Exam 2.3 Flashcards by collin jensen

Geriatrician

physician specializing in care of patients with multiple chronic diseases whose care can be managed but may not be cured

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Terms for seniors

elders, older adults, mature adults, elderly, aged, senior citizens

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Demography of seniors

85+ fastest growing segment of older population, increase in median age

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Factors affecting population size and age

fertility rates (baby boomers of 1946-1964), mortality rates (increase in life expectancy), migration

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Dependency ratio

economically unproductive to economically productive, traditionally defined by age

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Unproductive population

0-19 and 65+

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Productive population

19-64

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Labor force ratio

number of people actually working compared to those that do not, independent of their ages, can be affected by state of the economy

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Morbidity

activity limitations increase with age, chronic conditions, impairments

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6 instrumental needs that determine lifestyle for people of all ages

income, housing, personal care, health care, transportation, community facilities and services

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Instrumental tasks

housekeeping, transportation

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Expressive tasks

emotional support, socializing and inclusion

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Cognitive tasks

scheduling appointments, reminders to take medication

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Daily living tasks

eating, dressing, bathing

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Activities of daily living (ADLs)

measures of functional limitations

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Instrumental activities of daily living (IADLs)

measure more complex tasks

Care provider

helps identify the needs of the individual and personally performs the care giving service, informal (unpaid)

Care managers

helps to identify needs and makes arrangements for a paid or unpaid care giver

Respite care

planned short-term care, allow family caregivers to get a break

Myths of aging

assumes age 65+ is the same for everyone, assumes all change is decline, assumes 65+ is stage of frailty and illness

Facts of aging

more variability in late life than any other age, certain cognitive skills are stable/increasing, young old more similar to middle aged, healthier now than prior generations, better health behaviors, majority report good to excellent health

Trends of aging

graying of the population, global trend, oldest old is fastest growing group

Why the increase in seniors?

fertility rates, mortality rates, migration rates

Late life disability

need for assistance with activities of daily living, caused by either cognitive or physical pathology, impacted by psychological, social, environmental resources and barriers

Psychological disability

poor mobility + low motivation = higher disability

Environmental disability

poor mobility + live on 3rd floor with no elevator = higher disability

Cause of death for older adults

chronic medical conditions, not uncommon to have a period of disability prior to death

When ADL impairment occurs

need care, low impairment - often at home services, high impairment - residential care

At home services (not family)

meals on wheels or meals at senior center, homemaker services, transportation, home health, hospice, companionship for isolated seniors, adult day services

Daily tasks

eating, bathing, dressing, toileting, grooming, shopping, paying bills transportation, cooking, etc.

Ethnicity categories

Hispanic or Latino/Non-Hispanic or Non-Latino

Race categories

Black, Asian, Native Hawaiian/Pacific Islander, American Indian/Alaska Native, White

Hispanic Origin

lowest education of any group, religion plays important role in health, good health seen as a matter of fortune or reward from God for good behavior, Curanderismo

Curanderismo

a common form of fold medicine involves religion herbs, witchcraft, and science

Black Americans

more than half live in south, slightly lower high school graduation rates than whites, lowest median income of any group

Asian Americans

higher average education levels but distribution bipolar, higher average incomes than all other groups (bipolar), concept of balance is related to health and imbalance is related to disease

Pacific Islander

lower education levels and median incomes than whites, healer cannot be reimbursed directly for his/her therapeutic work, believed it is not appropriate for healer to get paid