Adult Flashcards

1
Q

3 components of aging

A

biological aging, chronological aging, function

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2
Q

3 components of Pecks expansion of Erikson’s Ego Integrity vs Despair

A

ego differentiation vs work role preoccupation
body transcendence vs body preoccupation
ego transcendence vs ego preoccupation

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3
Q

ego differentiation vs work role preoccupation

A

they achieve feelings of worth from other areas ex. being a crossing guard

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4
Q

body transcendence vs body preoccupation

A

they learn to adjust to changes that are happening to your body

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5
Q

ego transcendence vs ego preoccupation

A

they understand death is coming but don’t stop living because of it ex. they get a will together, kids know where safety deposit box is

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6
Q

normal aging of skin

A

wrinkling, skin thinner, decrease in blood vessels, lentigo (dark spots on hands)

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7
Q

what do you need to look at with the older adult since there is a decrease in protection from UV rays?

A

vit D since they are not producing it

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8
Q

Leukoplakia

A

sore on lip from smoking

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9
Q

why are actinic and solar skin areas important to investigate?

A

because squamous cell carcinoma can occur underneath

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10
Q

since tenting is not a reliable measure of hydration in elderly what should you look at instead?

A

look at specific gravity in urine or weight

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11
Q

Deductive reasoning

A

general to specific (hyperparathyroid example)

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12
Q

Inductive reasoning

A

specific to general (gather Hx, you don’t know whats wrong)

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13
Q

visual impairment is related to what issue

A

loss of independence

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14
Q

what happens to lacramial glands and what does this cause

A

atrophy, dry eyes

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15
Q

BC>AC which type of problem

A

conductive loss on that side

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16
Q

can you hear weber in bad ear?

A

no

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17
Q

presbycusis is related to which hearing loss problem?

A

sensorineural

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18
Q

xerostomia

A

decreased saliva

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19
Q

type 1 Loss: menopausal is fast or slow? and when does it happen?

A

fast, happens during 1st 5-10 years of menopause

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20
Q

type II Loss: senescent is fast or slow? and who does it affect?

A

slow, effects both male and female

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21
Q

Sarcopenia

A

age related loss of muscle mass and strength

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22
Q

what should older people do to help with their muscles?

A

weight training

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23
Q

Detrusor instability

A

urge incontinence

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24
Q

is blood flow increased or decreased in older people?

A

decreased

25
Q

because kidneys are less responsive to ADH in older people, what will be found in urine?

A

increased NA

26
Q

S3 murmur is indicative of?

A

HF

27
Q

A brisk carotid is indicative of?

A

aortic sclerosis

28
Q

A delayed carotid is indicative of?

A

aortic stenosis

29
Q

Brisk vs delayed carotid?

A

aortic sclerosis/stenosis

30
Q

does BP go up or down with older people?

A

up

31
Q

frontal lobe function

A

language, aphasia happens here

32
Q

temporal lobe function

A

understanding , receptive aphasia happens here

33
Q

occipital lobe function

A

process visual inout/info

34
Q

Parietal lobe function

A

taste, pain, temp

35
Q

are mean glucocorticoids increased or decreased with age?

A

increased

36
Q

what happens to T3 as we age?

A

it decreases, they don’t need to replace it as much

37
Q

old people don’t respond to vaccines so what is needed?

A

boosters

38
Q

working memory

A

person can manipulate remembered info

39
Q

recent memory

A

last 24hrs

40
Q

which type of memory is the first type to be lost?

A

recent memory

41
Q

remote memory

A

remembered info from past

42
Q

implicit or procedural memory

A

memory of how to do simple things (eating, drinking)

43
Q

fluid (native) intelligence

A

who you are, its your baseline

44
Q

crystallized intelligence

A

what we learn, acquired through learning,

45
Q

which goes first fluid or crystallized intelligence?

A

fluid

46
Q

can Mild cognitive impairment occur with normal aging?

A

yes

47
Q

gold standard for assessment of polypharmacy

A

home inspection

48
Q

propreioception

A

the awareness of posture, movement and changes in equilibrium

49
Q

what is most concerning symptom of an old person?

A

weight loss

50
Q

what is the ideal BMI for elderly?

A

no ideal BMI

51
Q

what is gold standard for nutrition assessment?

A

mini nutrition assessment

52
Q

IADL (lawson)

A

helps to establish need for OT services, assess ability to perform 8 tasks

53
Q

KATZ index

A

assessment for ADLs

54
Q

FIC SIT

A

assess for balance, 4 positions

55
Q

Timed up and go (TUG)

A

assessment for fall risk

56
Q

> 20 sec for TUG tests indicates what?

A

impaired mobility

57
Q

agnosia

A

unable to recognize objects

58
Q

apraxia

A

difficulty following commands