Weeks 10 and 11 Flashcards
Dementia
-umbrella term for loss of memory and other thinking abilities severe enough to interfere with daily life (language, problem-solving)-Alzheimer’s=most common cause of dementia (60-80%)>microscopic bleeding and blood vessel blockage
-brain cells are damaged>causes issues depending on region of brain
-progressive
Dementia-conditions
-Alzheimer’s
-vascular
-Lewy body
-Frontotemporal
-Huntington’s
Dementia-signs and symptoms
-memory loss
-challenges in planning and solving problems
-difficulty completing familiar tasks
-confusion with time or place
-trouble understanding visual images and spatial images
-new problems with words in speaking or writing
-misplacing things and struggling to retrace steps
-decreased or poor judgement
-withdrawal from work and social activities
-mood changes
Dementia-risk factors
-cardiovascular conditions
-physical inactivity
-hearing loss
-sleep disturbance
-poor diet
-low levels of complex mental activity or stimulation in early life
-depression
-social isolation
Dementia-physio
-implicit/procedural learning strategies within the context of functional exercises
-reduce the change of the learner making a mistake=anticipate errors and intervene before they occur
-constant and blocked practice conditions=complete all of the STS exercises before moving onto gait training
-part to whole practice
-specificity of training=create a therapy environment than mimics living environment
-visual feedback=ensure vision is optimal
-integrate perceptual and sensory priming=practice in environments with sensory input they have previously experienced when completing tasks
Osteoporosis
-reduced bone mineral density (BMD)
-bone loses minerals faster than the body can replace them
-bones are more fragile and more susceptible to fracture>chronic pain when fractured
-most common at hip
Osteoporosis-risk factors
-age
-female=1/4 over 75
-family history
-low vit D and calcium levels
-low body weight
-excess alcohol consumption
-physical inactivity
-long term corticosteroid use
-reduced oestrogen levels>usually menopausal/post-menopausal women
Osteoporosis-recommendations
-prescribe regular, varied, high intensity resistance training and progressive balance training
-individualised and supervised programs
-assess falls risk and implement falls prevention programs
-avoid high impact activities for those with high fractures risk
-avoid forward flexion and twisting in vertebral osteoporosis
-modify diet, cease smoking, limit alcohol intake, education and psychosocial support (grade C)
Palliative care
-an approach that improves quality of life of patients and their families who are facing problems associated with a life-threatening illness
-prevents and relives suffering through the early identification, correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual
Palliative care-definition
When treatment will no longer cure or fully heal your illness
End of life care
The care provided when you are approaching the last weeks or days of your life
Life limiting illness
An illness that cannot be cured but the symptoms can be treated
Hospice
End of life care in a hospital setting
Palliative care in Australia
-increased demand b/c ageing population
-comprised of multidisciplinary teams to deliver care to people where the palliative needs are complex and persistent
-provided in almost all settings where all healthcare is provided
Palliative care-symptoms
-pain
-poor sleep
-confusion or delirium
-breathlessness
-weight loss
-constipation
-nausea and committing
-neurological or neuromuscular symptoms
