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Geriatrics
| Term | Definition |
|---|---|
| 1935 Social Security Act | President Roosevelt helps alleviate financial burden for elderly |
| 1964 War on Poverty | President Johnson created a welfare state that expands the role of government on education and healthcare to reduce poverty |
| 1965 Older American Act | Helps elderly maintain maximum independence in homes and communities and promotes a continuum of care for the vulnerable elderly |
| Geriatric Care Manager | Helps plan for health care needs in home, community, daycare programs, volunteer opportunities, meals on wheels |
| Elder law attorney | Can advise and represent in court for planning and crisis situations |
| Medicare | National healthcare insurance policy for most people over 65 and many people with long term disability; Part A is hospital coverage and B is outpatient coverage |
| Medicaid | State program for low income people or those whose healthcare costs exceed their income |
| Geriatrics | The medical term for the study, diagnosis, and treatment of disease and health problems specific to older adults |
| Gerentology | The scientific study of aging that examines the biological, psychological, sociological factors associated with old age and aging |
| Erikson | Integrity vs. despair |
| Tornstam's Gerotranscendence | Feeling of increased affinity with past generations and decreased affinity in superfluous social interactions; feeling of cosmic awareness, increased enjoyment of solitude, decrease in material belongings |
| Bandura's Self-efficacy | We have control over our future;those with center of control outside of themselves have a weak sense of self-efficacy; thought that as you age you have less control over things and poorer health outcomes |
| Peck's Ego-integrity | 3 tasks to age successfully: ego differentiation, body transcendence, and ego transcendence |
| Ego Differentiation | Detach your ego from family, friends, job, and move forward and embrace change |
| Body Transcendence | Physical, cognitive, and emotional limitations that you must overcome |
| Ego Transcendence | Facing the reality of death ; must look back and construct the value of your life |
| Labouvie-Vief's Affect Optimization | Focus on the positive and eliminate the negative; self regulation of emotional life |
| The Five Factor Model of Personality | Openness to experience, Conscientiousness, Extraversion, Agreeableness, Neuroticism (OCEAN) |
| Fictive kin | Form a close personal relationship and emotional bond with people who are not blood relative and that person becomes responsible for them late in life |
| Sexual activity | Any mutual voluntary activity with another person that involves sexual contact whether or not intercourse or orgasm occurs |
| PLISSIT Model | Permission, Limited Information, Specific Suggestion, Intensive Therapy |
| Competency | The measure of an individuals mental process by a healthcare provider usually judged by the mental status exam |
| Capacity | The application of competency to the medical or legal standard |
| Wisdom | An integration of cognitive, reflective, and affective elements including awareness, acceptance of limitations, seeing the human condition with humor compassion and detachment |
| 5 Domains of the Initial Assessment of the Geriatric Patient History | Physical Health, Mental Health, Functional Ability, Social Support, Economic Resources |
| Medication Reconciliation | Part of the medical history that is usually some type of separate form that the patient takes away from the office, giving them and/or their caregivers clear and consistent instructions on which medications to take, when, and how |
| Geriatric syndromes | Collection of symptoms and signs common to older adults and not necessarily related to a specific disease |
| SAGE Test | Self Administered Geriocognitive Examination |
| Set Test/Category Fluency Test | 4 categories are animals, colors, towns, and fruits; patient needs to name 10 in one minute with no repeats testing their language, executive function, and memory |
| Transitional Care | Set of actions designed to ensure the coordination and continuity of health care as patients transfer between locations or different levels of care within the same location |
| Aging | A process of gradual and spontaneous change, resulting in the maturation through childhood, puberty and young adulthood and then the decline through middle and late age |
| Senescence | A process by which the capacity for cell division, growth, and function is last over time, ultimately leading to an incompatibility with life, thereby terminating in death |
| Frailty | Age related disability characterized by generalized weakness, impaired mobility and balance, or endurance and loss of muscle strength with or without reduce psychological reserve |
| Fluid Intelligence | Being able to organize information in new ways and generate novel ideas or hypothesize about phenomenons |
| Obstructive sleep apnea | Related episodes of cessation or marked decrease of airflow during sleep |
| Hypopnea | Partial decrease of airflow for greater than 10 seconds with drop in O2 sat. |
| Warfarin, Insulin, Digoxin | 3 most common drugs that cause adverse drug reactions in the elderly; they account for 1/3 of all ER/outpatient visits for people over age 65 |
| STOPP | Screening tool for older persons for potentially inappropriate prescriptions |
| Beers List | Specific list of medications that are generally considered inappropriate for elderly people |
| Delirium | An acute confusion state; a syndrome of a disturbance in consciousness with a reduced ability to focus, sustain, or shift attention |
| Xerosis | Dry or rough skin which is universal among older adults and responds well to topical emoliants |
| Seborrheic Dermatitis | Red rashes along the nasal/labial folds |
| Keratosis | Brownish/black "stuck-on" lesions |
| Bullous Pamphigoid | Tense blisters arise on an erythematous base and may itch |
| Squamous Cell Carcinoma | Skin cancer which is firmer, redder, plaque-like at times, has a 2-105 metastases rate |
| 4 principle components to continence | Adequate cognition, physical function, motivation, and appropriate environment |
| Physical Rehabilitation | Goal-oriented treatment process intended to maximize independence in individuals with compromised function that results from primary pathological processes and results in impairments and functional limitations |
| Interprofessional collaborative practice | When multiple health workers from different professional backgrounds work together with patients, families, caretakers, and communities to deliver the highest quality of care |
| Disablement | Impact of a pathology or insult on the functioning of specific body systems on human performance, and on functioning in necessary or usual roles in society |
| Disability | Inability to engage in age-specific, gender-related, or sex specific roles in a particular social context (inability to return to work or school) |
| Impairment | Loss of or abnormality of physiological, psychological, or anatomical structure or function; the natural consequence of pathology or disease |
| Handicap | Social disadvantage for a given individual |
| Functional limitation | Restriction of the ability to perform at the level of the whole person, a physical action, activity, or task in an efficient typically expected or competent manner |
Created by:
LexFuturePAC