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Geriatrics Eval > Week 9 > Flashcards

Week 9 Flashcards

1
Q

are mental health conditions part of typical aging?

A

no

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2
Q

name 2 of the more common mental health conditions affecting older adults.

A
  • depressive symptoms

- anxiety

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3
Q

the number of seniors who receive counseling or therapy is __.

A

low

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4
Q

name 7 risk factors for suicide among older adults.

A
  • depression
  • physical illness
  • single or widowed
  • recent death of a loved one
  • drug or alcohol abuse
  • terminal abuse
  • previous attempts
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5
Q

suicide is most common among which group?

A

men 75 and older

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6
Q

describe the relationship btwn depressive symptoms and occupation.

A
  • loss of independence in ADL/IADLs can result in depressive symptoms
  • depressive symptoms can have a negative impact on ADL/IADLs.
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7
Q

____ is very common in early and middle stages of dementia.

A

depression

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8
Q

name 3 screenings for depressive symptoms.

A
  • center for epidemiological studies depression scale (CES-D)
  • geriatric depression scale (GDS)
  • patient health questionnaire (PHQ-9)
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9
Q

developed using criteria from DSM. assesses presence and severity of depression. has been used effectively with adults and older adults in home care, acute and primary care.

A

patient health questionnaire (PHQ-9)

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10
Q

which screenings for depressive symptoms are designed to be used for adults and which are used for older adults?

A

adults = center for epidemiological studies depression scale (CES-D)
older adults = geriatric depression scale (GDS)

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11
Q

antidepressants have only modest effects for which two groups?

A
  • those with late life onset of depression

- those with minor depression

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12
Q

name 5 OT interventions for depressive symptoms.

A
  • cognitive behavioral strategies (ex: implemented in the context of short-term rehab.)
  • lifestyle redesign
  • reminiscence
  • life review - one to one or workshop (group intervention)
  • physical activity
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13
Q
  • 8-week program, 1x/week
  • intervention manual
  • shared expectations and confidentiality
  • chronological decade by decade review of life experiences. includes an integrative component at the end.
  • includes writing tips, writing prompts, timed writing exercises, encouragements to write between sessions, opportunity to read work aloud and receive positive feedback on writing technique
  • research evidence
  • statistical vs. clinical significance
A

“share your life story” life review writing workshop

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14
Q

t/f - anxiety often co-exists with depression.

A

true

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15
Q

what is the most common anxiety disorder among older adults?

A

generalized anxiety disorder

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16
Q

anxiety can often be masked by ___ ___.

A

physical symptoms

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17
Q

name 3 screening tools for anxiety.

A
  • generalized anxiety disorder-7 item scale (GAD-7)
  • generalized anxiety inventory (GAI)
  • geriatric anxiety inventory-short form (GAI-SF)
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18
Q

-tool for screening for generalized anxiety and assessing severity

A

generalized anxiety disorder 7-item scale (GAD-7)

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19
Q

the generalized anxiety disorder 7-item scale (GAD-7) asks about what duration of time for anxiety symptoms?

A

last 2 weeks

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20
Q

name 2 effective interventions for anxiety in older adults.

A
  • cognitive behavioral strategies

- relaxation training

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21
Q

name 3 forms of relaxation training.

A
  • progressive muscle relaxation
  • use of imagery
  • breathing exercises
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22
Q

name 4 additional strategies for managing anxiety.

A
  • encourage client to seek social support
  • help client to identify precipitants of anxiety
  • encourage positive self-talk
  • explain all activities, use calm, slow speech. avoid excessive reassurance.
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23
Q
  • persistent difficulty discarding or parting with possessions
  • perceived need to save items and distress associated with discarding them
  • accumulation of possessions that clutter active living areas and compromise their intended use
  • causes clinically significant distress or impairment in social or occupational function
  • not attributed to another medical condition or disorder
A

hoarding disorder (HD)

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24
Q

T/F - HD is co-morbid with other health conditions.

A

true

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25
Q

t/f - stressful life events and childhood adversity are significantly associated with hoarding behaviors.

A

true

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26
Q

older adults with hoarding symptoms may have difficulty with which 4 cognitive capacities.

A
  • problem solving
  • categorization
  • shifting set
  • organization
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27
Q

name the screening tool for HD.

A

hoarding rating scale

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28
Q

describe treatment for HD.

A

combines behavioral approach (exposure) and teaching skills to support executive functioning (ex: planning, organizing, cognitive flexibility, problem solving)

29
Q

name 4 “dos” of working with people with HD.

