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Geriatric Physio

Geriatric Medicine

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
Created by: Abarnard