Week 12 - Health issues for an Ageing Population Part 2 Flashcards

1
Q

What exacerbates pain and disability?

A

Poverty
Access to healthcare
Health literacy

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2
Q

What is pain associated with?

A
Depression
Anxiety
Reduced participation
Mobility
Isolation
Sleep disturbances
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3
Q

What are the signs and symptoms of OA?

A

Pain, reduced ROM and swelling

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4
Q

Where does OA usually occur?

A

Large joints: hips, knees, shoulders
Hands and fingers
Spine

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5
Q

Where do 70% of falls resulting in hospitalisation occur?

A

In the home or aged care facility

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6
Q

How many people over 65 fall each year?

A

1 in 3

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7
Q

True or false, rates of injurious falls are greater at home than in aged care facilities?

A

False, higher rates of injurious falls in the aged care setting

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8
Q

What is the cycle of falling?

A
Fall >>> 
Fear of falling again >>>
Inactivity >>>
Decrease in muscle strength >>>
Imbalanced gait >>>
Increased risk of falling >>>
Fall >>>
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9
Q

What are the risk factors of falls?

A
Impairments in balance, gait and strength
Impairment in reaction time
Impairments in vision
Use of multiple medications
Depression
Cycle of deconditioning and fear of falls
Inappropriate footwear
Environmental hazards
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10
Q

What are some interventions for falls?

A
Exercise - individual/group, falls specific or mobility focused
Home assessment or modification
Medication review
Eyesight and glasses review
Cardiac function
Education
Footwear
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11
Q

What are cardiac causes of falls?

A

Syncope - Temporary loss of conscious due to lack of blood supply
Presyncope - light headedness

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12
Q

What are vestibular causes of falls?

A

BPPV
Vestibular neuronitis
Meiners disease

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13
Q

What is incontinence?

A

Any accidental or involuntary loss of urine of faeces

Can range in severity from a small leak in predictable situations to full loss of control or constant leaking

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14
Q

What are risk factors of incontinence?

A
Gender
Age
Pregnancy and childbirth
Prostate problems
Pelvic surgery or radiation
Impaired physical functioning
Reduced physical activity
Diabetes
Obesity
Cognitive impairment
Neurological conditions
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15
Q

What are the two types of incontinece?

A
Stress incontinence 
Urge incontinence
Mixed incontinence
Overflow incontinence
Functional incontinence
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16
Q

How is incontinence managed?

A
Thorough assessment
Surgery
Rehabilitation
Pharmacological
Incontinence aids
17
Q

What are the most common vision problems seen in ageing?

A

Cataracts
Macular degeneration
Glaucoma
Diabetic retinopathy

18
Q

What are cataracts?

A

The clouding of the lens/visual field. It causes blurring, decreased colour and glare sensitivity

19
Q

What is macular degeneration?

A

Loss of fine detail, with central vision most affected

20
Q

What is glaucoma?

A

A change in pressure in the eye

21
Q

What is diabetic retinopathy?

A

Changes to the small vessels and retina in the eye

22
Q

What is delirium?

A

The global impairment of mental function with disturbance of consciousness

23
Q

What are the signs and symptoms of delirium?

A
Confusion
Drowsiness
Perceptual disturbances
Emotional Disturbances
Psychomotor changes
Fluctuating
24
Q

What are the 4 main criteria of delirium diagnosis?

A

Rapid onset
Fluctuating
Impairment of attention
Change in cognitive function or perceptual disturbance

25
Q

What causes delirium?

A
Infection
Cardiac failure
Hypoxia
Electrolyte disturbance
End organ dysfunction
Stroke
Medications
Withdrawal
Trauma
Pain
Surgery
26
Q

What information is required for delirium diagnosis?

A

Collateral history
Review recent changes
Investigate for acute illness and reversible causes - blood test, infection screen and neurological investigation

27
Q

How is delirium managed?

A

Reassurance
Reorientation
Routine