Common Health Problems in Older Adults and Their Impact on Oral Health Flashcards Preview

Geriatrics Final > Common Health Problems in Older Adults and Their Impact on Oral Health > Flashcards

Flashcards in Common Health Problems in Older Adults and Their Impact on Oral Health Deck (39):
1

age-prevalent

frequently detected in the aged

2

examples of things that are age-prevalent

1. osteoporosis
2. gingival recession

3

age-related

1. universal
2. progressive
3. irreversible

4

T/F: aging is insidious meaning it proceeds in a gradual, subtle way

true

5

examples of things that are age-related

1. increasing graying of hair
2. decreasing loss of height
3. increasing facial wrinkles
4. decreasing glomerular filtration rate

6

what are some common health problems in older adults?

1. arthritis
2. osteoporosis
3. visual impairments
4. hearing disorders

7

what is the 2nd most frequently reported chronic health condition in the US?

arthritis

8

T/F: arthritis is more common in men

false, women (28.3% vs 18.2%)

9

T/F: prevalence of arthritis increases with increasing age

true

10

which systemic autoimmune, inflammatory condition causes joint destruction, pain and stiffness?

rheumatoid arthritis

11

rheumatoid arthritis can lead to permanent damage and deformity, and disability

true

12

when is the onset of rheumatoid arthritis?

between ages 25-50

13

T/F: prevalence of rheumatoid arthritis for those 65 years of age or older is 2%

true

14

treatment for rheumatoid arthritis

1. combo of pharmacologic and nonpharmacologic therapies
2. reduce activity level
3. NSAIDS to reduce pain and inflammation
4. oral and intra-articular corticosteroids
5. prosthetic joint replacements

15

osteoarthritis generally affects patients over what age?

over 60 years of age

16

osteoarthritis is associated with what?

1. pain
2. limitation of motion
3. disability

17

osteoarthritis commonly affects where?

weight-bearing joints

18

how is osteoarthritis characterized?

by breakdown of cartilage, bony changes of the joints, deterioration of tendons and ligaments, and various degrees of inflammation of the synovium

19

treatment for osteoarthritis

1. combo of pharmacologic and nonpharmacologic therapies
2. reduce activity level
3. NSAIDS to reduce pain and inflammation
4. oral and intra-articular corticosteroids
5. prosthetic joint replacements (less often than R.A.)

20

oral health considerations for the arthritic patient

1. pharmacologically-induced xerostomia
2. may require abx prophylaxis due to joint replacement or immune suppression
3. susceptibility to infections
4. staff should be prepared to transfer patient from wheelchair

21

how is osteoporosis characterized?

by decrease in bone mass with decreased density and enlargement of bone spaces producing porosity and brittleness

22

T/F: osteoporosis is more prevalent in older patients

true

23

T/F: osteoporosis affects more women than men

true

24

treatment for osteoporosis

1. diet and exercise
2. calcium supplements and vitamin D
3. bisphosphonates

25

side effects of medications used to treat osteoporosis

1. sialolith
2. osteonecrosis of the jaws

26

T/F: osteonecrosis of the jaws is a side effect of medications used to treat osteoporosis and has low incidence but high morbidity

true

27

which age-prevalent visual impairment is the most prevalent?

cataracts > macular degeneration > glaucoma > diabetic retinopathy

28

cataract

clouding of the lens in the eye

29

macular degeneration

occurs when the small central portion of the retina, known as the macula, deteriorates which may result in blurred or no vision in the center of the visual field

30

glaucoma

pressure from excessive fluid in eye causes damage to the optic nerve so patients with glaucoma will have a hard time seeing the peripheries

31

diabetic retinopathy

caused by damage to the blood vessels in the tissue at the back of the eye (retina)

1. cotton wool spots
2. microaneurysms, edema and exudates
3. neovascularization

patient with diabetic retinopathy is blurry and nothing is in focus

32

presbyopia

vision condition in which the crystalline lens of the eye loses its flexibility so lens ages and stiffens

33

people with presbyopia have a hard time focusing on what?

close objects

34

T/F: presbyopia is a natural part of the aging process of the eye therefore is NOT a disease and cannot be prevented

true

35

what are the causes of age-prevalent hearing loss?

1. diabetes
2. meds
3. smoking
4. noise pollution
5. occupational hazards

36

presbycusis

loss of hearing that gradually occurs in individuals as they grow old

37

what is a common disorder associated with aging?

hearing loss

38

clinical implications of hearing loss

1. increased patient anxiety
2. less engaged in lengthy appointments
3. reduced efficiency of appointment time

39

patients with hearing loss are unable to do what?

1. provide informed consent
2. actively participate in tx
3. follow post-operative instructions