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461 - Exam 3 (MOST DIFFICULT) > Substance Abuse in Elderly PPT > Flashcards

Substance Abuse in Elderly PPT Flashcards

1
Q

_____ is defined in DMS-IV_TR as a “maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related tot the repeated use of substances.

A

substance abuse

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2
Q

Recent census data estimates that nearly 35 million people in the US are ___ or older.

A

65 years old

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3
Q

Substance abuse among those 60 years and older (including misuse of prescription drugs) currently affects about _______ of this population.

A

17 percent

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4
Q

The prevalence of medication misuse includes _____ in women .

A

11%

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5
Q

There is _____% misuse of opioids in the elderly population non medically.

A

1.4%

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6
Q

______ - ____% of elderly use benzos (overprescription, misdiagnosis, polypharmacy)

A

15.2 - 32%

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7
Q

19.6% of men and ____% of women binge drink.

A

6.3%

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8
Q

____% of men and 10.9% of women are at risk for alcohol issues?

A

16%

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9
Q

The prevalence of _____ use in the past 12 months is 14% in the elderly population.

A

tobacco

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10
Q

Illicit drug use in the past 12 months in the elderly is ____%.

A

11.7%

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11
Q

Alcohol slide 4

A

?

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12
Q

Physical Risk Factors for Elderly substance Abuse

A 
Male (alcohol)
Female (Rx durgs)
Caucasian
Physical disability
Transitions
Polymorbidity
Chronic pain
Reduced mobility
Poor health status
Polypharmacy
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13
Q

Psychiatric Risk Factors

A 
Avoidance coping
Hx EtOH problem
Previous SUD
Previous psych illness
Concurrent psych illness
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14
Q

Social Risk Factors

A

Affluence
Bereavement
Forced retirement
Social Isolation (divorce/separation/ lack of religious affiliation)

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15
Q

Physiological Changes which are contributing factors to substance misuse include decreased alcohol tolerance and _______.

A

increased risk for complications.

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16
Q

Psychological Changes which are contributing factors to substance misuse include dementia, depression, and _________.

A

concerns about hospitilization , nursing home placement and death

17
Q

When diagnosing substance abuse disorder, most refer to the Diagnostic and Statistical Manual of ______.

A

mental disorders

18
Q

Social and ____ factors sometimes add challenges when trying to diagnose substance abuse.

A

biological

19
Q

There are many symptoms/indicators of SUD; there can be physical, _____, psychiatric, or social indications that someone may be suffering from substance abuse.

A

cognitive

20
Q

These are all potential abuse indicators.

A 
Falls
Sensory deficits
Disorientation
Depression
Idiopathic Seizures
Financial problems
An increased drug tolerance
Running out of medication early
Borrowing medications
21
Q

Many of the drugs abused by the elderly are readily ________. For example alcohol and tobacco products are sold legally across the country.

A

available

22
Q

_____ is another commonly abused drug. It is now legal in multiple states across the country.

A

Marijuana

23
Q

_____ are another common source of drugs. For example narcotics and anxiolytics. Narcotics are pain relieving drugs, for example opiods. Anxiolytics are mood altering drugs and sometimes sleep aids, most commonly benzodiazepines.

A

Prescriptions

24
Q

The most common source of pain relievers for nonmedical use in users aged 12 and older?

A

free from friend/relative

and they received from one doctor

25
Q

The second most common source of pain relievers for nonmedical use in users aged 12 and older?

A

a dr

26
Q

The CDC states that older adults (aged 40 years and older) are more likely to use ________ than adults aged 20-39.

A

prescription opiods

27
Q

Review states slide

A 
NC 
SC
AL
MS
LA
AR
OK
TN
KY
WV
OH
IN
MI

most prescriptions per 100 people

28
Q

The ____ tool is a good way to screen for alcohol abuse.

A

CAGe

29
Q

Review slide 12

A

Screening technique questions

30
Q

Substance Options for Older adults include case management, ________ which include supportive therapy models (STM) and Cognitive Behavioral Therapy (CBT), and self help groups.

A

formal treatment system

31
Q

The _____ funds the majority of research on substance abuse and only concentrates on the most widely abused drugs.

A

federal government

32
Q

Heroine, Cocaine, and ______ were the prior primary focus on substance abuse research by the government.

A

amphetamines

33
Q

Elderly populations were not believes to use what drugs?

A

Heroine, Cocaine, and Amphetamines

34
Q

____ patients often hide and or downplay their use of substance.

A

geriatric

35
Q

Why is there not more research about elderly substance abuse?

A

misconceptions

461 - Exam 3 (MOST DIFFICULT) (9 decks)

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