Week 1 Flashcards

1
Q

How many people are over 65? What percent of the population?

A

44.7 million, 14%

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2
Q

By what year is it projected that those over 65 will outnumber those under 18?

A

2033

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3
Q

What is causing the increase in life expectancy?

A
  • advanced health care
  • improved infectious disease control
  • advances in infant/child care
  • improvement in nutrition and sanitation
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4
Q

What were the top 5 leading causes of death in persons over 65 in 1980?

A

1) heart disease
2) malignant neoplasm
3) cerebrovascular
4) pneumonia and flu
5) COPD

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5
Q

What were the top 5 leading causes of death in persons over 65 in 2013?

A

1) heart disease
2) malignant neoplasm
3) chronic lower respiratory
4) cerebrovascular
5) alzheimer’s

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6
Q

What are basic actions difficulties?

A

Captures at least one limitation in movement, emotional, sensory or cognitive functioning

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7
Q

What are complex activity limitations?

A

A limitation in at least one selected social role, such as living independently or working

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8
Q

Hayflick Limit Theory

A

Limited amount of cell population doublings, average being 50 per life of the cell

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9
Q

Evolutionary Theory of Aging

A

An expansion of natural selection and states that each successive generation is more resistant to mutations and when mutations occur, they occur at a later age

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10
Q

Stress Theory

A

Survival into old age is enhanced by high vitality and resilience due to an underlying resistance to stress by the genes

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11
Q

Neuroendocrine Theory

A

Functional decrements in neurons and their associated hormones are central to the aging process

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12
Q

Theory of Intrinsic Mutagenesis

A

Each species has specific characteristics of its genes that regulate the rate of errors, thereby affecting the life span.

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13
Q

Immunological Theory

A

The functional capacity of the immune system declines with age as a result of reduced T-cell function.

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14
Q

Free Radical Theory

A

Aging changes are due to damage caused by free radicals.

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15
Q

Caloric Restriction Theory

A

A life committed to a high-nutrient and low-calorie diet is beneficial and longer.

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16
Q

Error Theory of Aging

A

Any accident or error in either the machinery or the process of making proteins would cascade in multiple effects that would be incompatible with proper function and life.

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17
Q

Redundant DNA Theory

A

Biological age changes are a result of errors accumulating in genes. An accumulation of these takes over the system until it is exhausted.

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18
Q

Somatic Mutation Theory

A

Mutations or genetic damage result from radiation and these accumulate and create functional failure and death.

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19
Q

Transcription Theory

A

A control mechanism responsible for the appearance and the sequence of aging exists in the nuclear chromatin complex.

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20
Q

Cross-Linkage Theory

A

The large reactive proteins such as collagen cross-link and are responsible for aging.

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21
Q

Sleeping and Aging

A

Prolonged sleep loss effects homeostasis and the species’ ability to repair tissue.

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22
Q

The Hormonal Imbalance

A

There is too much growth hormone and not enough insulin, which leads to a less healthy and shorter life.

23
Q

Telemeres Theory

A

The length of the telomere is predictive of life span for that cell and ultimately of that organism.

24
Q

Progress of Cell Culture Aging Models Theory

A

Dysregulation of non-traumatic and non-inflammatory cell death has been implicated in the development of diseases more prevalent in older persons.

25
Q

Implications of the Genome Project Theory

A

Thre is a strong relationship between genetic influences and longevity.

26
Q

Werner Syndrome Theory

A

Normal people carry variants of the gene that influence the life spans or predispose them to an early death.

27
Q

What is the integrated model of aging?

A

Assumes that aging is a:

  • complex
  • multifactorial phenomenon in which some or all of the previously mentioned processes may contribute to the overall aging of an individual
  • aging is not adequately explained by any single theory.
28
Q

What are the key elements of evidence-informed practice?

A
  • best available scientific evidence
  • clinical experience and judgment of the practitioner
  • patient preferences and motivation
29
Q

What are the 5 steps of EBP?

A
1- ask
2- find
3- appraise
4- apply
5- evaluate
30
Q

What does PICO stand for?

A
P = population/patient/problem
I = Intervention or exposure
C = comparison
O = outcome
31
Q

What does TT stand for?

A
T = type of question (therapy/treatment, diagnosis, prognosis, harm/etiology)
T = type of study you want to find
32
Q

Therapy/Treatment Questions

A

Evidence supports how to select treatments to offer your patients that do more good than harm and that are worth the efforts and costs of using them.

33
Q

Diagnosis Questions

A

evidence supports how to select and interpret diagnostic tests, in order to confirm or exclude a diagnosis, based on considering their precision, accuracy, acceptability, expense, safety, etc.

34
Q

Prognosis Questions

A

evidence supports how to estimate your patient’s likely clinical course over time and anticipate likely complications of the disorder.

35
Q

Harm/Etiology Question

A

evidence supports how to identify causes for disease (including its iatrogenic forms).

36
Q

Type of Study for Therapy/Treatment Questions

A

Double Blind Randomized Controlled Trial

Systematic Review/Meta Analysis of Randomized Controlled

37
Q

Type of Study for Diagnosis Question

A

Controlled Trial

Systematic Review/Meta Analysis of Controlled Trial

38
Q

Type of Study for Prognosis Question

A

Cohort Studies: Case control, case series

39
Q

Type of Study for Harm/Etiology Question

A

Cohort Studies

40
Q

Type of Study for Prevention Question

A

Randomized Controlled Trial: Cohort Studies

41
Q

Type of Study for Quality Improvement

A

Randomized Controlled Trial

42
Q

Credibility

A

Internal Validity

“Can you believe the results?” were patients randomized?

43
Q

Transferability

A

External Validity

“Can the results be transferred to another situation”

44
Q

Dependability

A

Reliability

“Would the results be similar if the study was repeated with the same subjects in a similar context?”

45
Q

Confirmability

A

Objectivity

“was there an attempt to enhance objectivity by reducing research bias?”

46
Q

Gerantology

A

the study of aging and older adults

47
Q

Physical functioning

A

related to outcomes from hospitalization, nursing home admission, falling, level of dependency, and death in older individuals.

48
Q

Physical function

A

assess one’s ability to carry out activities that require physical actions, ranging from self-care to more complex activities that require combo of skills, often with social context

49
Q

Prevalent Activity Limitations

A

Decreased mobility (transfers), Hearing impairments, visual changes, decreased reaction time (increased risk of falls), difficulty with ADLs, IADLs, and work. Higher in obese, nonwhites, women, of lower socioeconomic status

50
Q

What is the average lifespan? For males? Females?

A
Average = 78.8
Females = 81.2
Males = 76.4
51
Q

Activities of Daily Living

A

basic self-care and personal hygiene

52
Q

Basic Activities of Daily Living

A

fundamental tasks necessary for survival (eating, bathing, grooming, transfers, toiling)

53
Q

Prevalanet Chronic Condition

A

Chronic condition in older adults that occurs in at least 80% of the population, with 50% having two or more conditions; arthritis is the most prevalent condition causing an activity limitation, hypertension, heart disease, stroke, diabetes, hearing and vision impairments, and fractures