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7 Geriatrics > L1 Intro > Flashcards

L1 Intro Flashcards

Demographics, Terminology, Role of PT

1
Q

What is aging?

A

dynamic, fluctuating, diverse, challenging, complex

synonymous with living

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2
Q

What is a generation?

A

cohort born in specific time period

develops and holds a collective worldview based on prevailing cultural influences, major events

cohort will reject or rebel against the worldview of generation before

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3
Q

What impacts the generational worldview?

A

economy, politics
work life balance
social constructs
language
values

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4
Q

How will generational identity impact patients?

A

needs, wants, and goals may differ from HCP

their approach to healthcare, health, wellness, aging

beliefs about their body, exercise

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5
Q

Silent Generation

A

1928 to 1945

major events include WW2, polio, TV

pts: healthcare is an entitlement, prefer clear explanations

colleagues: follow rules and expect professionalism

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6
Q

Baby Boomers

A

1946 to 1964

major events: vietnam, civil rights, feminism, computers

pts: alternative health, individualized approach

collagues: work is an identity, interested in learning

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7
Q

Gen X

A

1965 to 1979

events: family structure shifts, corporate downsixing, AIDs

pts: less access to PCPs, dislike bureaucracy

colleagues: dislike micromanaging, prefer education and efficiency

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8
Q

Millennial

A

1980 to 1996

Events: 9/11, Iraq, reality TV, cellphones

pts: increased obesity, least likely to be insured

colleagues: informal, need feedback

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9
Q

Gen Z

A

1997 to 2012

Events: Obama, recession, social media

pts: pragmatic, social, individualistic

colleagues: expect diversity, ready to enact change

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10
Q

Medicare definition of older adult

A

people who are 65 or older

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11
Q

Older Americans Act definition of older adult

A

individual who is 60 years of age or older

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12
Q

AARP definition of older adult

A

people age 50 and over

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13
Q

Senior games definition of older adult

A

athletes age 50 and older

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14
Q

Master athletics definition of older adult

A

athletes of 35 years of age and over

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15
Q

healthy aging

A

being capable of matching the challenges of aging

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16
Q

Slippery Slope of Aging

A

without exercise, will begin to go from fun, function, fraility to failure

muscle mass begins to decrease by age 30

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17
Q

Exercise initiated at…

A

middle age can still provide functional independence in old age

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18
Q

Ageism

A

bias against, discrimination towards, or bullying of individuals and groups on the basis of their age

19
Q

Examples of ageism

A

addressing as honey, dear, young lady
limiting vocab, dumbing things down
using sing-song voice
assuming dx due to age
assuming function due to age

20
Q

Psychosocial Aspects of Aging

A
  1. whole person approach
  2. Successful aging
  3. Cultural/Spiritual Influences
  4. Personality Traits
  5. Motivation & Engagement
  6. Life Transitions
  7. Sex and Intimacy
  8. Trauma Informed Care
21
Q

Whole person approach

A

successful aging

patient is not simply a collection of physical impairments and functional limitations alone

22
Q

Successful aging

A

process and an outcome with subjective and objective elements

23
Q

Cultural and spiritual influences

A

individual cultures have unique understanding within each community and interact with aging differently

spirituality involves the recognition of a feeling or sense or belief that there is something greater than self, and that they are part of a cosmic/divine entity

24
Q

Personality Traits

A

may affect longevity and a healthy aging process

various methods of characterizing a person’s personality

can impacted by resiliency, wisdom, loss, loneliness, grief, etc

25
Big five personality traits
extraversion agreeableness conscientiousness neuroticism openness
26
Motivation and Engagement
the general desire or willingness of someone to do something involves ethical principles, ethical dilemma, personalization, social support, patient-centered goals, integrating personality
27
Motivation and engagement
increased patient participation in goal setting and treatment planning improves outcomes and patient satisfaction link activities to goals, patients are boss, optimize intensity
28
Methods that patients can be motivated
beliefs unpleasant physical sensations individualized care social support goal identification
29
Life Transitions
occur through various stages of our lives and are when a person adopts and adjusts to a new life role marital status change, birthday, job status, relocation, family role change
30
Sex & Intimacy
sexuality and intimacy are core dimensions of life across the lifespan and should be considered as it relates to psychosocial implications and a activity restrictions can be emotional, intellectual, physical, experiential, spiritual
31
Trauma Informed Care
awareness of patient's prior trauma as well as any existing mental health conditions can increase a whole-body approach, necessitate collab with other disciplines, may increase PT empathy
32
Current life expectancy in America
76.4 years
33
One hallmark of aging is the
uniqueness of each person
34
Aging is
developmental gift of tech and scientific advancement
35
There is no...
universally accepted theory of aging
36
Assumptions of theories of aging
increased mortality w/age reduced ability to adapt increased vulnerability to disease consistent changes of body
36
Who is alive today?
silent baby boomers gen x millennial gen z gen alpha
37
Five levels of patient participation
1. Open ended or free choice 2. Multiple choices 3. Confirmed choice (offering suggestion) 4. Forced choice (checking for consent) 5. Prescription/no choice
38
Enhanced Med Rehab Principles for Motivation
Link activities to goals. Patient as boss, optimize intensity interviewing patient to figure out what activities would be best use self-efficacy and outcome measures to motivate link progress and functional activities to functional activities
39
Interventions to strengthen efficacy beliefs
1. Verbal encouragement 2. Role models 3. Decrease unpleasant sensations 4. Encourage practice 5. Educate about benefits
40
Using unpleasant physical sensations as motivations
1. Relieve discomfort with pain meds 2. Use alternative modalities 3. Behavioral therapy surrounding pain
41
Individualized care as motivation
1. Demonstrate kindness 2. Use humor 3. positive reinforcement 4. Recognition of individual needs 5. Write out what patient needs to do
42
Social support as motivation
1. Evaluate pts social network 2. Teach significant others how to verbalize support 3. Use social supports to help with goals
43
Goal identification as motivation
1. Develop realistic goals 2. Set goals that are short term 3. Set goals that are challenging but attainable 4. Use clear and specific goals

7 Geriatrics (9 decks)

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