagen theory).
After repeated injury, cells wear out and cease to function.
Name the 3 Psychosocial Theories of Aging.
1) Disengagement theory
2) Activity Theory
3) Continuity-Developmental theory
Those who are in Later Maturity Stage have to learn to adopt and adapt to social _____ in a ________ ______.
- Roles
- Flexible Way
In the Biological Theories of Aging, what theory(s) are described by “A decline in the immune functions of the body, causes the body to slow.”
Immune-System Failure Theory
In Biological Theories of Aging describe the Autoimmune Theory
Results from the weakening of the immune system not recognizing the body’s own tissues and destroying itself.
Those who enter into Later Maturity Stage have to establish satisfactory what?
Physical living arrangements
How much height does a person lose per decade after the age of 30?
1 cm
The bladder wall elasticity will _____ with age?
decrease
50% of people will have what at the age of 50?
Gray hair
As a person ages, they will lose muscle mass loss in the deltoids. What will effect or cause will this have?
Shoulders will decrease in width
A person’s cardiac output with _____ 1% per year between the ages of 20 and 80. This will result from what?
- Decrease
_ The loss of cardiac muscle stregth.
Due to the gallbladder emptying less often, there is an increase in incidence of what?
Stones
Does anything happen to your posture or bones as you age? If yes what?
- Posture changes
- Bones loss mass
As you age what two colors are harder to distinguish between?
Green and blue
What is a normal result(s) that happen from your bladder capacity decreasing?
- Frequent urinations
-Nocturia
Grandma’s peripheral vision _____ and her sensitivity to glare will ____.
- Diminish
-Increase
Is it normal for the bladder and perineal area muscle strength to increase w/ age?
No, it’s normal for it to decrease
What happens to an elderly person’s ligaments and tendons?
They become less elastic.
As you age your head circumference will ____ and your ____ and ____ will lengthen.
- Decrease
- Nose/Ears
What are some physical factors that can cause a person to act in a bizarre way.
1) Illness
2) High or low blood sugars
3) Insufficient oxygen
When an elderly individual becomes disoriented, caregiver may assume _____ that this is a normal aging process.
assume
Clarification of the differences between ___, ____, and ____ can provide guidance for effective interventions
Dementia
Delirium
Depression
What does Dementia refer to?
Refers to the loss of cognitive abilities.
They may not know what a pen is called but they know that you should write with it.
What is the leading cause of dementia in the older age group?
Alzheimer’s disease
Only one in eight people will develop what?
Alzheimer’s disease
What disease does a pt have if they can’t remember the name of a chair but they know you should set on it.
Dementia
What should become a routine part of your assessment in an older individual?
Cognitive functioning assessment
Many early onset dementias are missed because what assessment isn’t done?
Cognitive functioning assessment
Medications, vitamins, and disease can cause dryness of what?
Lacrimal ducts (tear ducts)
What 3 things result when a women’s estrogen level decreases?
1) Deepening of the voice
2) Thinning pubic hair
3) Atrophy of breast tissue
As a man ages prostate gland will ____, causing a difficulty in ____.
- Hypertrophy
- Voiding
As you get older your incidence for glaucoma and cataracts will increase or decrease?
increase
True or False
Only the hair on your head will thin for men starting in their 30s and women after menopause.
False, it’s not confined to the head.
Is it normal for your liver to increase in size as you age?
No, it should be decreasing in size.
An older heart needs more rest between beats. What does this cause?
A slower heart rate
What changes delay wound healing?
Circulatory
What things can happen as a result of a normal decrease in peristalsis?
1) Constipation and increased flatus.
2) Delayed emptying of the esophagus, stomach and lower intestines.
What things can result in a person getting delirium.
Malnutrition
Electrolytes imbalance
Infection
Acid-based imbalance
Change in blood glucose
Hypoxia
Drug reactions
Dehydration
Head trauma
Delirium refers to?
Refers to a situation in which a person has a rapid change in behavior and thinking ability.
What condition usually results from an acute problem with physiological causes and is reversible?
Delirium
Define delirium
An acute problem which usually inhibits one’s ability to recall where he is, time of day or even their name.
Short term memory may or may not be intact.
Hallucinations or delusions may be present.
What things may result in delirium?
- Malnutrition
- Electrolyte imbalance
- Infection
- Acid-base imbalance
- Change in blood glucose
- Hypoxia
- Drug reactions
- Dehydration
- Head traumas are the most common
Define depression
A prolonged feeling of profound sadness and worthlessness.
Surviving losses is a part of what process?
Aging
Depression is more prevalent in ___ as they age.
Men
Many medications can produce a ____ deression
Pseudo