Aging Flashcards

(33 cards)

1
Q

Biological Theories of Aging

A

Stochastic Theory: genetic damage leads to functional failure and death
Developmental/Genetic Theory: Aging is genetically programmed
Evolutionary Theory: genetic errors/accidents over time lead to aging

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2
Q

Psychological Theories of Aging

A

Lifespan Development Theory
Selective Optimization with Compensation Theory: recommends older adults select and optimize their best abilities and intact functions while compensating for declines
Socioemotional Selectivity Theory: older adults are motivated to hone their social networks to satisfy emotional needs
Cognition and Aging Theories: cognitive changes are a component of normal aging
Personality and Aging Theories: personality is stable over time

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3
Q

Sociological Theories of Aging

A

Life Course Perspective Theory:
Social Exchange Theory
Political Economy of Aging Theory: examines how resources are allocated to older adults and how treatment and status are impacted by trends
Critical Perspective of Aging Theory: trends in soical gerontology

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4
Q

Muscular Age-related changes

A

Changes may be due more to decreased activity levels
Loss of muscle strength (peaks at 30)
Loss of power
Loss of Mass
Changes in muscle fiber composition (increase in type 1)
Changes in endurance

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5
Q

Strategies to slow, reverse, or compensate for muscular system changes

A

improve overall health
Increase level of physical activity
Provide strength training to increase or maintain muscle strength
Provide flexibility and range of motion exercises to increase range of motion

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6
Q

Clinical implications for muscular age related changes

A

slowed movements
increased fatigue
decreased ROM
Unsteady gait -> increased risk of falls

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7
Q

Age related Skeletal Changes

A

Cartiliage changes
loss of bone mass and density
intevetebral discs flatten
Senile postural changes

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8
Q

Strategies to reverse slow, or compensate for skeletal changes

A

postural exercises
weight bearing exercises to decrease bone loss
nutritional, hormonal, and medical therapies

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9
Q

Clinical implications for skeletal age related changes

A

maintenance of weightbearing is important got joint health and mobility
increased risk of falls and fractures

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10
Q

Age Related Neuro Changes

A

Atrophy of nerve cells
changes in brain morphology
decreased cerebral blood flow
slowing of neural processes
changes in spinal cord
Age related tremors

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11
Q

Clinical implications for neuro age related changes

A

decreased speed and coordincation
decreased fine motor control
reaction time and movement time increased
learning and memory may be affected
Problems in homeostatic regulation

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12
Q

Strategies to reverse slow, or compensate for neuro changes

A

correct medical problems (blood flow)
improve health
increase levels of physical activity for increased neuronal branching
Provide strategies for motor learning and control

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13
Q

Age related vision changes

A

Presbyopia
Decreased adapation to light and dark
loss of color discrimiation
decreased pupil reaction
decreased corneal reflex
reduced oculomotor reponses

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14
Q

Age-related Macular Degeneration

A

appears as a blank spot in the central vision
Wet and Dry: wet progresses quickly and can be treated
Scotomas of all sizes and shapes can appear
Magnifier is not indicated

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15
Q

Diabetic Retinopathy

A

causes blurry or hazy vision in the central and peripheral vision
can develop from type 1 or 2
nonproliferative: earl stage of the disease, symptoms are not noticable or mild
Prolifertiave: new blood vessel growth in retina causing scar formation or retinal detachment (can lead to total blindness

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16
Q

Glaucoma

A

chronically elevated pressure in the eye that causes optic nerve atrophy or loss of peripheral vision
starts peripherally and moved more central
Medical intervention is available to decrease pressures

17
Q

Cataracts

A

lens hardening or thickening
decreased acuity and gradual loss of vision
Central vision is primarily affected
overall hazy and blurry vision
may require surgery

18
Q

Homonymous Hemianopsia

A

Result of CVA
half of visual field is lost in each eye
nasal or temporal half

19
Q

Strategies to reverse slow, or compensate for vision changes

A

maximize visual function
work in adequate light
provide eye patch for diplopia
assist in color discrimination
provide other sensory cues

20
Q

Age related hearing loss

A

Conductive: mechanical hearing loss due to damage to outer ear
Sensorineural: certral or neural hearing loss
Presbycusis: sensorineural hearing loss due to aging

21
Q

Strategies to reverse slow, or compensate for auditory changes

A

Minimize auditory distractions
use nonverbal communication
provide written directions
provide assistive devices for the home

22
Q

Age related vestibular changes

A

decreased number of vestibular neurons
diminished acuity
altered sensory organization
decreased postural responses -> increased fall risk, decreased balance

23
Q

Meinieres disease

A

episodic attacks of tinnitus, dizziness, sensation of fullness or pressure in the ears

24
Q

Benign paroxysmal positional vertigo (BPPV)

A

brief episodes of vertigo- less than one minute
common in older adults

25
Age related Somatosensory changes
decreased sensitivity of touch proprioceptive losses loss of joint receptor sensitivity (LOB) Cutaneous pain thresholds increase
26
Strategies to reverse slow, or compensate for somatosensory changes
assess for increased thresholds and sensory losses allow extra time for responses teach compensatory strategies to prevent injuries Provide increased feedback through sensory channels
27
Age related gustatory and olfactory changes
decrease in taste sensitivity diminished taste -> decreased enjoyment and poor diet decreased smell sensitivity
28
Strategies to reverse slow, or compensate for gustatory and olfactory changes
assess for identification of odors, tastes, and somatic senses
29
Age related cardiovascular changes
degeneration of heart walls decreased blood flow thickening of vessels increased blood pressure decreased blood volume
30
Clinical implications of cardiovascular changes
increased cardio response to exercise maximum heart rate declines orthostatic hypotension increased fatigue
31
Age related pulmonary changes
chest wall stiffens decreased total lung capacity
32
Clinical implications of pulmonary changes
increased ventilatory work increased likelihood of breathlessness Gag reflex is impaired -> increased chance of aspiration
33
Strategies to reverse slow, or compensate for cardiopulmonary changes
Assess cardiopulmonary function prior to completing the exercise program Multiple modes of exercise on alternating days Aerobic training programs tailored to the individual's needs improve overall daily activity levels