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7 Geriatrics > L1 Intro > Flashcards

L1 Intro Flashcards

Demographics, Terminology, Role of PT

1
Q

What is aging?

A

dynamic, fluctuating, diverse, challenging, complex

synonymous with living

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2
Q

What is a generation?

A

cohort born in specific time period

develops and holds a collective worldview based on prevailing cultural influences, major events

cohort will reject or rebel against the worldview of generation before

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3
Q

What impacts the generational worldview?

A

economy, politics
work life balance
social constructs
language
values

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4
Q

How will generational identity impact patients?

A

needs, wants, and goals may differ from HCP

their approach to healthcare, health, wellness, aging

beliefs about their body, exercise

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5
Q

Silent Generation

A

1928 to 1945

major events include WW2, polio, TV

pts: healthcare is an entitlement, prefer clear explanations

colleagues: follow rules and expect professionalism

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6
Q

Baby Boomers

A

1946 to 1964

major events: vietnam, civil rights, feminism, computers

pts: alternative health, individualized approach

collagues: work is an identity, interested in learning

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7
Q

Gen X

A

1965 to 1979

events: family structure shifts, corporate downsixing, AIDs

pts: less access to PCPs, dislike bureaucracy

colleagues: dislike micromanaging, prefer education and efficiency

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8
Q

Millennial

A

1980 to 1996

Events: 9/11, Iraq, reality TV, cellphones

pts: increased obesity, least likely to be insured

colleagues: informal, need feedback

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9
Q

Gen Z

A

1997 to 2012

Events: Obama, recession, social media

pts: pragmatic, social, individualistic

colleagues: expect diversity, ready to enact change

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10
Q

Medicare definition of older adult

A

people who are 65 or older

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11
Q

Older Americans Act definition of older adult

A

individual who is 60 years of age or older

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12
Q

AARP definition of older adult

A

people age 50 and over

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13
Q

Senior games definition of older adult

A

athletes age 50 and older

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14
Q

Master athletics definition of older adult

A

athletes of 35 years of age and over

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15
Q

healthy aging

A

being capable of matching the challenges of aging

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16
Q

Slippery Slope of Aging

A

without exercise, will begin to go from fun, function, fraility to failure

muscle mass begins to decrease by age 30

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17
Q

Exercise initiated at…

A

middle age can still provide functional independence in old age

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18
Q

Ageism

A

bias against, discrimination towards, or bullying of individuals and groups on the basis of their age

19
Q

Examples of ageism

A

addressing as honey, dear, young lady
limiting vocab, dumbing things down
using sing-song voice
assuming dx due to age
assuming function due to age

20
Q

Psychosocial Aspects of Aging

A
  1. whole person approach
  2. Successful aging
  3. Cultural/Spiritual Influences
  4. Personality Traits
  5. Motivation & Engagement
  6. Life Transitions
  7. Sex and Intimacy
  8. Trauma Informed Care
21
Q

Whole person approach

A

successful aging

patient is not simply a collection of physical impairments and functional limitations alone

22
Q

Successful aging

A

process and an outcome with subjective and objective elements

23
Q

Cultural and spiritual influences

A

individual cultures have unique understanding within each community and interact with aging differently

spirituality involves the recognition of a feeling or sense or belief that there is something greater than self, and that they are part of a cosmic/divine entity

24
Q

Personality Traits

A

may affect longevity and a healthy aging process

various methods of characterizing a person’s personality

can impacted by resiliency, wisdom, loss, loneliness, grief, etc

25
Q

Big five personality traits

A

extraversion
agreeableness
conscientiousness
neuroticism
openness

26
Q

Motivation and Engagement

A

the general desire or willingness of someone to do something

involves ethical principles, ethical dilemma, personalization, social support, patient-centered goals, integrating personality

27
Q

Motivation and engagement

A

increased patient participation in goal setting and treatment planning improves outcomes and patient satisfaction

link activities to goals, patients are boss, optimize intensity

28
Q

Methods that patients can be motivated

A

beliefs
unpleasant physical sensations
individualized care
social support
goal identification

29
Q

Life Transitions

A

occur through various stages of our lives and are when a person adopts and adjusts to a new life role

marital status change, birthday, job status, relocation, family role change

30
Q

Sex & Intimacy

A

sexuality and intimacy are core dimensions of life across the lifespan and should be considered as it relates to psychosocial implications and a activity restrictions

can be emotional, intellectual, physical, experiential, spiritual

31
Q

Trauma Informed Care

A

awareness of patient’s prior trauma as well as any existing mental health conditions can increase a whole-body approach, necessitate collab with other disciplines, may increase PT empathy

32
Q

Current life expectancy in America

A

76.4 years

33
Q

One hallmark of aging is the

A

uniqueness of each person

34
Q

Aging is

A

developmental
gift of tech and scientific advancement

35
Q

There is no…

A

universally accepted theory of aging

36
Q

Assumptions of theories of aging

A

increased mortality w/age
reduced ability to adapt
increased vulnerability to disease
consistent changes of body

36
Q

Who is alive today?

A

silent
baby boomers
gen x
millennial
gen z
gen alpha

37
Q

Five levels of patient participation

A
  1. Open ended or free choice
  2. Multiple choices
  3. Confirmed choice (offering suggestion)
  4. Forced choice (checking for consent)
  5. Prescription/no choice
38
Q

Enhanced Med Rehab Principles for Motivation

A

Link activities to goals. Patient as boss, optimize intensity

interviewing patient to figure out what activities would be best

use self-efficacy and outcome measures to motivate

link progress and functional activities to functional activities

39
Q

Interventions to strengthen efficacy beliefs

A
  1. Verbal encouragement
  2. Role models
  3. Decrease unpleasant sensations
  4. Encourage practice
  5. Educate about benefits
40
Q

Using unpleasant physical sensations as motivations

A
  1. Relieve discomfort with pain meds
  2. Use alternative modalities
  3. Behavioral therapy surrounding pain
41
Q

Individualized care as motivation

A
  1. Demonstrate kindness
  2. Use humor
  3. positive reinforcement
  4. Recognition of individual needs
  5. Write out what patient needs to do
42
Q

Social support as motivation

A
  1. Evaluate pts social network
  2. Teach significant others how to verbalize support
  3. Use social supports to help with goals
43
Q

Goal identification as motivation

A
  1. Develop realistic goals
  2. Set goals that are short term
  3. Set goals that are challenging but attainable
  4. Use clear and specific goals

7 Geriatrics (7 decks)

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