Adult Flashcards

(58 cards)

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?

25
because kidneys are less responsive to ADH in older people, what will be found in urine?
increased NA
26
S3 murmur is indicative of?
HF
27
A brisk carotid is indicative of?
aortic sclerosis
28
A delayed carotid is indicative of?
aortic stenosis
29
Brisk vs delayed carotid?
aortic sclerosis/stenosis
30
does BP go up or down with older people?
up
31
frontal lobe function
language, aphasia happens here
32
temporal lobe function
understanding , receptive aphasia happens here
33
occipital lobe function
process visual inout/info
34
Parietal lobe function
taste, pain, temp
35
are mean glucocorticoids increased or decreased with age?
increased
36
what happens to T3 as we age?
it decreases, they don't need to replace it as much
37
old people don't respond to vaccines so what is needed?
boosters
38
working memory
person can manipulate remembered info
39
recent memory
last 24hrs
40
which type of memory is the first type to be lost?
recent memory
41
remote memory
remembered info from past
42
implicit or procedural memory
memory of how to do simple things (eating, drinking)
43
fluid (native) intelligence
who you are, its your baseline
44
crystallized intelligence
what we learn, acquired through learning,
45
which goes first fluid or crystallized intelligence?
fluid
46
can Mild cognitive impairment occur with normal aging?
yes
47
gold standard for assessment of polypharmacy
home inspection
48
propreioception
the awareness of posture, movement and changes in equilibrium
49
what is most concerning symptom of an old person?
weight loss
50
what is the ideal BMI for elderly?
no ideal BMI
51
what is gold standard for nutrition assessment?
mini nutrition assessment
52
IADL (lawson)
helps to establish need for OT services, assess ability to perform 8 tasks
53
KATZ index
assessment for ADLs
54
FIC SIT
assess for balance, 4 positions
55
Timed up and go (TUG)
assessment for fall risk
56
>20 sec for TUG tests indicates what?
impaired mobility
57
agnosia
unable to recognize objects
58
apraxia
difficulty following commands