Wheelchair Races Flashcards Preview

D3 Geriatrics > Wheelchair Races > Flashcards

Flashcards in Wheelchair Races Deck (41):
1

common oral disorders in the older adult

root caries, tooth loss, xerostomia

2

caries prevalence in the "very old": __% have coronal decay, maean number of coronal surfaces affected is __. ___% have untreated coronal decay. __% have root caries experience. mean number of root surfaces affected is __. __% have untx root caries

94, 32.1, 22, 54, 3.3, 24

3

lost teeth. 1 in __ adults aged 55 years or older have lost all of their natural teeth with rates of loss doubling between 55-64 and 65-74 and then increasing to more than __ among adults 85 and over

1 in 5 (21%), 40%

4

top 4 causes of tooth loss in old

1. caries, 2. perio, 3. pre-prosthetic, 4. fractures

5

major reason for tooth ext is caries, found in 60% of all cases and __% in the oldest age group

77%

6

xerostomia- there is _ _-_ diminution of parotid fluid output for either the unstimulated or stimulated states

no age-associated

7

parotid fluid rates show constant __ variability but this remains constant across life span. the responsiveness of the parotid gland to physiologic challenge is __ with increased age

normal, unchanged

8

not a flashcard- just a list of the meds that gives you xerostomia

anticonvulsants, antidepressant, antihistamin, anticholinergic, diuretic, hypotensives, muscle relaxants, narcotic, hypnotic, tranquilizers, sympathomimetics

9

4 urinary antispasmodics

hyoscyamine (cystospaz), obybutynin (ditropan), flavoxate (urispas), atropine/hyoscyamine (urised)

10

___ is loss of ability to think and remember of sufficient degree in order to interfere with social functioning and activities of daily living.

dementia

11

to be dx with dementia must have impairment of at least __ brain functions

2

12

according to NIH, swallowing problems occur in about 45% of those diagnosed with

alz and other dementias, this number increases as dementia progresses

13

__ is a progressive neurodegen. disorder that is characterized by relentless decline of cognitive function, judgement, perception, and personality. Ultimately the loss of distinctive and shared qualities that define an individual's existence

alz

14

in alzheimer's onset of symptoms until death is __ to __ years, with an average of __ years.

3-20, 8

15

nearly __% of all nursing home patients in us have alz. __% of those afflicted with disease live along. no tx has been proven totally successful in reversing course of the disease

50%, 70%

16

alz: recent __ loss that affects job performance, difficulty performing __ tasks, problems with __, disorientation of __ and __, __ or decreased judgement, problems with __ thinking, misplacing things, changes in mood or behavior, change in personality, loss of initiative

memory, familiar, language, time and place, abstract

17

test for alz

brain biopsy or autopsy

18

2 most common ways for alz pt to die

1. bronchopneumonia or aspiration pneumonia (40%) AND 2. ischemic heart disease (23%); cancer was only 3%

19

clinical issues when dealing with demented patients are cooperation, medications that alter oral environment, providing __ __, __ habits, post-operative care, and __ __

informed consent, dietary habits, home care

20

stages of alz disease. stage 1

disoriented in time (still able to perform self care, adapt to new removeable prosthetic, can introduce family to friend in oral health care)

21

stages of alz disease. stage 2

disoriented in time and place (engage family or friend in oral health care, power driven toothbrush of high value, use antimicrobial agents, removal posterior teeth with questionable prognosis)

22

stages of alz disease. stage 3

disoriented in time, place, and person (removable symptomatic teeth, med induced xero prevalent, discontinue removable prosthetic use)

23

after the age of __ patients teeth tend to become __, ___, and more ___, with the exception of __ sites which become __

35, darker, redder, saturated, yellow

24

old teeth have decreased __ and increased __

value, crhoma

25

when you get old there is graduate reduction in the amount of __ __ exposure and gradual increase in __ __ exposure

maxillary incisor, mandibular tooth

26

#1 cause of disability in US

stroke

27

90% of strokes in old people are __, 10% are __

ischemic, hemorrhagic

28

controllable risk factors for stroke (sorry this is lazy of me)

high BP, aFib, high cholesterol, diabetes, atherosclerosis, circulation problems, tobacco use and smoking, alcohol use, physical inactivity, obesity

29

uncontrollable risk factors for stroke

age, gender, race, family history, previous stroke/ TIA

30

common meds prescribed for stroke patients with implications for dentistry: 1. urinary antispasmodics cause ___. 2. antidepressants cause __ and __ __. 3. antiHTN cause ___ and _ __. 4. anticoagulants cause __ __. 5. broad spectrum antibiotics cause __ __

1. urinary antispasmodics cause xero
2. antidepressants cause xero and increased appetite
3. antiHTN cause xero and orthostatic hypotension
4. anticoagulants cause abnormal hemostasis
5. broad spectrum antibiotics cause oral candida

31

pts with stroke, dementia, pd, all, ms, or mg are at risk for

neurogenic dysphagia (stroke 45-75%, dementia 45%)

32

dysphagia affects about 50% of stroke its initially and improves within __ to __ days. __-__% are still dysphagia at 6 months

7-14 days, 11-13%

33

what is eval in oral mucosa sensory eval?

buccal, labial, lingual mucosas

34

posterior occlusal relationship: "freedom in ___", a wide __ is mandatory. horizontal overjet __mm throughout. minimal __ overlap. non-anatomic/flat plan tooth form, consider __ occlusion

centric, centric, 1.5mm, vertical, lingualized

35

oral and dental complications with stroke
1. absent or attenuated __ __, 2. __
3. __ and __ biting
4. compromised __
5. reduced _ retention

gag reflex
dysphagia
cheek and tongue
self-care
denture

36

__ is a chronic neurodegenerative movement disorder affecting voluntary and emotional movements and most commonly seen int he elderly, but is also found int he young and inexorably progresses leading to significant disability

PARKINSONS

37

leading cause of death in parkinson pts

pneumonia (50-64%), due to increasingly very high prevalence of dysphagia

38

common co-morbidities with parkinson's disease are (4)

caries, perio, diabetes, and chronic liver disease

39

there is an assoc. between hospitalization for pneumonia and untreated __ __

dental caries

40

in parkinsons pt, high prevalence of difficulty swallowing, perio and dental caries may lead to a greater risk of _ _

aspiration pneumonia (so maintain good OHI and use SDF!!!!!)

41

PD patients with bad tremors could benefit from a __ _ denture

implant supported