A
  • match the client’s language (ex: “your collections”)
  • use encouraging language
  • highlights strengths
  • focus intervention on safety and organization first
30
Q

milder form of depression but persists over a longer period of time

A

persistent depressive disorder

31
Q

mild form of depression, less severe than persistent depressive disorder

A

subclinical depression

32
Q

how common is depression among older adults in the community?

A

20%-25%

33
Q

how common is depression among older adults in institutional settings?

A

50% +

34
Q

describe passive suicide behaviros.

A
  • not eating
  • not taking medications
  • stopping self-care
35
Q

why is it harder to diagnose depression in people with dementia?

A

overlap in symptoms

36
Q

series of questions regarding how they felt in the past week, 20 items, designed for use with adults and older adults

A

CES-D

37
Q

what is the period of time asked about in the CES-D?

A

1 week

38
Q

describe scoring on the GDS - 30-item version.

A 
0-9 = typical
10-19 = mild depressive symptoms
20-30 = severe
39
Q

describe scoring on the GDS - 15-item version.

A

greater than 5 = probable depressive symptoms

40
Q
  • help people incorporate pleasant events into their day

- ex: calling a family member, playing cards, stress management techniques

A

cognitive behavioral strategies

41
Q
  • recall past events that were meaningful and pleasant in our lives
  • often use objects to stimulate recall
  • “do you remember”
A

reminiscence

42
Q
  • talking or writing about your life from the time you were a child until present day
  • looks at life as a whole
  • writing workshop
  • integrative component - encouraged to think about life as a whole and about how far they have come and what they have learned and how they have evolved.
  • can be a group setting or one-on-one with an individual
A

life review

43
Q

name 2 cognitive behavioral strategies for anxiety.

A
  • thought monitoring

- behavioral activation

44
Q

-walk them through head to toe - contract and release muscles systematically

A

progressive muscle relaxation (PMR)

45
Q

-closing your eyes and picturing yourself in a calm and soothing place

A

imagery

46
Q

systematic efforts to achieve objectives such as changes in knowledge, attitudes, skills, and behaviors to maintain or improve function and/or health

A

community programs

47
Q

name 3 aspects of program planning.

A
  • establish priorities
  • diagnosing causes
  • allocating resources
48
Q

name 2 methods of collaborative planning.

A
  • involves the clients

- collaboration with stakeholders

49
Q

name 4 sources of funding for programs.

A
  • grants
  • private foundations
  • government
  • associations and civic groups
50
Q

short term funding solution

A

grants

51
Q
  • a systematic set of procedures that serves to identify and describe specific areas of need and available resources in a given population
  • leads to a clear set of program goals and objectives
A

needs assessment

52
Q

-prior studies, demographic data, census data, risk factor data, often found in city, county, state, and national organizations and government bureaus

A

secondary data

53
Q

name 6 strategies for program planning.

A
  • consider literacy
  • cultural relevance
  • feasibility
  • cost
  • ways clients obtain information and learn
  • anticipated effectiveness
54
Q
  • list of all information needed
  • list strategies, methods, materials, and tools to be used
  • develop and test needed instruments
  • data collection and analysis plan
  • plan to disseminate the results
A

evaluation plan

55
Q

name the 2 levels of evaluation.

A
  • process

- impact/outcome

56
Q

name the 4 aspects of marketing.

A
  • product
  • place
  • price
  • promotion
57
Q

name 3 aspects of sustainability for programs.

A
  • lay led models
  • booster session
  • connections to other resources
58
Q

people who live in the neighborhood and know what’s going on

A

key informants

59
Q
  • what we need for people to change their behavior
  • have to believe they’re susceptible
  • have to be exposed to knowledge or skills to help them change
  • have to be confident that they can actually make a change
A

health belief model

60
Q

name the 3 components of the health belief model.

A
  • have to believe they’re susceptible
  • have to be exposed to knowledge or skills to help them change
  • have to be confident that they can actually make a change
61
Q

looks at interpersonal factors, intrapersonal factors, and community level factors

A

ecological model

62
Q

which literacy level should be used to make sure everyone is able to understand?

A

4th grade literacy level

63
Q

lay person can lead an aspect of the programs

A

lay led models

64
Q

follow up session 3 months after completion of the program

A

booster sessions

65
Q

describe the time period for short-term goals.

A

weekly or 2 weeks

66
Q

describe the time period for long-term goals.

A

4 weeks - 8 weeks

67
Q

what is the period of time asked about in the GDS-SF screening?

A

past week

68
Q

is the GDS-SF standardized?

A

yes

Geriatrics Eval (12 decks)

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