Intro To Gero: Abuse, Demographics, Myths, Changed with Aging Flashcards

(40 cards)

1
Q

Physical Abuse

Provide example and intervention

A

use of physical force that results in bodily injury

  • Example: caregiver striking patient
  • Intervention: assess for signs abuse/neglect
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2
Q

Financial Abuse

Provide example and intervention

A

mismanagement or misuse of an older adult’s property or resources

  • Example: someone who takes advantage of an elderly person financially
  • Intervention: Teach pt about “scams”
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3
Q

Emotional Abuse

A

intentional use of threats, humiliation, intimidation, isolation

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4
Q

You’re a nurse in a long-term care facility. While assisting an older adult resident with bathing, you notice multiple bruises in various stages of healing on their upper arms. The patient becomes nervous when you ask about them and quickly changes the subject.

You’re not 100% sure if it’s abuse — what should you do?

A

Report your suspicions immediately

  • You are a mandated reporter.
  • Even if you’re not sure, it’s better to overreport than underreport.
  • Reporting ensures the situation is investigated to protect the patient.
  • Documentation is also critical — describe what you observed factually (e.g., location, size, behavior), without assumptions.
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5
Q

In the past decade, older adults age 65 or older grew by ________ (____%)

A

a third (34%)

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6
Q

Between 2018-2019, older adults aged 65 or older grew by ________ %

A

3%

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7
Q

What significant demographic shift occurred in the U.S. in 2011 that impacted the aging population?

A
  • first Baby Boomers turned 65, leading to a rapid increase in the 65+ population.
    -> No other age group experienced such a fast growth rate.
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8
Q

What was the size and proportion (%) of the 65+ population in the U.S. in 2018?

A
  • 52 million adults aged 65 or older
  • 16% of the U.S. population.
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9
Q

By 2030, the populartion of older adults aged 65+ is projected to grow by ______ - ________ (______%)

A

35-73 million (21% US population)

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10
Q

What percentage of older adults (65+) live in long term care facilities?

A

10%

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11
Q

What percentage of older adults (65+) report having a disability?

A

22%

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12
Q

Leading cause of death of people 65+ in 2022:

A
  • Heart DZ
  • Cancer
  • Covid-19
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13
Q

What is the reality of this myth?

All old people are sick and disabled

A

Most are healthy, live in community, and maintain independence

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14
Q

What is the reality of this myth?

Cognitive decline (ex: Dementia) is a normal part of aging

A
  • NOT normal/common
  • What is common: decreased reaction time and impaired memory for recent events
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15
Q

What is the reality of this myth?

Most old people go to nursing homes

A
  • Only about 10% of older adults live in nursing homes
  • Most live in and own their own homes
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16
Q

What is the reality of this myth?

Senility comes with old age

A

Cognitive impairment in not universal in older age

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17
Q

What is the reality of this myth?

Old people are unhappy and dependent

A
  • Tend to feel more content
  • Most maintain independence
18
Q

What is the reality of this myth?

Old people can’t learn

A
  • Capable of learning new things + adapting to new situations
  • May not learn as fast but does not mean they can not learn new things
19
Q

What is the reality of this myth?

Old people are no longer sexually active

A
  • Many older adults remain sexually active
20
Q

What is the reality of this myth?

People get “cranky” or “passive” with old age

A

People do not get cranky or passive due to old age

21
Q

Muted Illness

A

Illness may not be recognized because of atypical s/s

22
Q

How does aging affect recovery time and risk for complications after illness or injury?

A

↑ Age = ↑ need for recovery time = ↑ risk for problems or complications

23
Q

What describes the typical pattern of functional change in normal aging?

A

Gradual decline in function over time

24
Q

What lifestyle factors can contribute to a faster decline in function with aging?

A

Life altering, catastrophic health issues:

  • smoking
  • substance abuse
  • chronic stress
25
What are normal neurosensory changes in aging?
- ↓ sense of touch - ↓ proprioception - Impaired recent memory (short-term)
26
What are abnormal neurosensory changes in aging?
- Depression - Dementia - Delirium
27
What are normal cardiovascular changes in aging?
- Hardened blood vessels → ↑ cardiac workload → ↑ BP - ↓ Exercise tolerance
28
What are abnormal cardiovascular changes in aging?
- Circulatory disorders → hypoxia - Chest pain - Edema
29
What are normal respiratory changes in aging?
- ↓ Lung elasticity - ↓ Thoracic expansion - ↓ Vital capacity
30
What are abnormal respiratory changes in aging?
- Dyspnea at rest - Chronic cough - Cyanosis
31
What are normal gastrointestinal changes in aging?
- ↓ Taste and smell - ↓ GI motility
32
What are abnormal gastrointestinal changes in aging?
- Constipation - GI bleeding - Weight loss
33
What are normal genitourinary changes in aging?
- ↓ Bladder capacity - ↓ Bladder elasticity - Frequent urination - ↓ Renal blood flow
34
What are **abnormal** **genitourinary** changes in aging?
- Incontinence - Painful urination - Urinary retention - UTIs
35
What are normal integumentary changes in aging?
- Dry, wrinkly skin - Slow wound healing - Gray hair
36
What are abnormal integumentary changes in aging?
- Pressure injuries - Skin tears or bruising easily - Non-healing wounds
37
What is a normal metabolic change in older adults?
- ↓ Metabolic rate
38
What are abnormal metabolic changes in aging?
- Hypoglycemia or hyperglycemia - Electrolyte imbalances - Dehydration
39
What are normal reproductive changes with aging?
**Women**: Menopause → ↓ Estrogen **Men**: ↓ Testosterone
40
What are **abnormal** **reproductive** changes with aging?
- Painful intercourse - Prostate enlargement causing urinary retention