Test 1 Flashcards by 3 3

What kind of calcium is most Easley digested?

Calcium citrate (22% unstable)

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What are the 3 supplements that are important to take for older adults?

Ca++, Vit D, B12

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T or F laughter does not decrease pain and depression?

False (of course it does dawg)

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What are some gold standard calcium sources?

Dairy yogurt, low fat milk

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What are some calcium thieves ?

Oxalate and phytate, high protein diets, high sodium diets, smoking, high iron intake, phosphorus

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What percent of people >65 live in nursing homes?

Less than 5%

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What are some things to help with prostate cancer?

Low fat diets, early detection, DRE

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What is a key tertiary prevention to OP?

Fall prevention

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T or F lower levels of spirituality are associated with better general health?

False (HIGHER LEVELS )

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What is the best way to measure bone density?

DEXA

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What is the RDA for calcium ?

1200-1500 mg day

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What is the fastest growing population subset?

85 years old and older

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What are the 5 assessments that should be done for older folks ?

Physical, functional, cognitive, nutritional/oral health, safety.

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What is the average US lifespan?

79.8 years old. (Men 76.8) females 81

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What Percent of Americans are overweight/obese?

> 60

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5 or more drugs are taken what are the changes of negative interactions?

50%

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What is a good way to assess cognitive status of an older adult?

Mini mental sate exam

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What are the two most important factors in regards to prevent OP (Primary prevention)

Most important is physical activity, also get lots of vitamin D

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When 2 drugs are taken what is the Percent chance of negative interaction?

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Who has highest rates of obesity ?

American American/Mexican woman have heist rates

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What are some risk factories for hip fractures?

Old, low weight, history of Fx, caffeine intake >2 cups of coffee a day), booze, blind

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What are the top 3 causes of death ages 65+?

Heart disease, cancer, stroke

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What is a good heart healthy diet?

Mediterranean

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What is a pill that can arrest Boone loss?

Alendronate (FOSOMAX)

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What is used to increase bone density in postmenopausal woman?

Caution in oral or nasal

How may people a day turn 65?

10,000

What percent of people 65-69 have no problem with self care?

85%

What race of patent may Make great use of facial expression ?

African Americans ?

What is the obese BMI?

How may osteoporosis related fractures are there a year?

1.5 mil

What people may not may contact with you out of respect?

Arab, Asian, indo Pakistani.

What adults smoke most?

Native American, blue collar, military

What culture believes in spirits and the evil eye?

Hispanic

What is a mental state characterized by dejection, lack of hope, and absence of cheerfulness ?

Depression

How many hours of sleep do older people get?

8hrs

What is the % of bone lost in pre menopause and then post menopause?

1%, 2-3% post

What percent of those people 85 years or older can do everything themselves?

55%

What fraction of women age 75 or older are osteoporotic ?

1/3

What are patient presentations of Alzheimer's ?

Memory impairment, aphasia, apraxia, impairment of social occupation, age 40-90, do disturbance of consciousness.

How many calories do old people need a day?

1200-1600

What is the minimum activity duration you should recommend to OP patients

3 times as week 15-20 min

What is the RDA for vitamin D a day?

800= iu a day. (~2000 iu okay)

Who has the most reduced physical activity?

Woman, stupid, african american and Hispanic, old.

What is an irrecoverable deteriorative mental state, the common end of may health conditions?

Dementia

What fraction of all chiropractic patients are 50+ and what is it projected to soon be?

1/3 now, 1/2 soon

In 2050 about mow many total people are protected to be at least 100 years old?

1 million

If a patient agrees with how many of the med checklist they are at risk for adverse drug reactions

By age 80 most woman have lost what percent of trabecular bone?

43% (men 27)

What age of patients are the most compliant of all?

65+

True or false the US does not have a shortage of health care professionals trained in geriatric care?

False

T or F volunteering improves health status and reduces pain in older adults?

True

What 2 groups may be unwilling to work with male doctors?

Muslin, Orthodox Jews

What are the 3 D's?

Depression, delirium, dementia

What is the fastest growing sub population in the us?

Mixed ethnicity

8 or more drugs what are the chances of a negative interaction ?

100%

What is the 4th leading cause of injury related death in aged people?

Depression

What is snoezeln ?

Multisensory environmental therapy, stimulates the senses. Soft music, foods, photos.

What is the most significant shift in health care?

HEALTH PROMOTION

What is the absolute best thing of parents with OP??

Physical activity (weight breaking (axial loading) activities are the best)

Besides get up and go test what are 2 other ways to assess functional status?

Barthel index, functional status index

What is the overweight BMI?

Less than or = to 25

What culture expects you to wear a white coat?

Hispanic

One in every ___elderly person in american exists below the poverty level?

1 outta 10

Who suffers from chronic low back back the most ?

Native American

What percent of depression are totally reversed with treatment?

80%

Older Perkins may take an average of how may persecutions a day, +over the counter?

5.7, 3.2

What is a common functional status assessment for older adults?

Get up and go test

You shouldn't take more that ____mg or calcium at a time?

500

What 4 things decrease in the aging GI system ?

Carb splitting enzymes, HCL, intrinsic factor, Ca and vit D absorption

What culture is associated with family over individual ?

Hispanic

What food to older people have a decreased need for?

Protein ?

Calcium carbonate needs what ?

Acidic gastric environment (40% unstable)

On a get up and go test, if it take longer that________sec further evaluation is needed

What is the principal drug safety issue in the us?

Polypharmacy

In older adults weight loss leads to...?

Death

What are some things one can do to help with colorectal cancer?

High fiber and Ca, low fat diets

What are some researched things that help with OA?

Adjustment, phys coal activity, TENS, acupuncture, glucosamine , ginger

How may verbal fx are reported a year?

700,000

What teens smoke the most?

White

What is a sate of mental confusion, with disorientation to time and place?

Delirium

What food reduces stoke risk?

Fish

_____% of those living 100 or more years are women?

80%

What is the fastest growing, specific tonicity in the us?

Hispanics

What bone density SD is considered osteoporotic ?

>2.5 SD blow the mean

Hs dropouts have a what times more rate of smoking than college grads??

Test 1 Flashcards

(85 cards)