Geriatric Medicine
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| those with more positive self perceptions of aging lived __ years longer than those with negative self perceptions of aging | 7.5
🗑
|
||||
| traditionally age __ has been designated as elderly b/c it is the age at which people in industrialized societies generally leave the work force | 65
🗑
|
||||
| by 2030 __ of the US population will be older than 65 | 1/5
🗑
|
||||
| the healthcare cost per capita for persons aged 65 or older in the US is __ times greater than the costs for those under 65 years | 5
🗑
|
||||
| what is successful (healthy) aging | no debilitating disease/disability, active healthy life until death from "old age", no unwanted features "tooth loss"
🗑
|
||||
| the number of people in the US older than 80 years is expected to __ in the years 2000-2030 | double from 9.3 million to 19.5 million
🗑
|
||||
| currently a 70 year old man can expect to live until age | 83
🗑
|
||||
| currently a 70 year old woman can expect to live until age __ | 85
🗑
|
||||
| despite the best genetic makeup and medical care, no one seems to live much beyond __ years | 125
🗑
|
||||
| challenges of geriatric care | normal aging vs pathology, diversity of population, multiple chronic diseases, polypharmacy, diagnosis vs functional status
🗑
|
||||
| depression in the elderly is the great __ | masquerader
🗑
|
||||
| never underestimate the morbid significance of __ | vision and hearing loss
🗑
|
||||
| care not __ | cure: support comfort, function, independance
🗑
|
||||
| look for __ in elderly patients, it is always present | undiagnosed disease
🗑
|
||||
| don't __ for mild conditions | overtreat
🗑
|
||||
| don't __ for serious conditions | undertreat
🗑
|
||||
| common diseases of the elderly | CAD, stroke, cancer, osteoporosis, arthritis, diabetes, depression
🗑
|
||||
| normal aging changes/disease progression (general) | increased fat, decreased total body water
🗑
|
||||
| obesity in the elderly __ | is a disease not a normal part of aging
🗑
|
||||
| consequence of increased fat and decreased body water in the elderly | drug effects-fat vs water soluble, increased risk for dehydration
🗑
|
||||
| how is cost of elder care funded | 57% public programs, 25% patient's families, 18% private insurers
🗑
|
||||
| 3 categories of aging | senescence, normal aging, successful aging
🗑
|
||||
| refers to the common complex of diseases/impairments that affect many older people, wide spectrum, as people age very differently | normal aging
🗑
|
||||
| three factors influencing longevity | heredity, lifestyle, exposure to environment
🗑
|
||||
| four predominant physiologic changes associated with normal aging | musculoskeletal, eyes, fat distribution, internal organ changes (cardiac output, renal function)
🗑
|
||||
| general change in total body water | declines 46-60%
🗑
|
||||
| change in muscle mass | 30% decrease
🗑
|
||||
| change in taste buds | 70% decrease
🗑
|
||||
| change in cardiac reserve | decreased CO
🗑
|
||||
| change in max heart rate | 195-155 bpm
🗑
|
||||
| change in lung vital capacity | 17% decrease
🗑
|
||||
| change in renal perfusion | reduced by 50%
🗑
|
||||
| change in cerebral blood flow | reduced by 20%
🗑
|
||||
| change in bone mineral content | reduced by 25-30% in women 10-15% in men
🗑
|
||||
| change in brain wt | reduced by 7%
🗑
|
||||
| change in amount of light reaching the retina | diminished by 70%
🗑
|
||||
| change in plasma glucocorticoid levels | no change
🗑
|
||||
| 3 body composition changes | decrease in lean body mass, increase in fat storage, decrease in total body water
🗑
|
||||
| body composition changes can affect | drug metabolism
🗑
|
||||
| 5 musculoskeletal changes | loss of bone mass, degenerative joint changes, loss of muscle mass, foot problems, decrease in stature
🗑
|
||||
| consequences of musculoskeletal changes | leads to fall risks/increasing daily pain
🗑
|
||||
| 10 common geriatric diseases at 65-74 | HTN, diabetes, glaucoma, cataract, CAD, osteoarthritis, dermatoses, arrhythmias, lipid disorders, bronchitis
🗑
|
||||
| many older people tend to conceal __ and do not seek medical care until the problems become major | minor problems
🗑
|
||||
| you must not only treat the disease but you must maintain __ | function
🗑
|
||||
| assessment to identify and manage fixable problems | clinical assessment
🗑
|
||||
| assessment to maximize independence through human, mechanical, or environmental manipulations | functional assessment
🗑
|
||||
| Successful primary care for the frail/complex older adult is based on | a special knowledge set and on a philosophy of care
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Abarnard
Popular Medical sets