Exam Flashcards
(31 cards)
Patterson - Study of Aging
Short-term memory loss is normal, divided attention loss is normal. Difference is when these things affect our day-to-day life, ADLS! Lack of exercise, nutrition and socialization.
Secular - Study of Aging
population pyramid is turning into a T.
Myth: aging is downhill
Fact: we grow new brain cells as we age
Myth: Can’t teach old brain new tricks
Fact: Our brains rewire as we age to compensate
attention part of the brain is taken over by visuals.
Myth: As we age we slow down
Fact: Visually more observant actually
Pichora-fuller - study of aging
use it or lose it. older people have better vocab. 70 average for hearing aid
hearing loss and dementia- hypotheses- lack of hearing leads to social withdrawal which is less brain stimulation, loss of function
Comprehensive Geriatric Assessment
older adult health and wellness is dependant on the connectedness of social, physical, mental, functional and environmental circumstances.
what is ALWAYS inside our scope of practice
red flag hunting/reporting
observation
documentation
utilizing the interprofessional team
safety with mobility lab, what is something we always check for?
orthostatic hypotension
Contemplation stages
pre-contemplation
contemplation
preparation
action
maintenance
OARS
Open ended questions
Affirmations
Reflections
Summary
Alzheimer’s Society - how to make things accessible
signage, lighting, no music, extra staff, age related training, contrast in colours to see better. yellow is the first colour your eyes pick up.
Geriatric Giants
Falls, incontinence, malnutrition, pressure ulcers. FRAILTY AND DELIRIUM
Falls
falls leads to health issues and hospital stays. leads to greater risk of more falls and or fear of falling.
physical ability, misuse of equipment, improper shoes or lighting
Incontinence
Peeing yourself because you cant make it to the bathroom in time, didn’t know you had to go or leaking.
Age, female, physical functioning, frailty.
Kegels/exercises, schedules, fluid and diet management.
Malnutrition
not intaking enough calories, leading to unhealthy diet and weight-loss.
age, living situation, mental and physical functions, dietary needs.
eating with others, food modifications, snacks over meals
Pressure Ulcers
Friction damage to skin from not moving/consistent pressure. 4 stages.
Heels, butt, shoulder, head.
Change positions, hydration/diet, checking
Frailty chart
helps to see where the suspected challenges are in ADLs and IADLS
Delirium
extremely stressful for the body and the caregiver
person is severely disoriented
unable to make sense of the situation makes providing care hard
costs a ton of money for the healthcare system
could be a side effect to meds or an infection
Delirium vs Dementia
Delirium is all of a sudden, fluctuates rapidly. changes the person entirely
acute onset
can treat the underlying cause (possible to go away)
Frailty what can we do
home is safe
hydration and nutrition
mobilization
Delirium what can we do
education for caregiver
respond to what person is asking for (ie wife)
orient but don’t ruin reality
find clinical reason (usually one)
Osteroporosis
reduced bone quality and quantity.
excessive
wrist, spine, hip
female post menopause, inadequate diet, age, medications
education, proper nutrition, exercise, medications
Osteroarthritis
degenerative disease effecting joints, muscles, tendons and ligaments
excessive pain
age, female, obesity, previous injury
education, nutrition, exercise, medications
Congestive Heart Failure
inability for heart to pump effectively
shortness of breath, fatigue
inactivity, smoking, obesity
Diabetes
high blood sugar levels, type 1 (no insulin production), type 2 (not enough insulin).
excessive peeing, hunger, thirst. slow healing wounds.
Chronic Obstructive Pulmonary Disease (COPD)
emphysema (air trapping) or chronic bronchitis (irritation and cough).
excessive coughing and shortness of breath. wheezing.
