Week 1 (Aging Population)
Geriatrics refers to medical practice thats focuses on: -Complex needs of ______ ______ Maintenance of _________ ________ even in the presence of chronic disease
-older adults -functional independence
Household walker ______m/s
.4 or less
Limited community ambulator _______ -________m/s
.4-.8
You are considered to be dependent in ADL's and more likely to be hospitalized if you walk less than _______ m/s
.6
The normal average walking speed in meters/second is _______
.8
If you walk less than ______ m/s you will need an intervention to reduce fall risks
1
In 2014, ______ percent of the older population lived in poverty, and _______ percent of the older population was in the low income group.
10; 23
Life expectancy of people who survive the age of 65 can expect to live _______ more years.
19.3
A person is considered frail if they meet _____ of the 5 Fried's frailty criteria
3
In 2014, people in the high income group made up the largest share of older people by income at ______ percent
36
Life expectancy of people who survive to age 85 in women was _____ years and in men ______ years.
7.0; 5.9
The older population is projected to grow from 35 million to ______ million and represent ______ percent of the total U.S. population
74; 21
The fastest growing segment of the American Population is people over the age of ______.
85
Dementia is more prevalent in ages 65 and over or 85 and over? (percentages)
85 (30% in women and 24% in men)
The number two chronic heath condition in adults age 65 and older is _________.
Arthritis
(T/F) Medicare pays for dental services
F
Old age is not an illness. It is a continuation of life with decreasing capacities for adaptations
Frederick Verzar
Look at Fried's Criteria for frailty (answer)
Fried's Criteria for Frailty 1. Unintentional weight loss of 10 lbs or more in the past year 2. Self-reported exhaustion (person states that they are exhausted 3 or more days per week) 3. Muscle weakness (grip strength in lowest 20%: <23 lbs for women; < 32 lbs for men) 4. Low activity level (kcal/week— lowest 20%: 270 kcal/wk for women; 383 kcal/wk for men, equivalent to sitting quietly and/or lying down for the vast majority of the day) 5. Slowness
Name the order of the decreasing slippery slope of vigor with aging. (4 F's)
Fun-function-Frailty-Failure
The term iatrikos in geriatrics means?
Physician
Without higher incomes or stable jobs, there are increased chances of using _______ _______ later in life
social services
The term logos in gerontology means the ______ ______?
study of
Effects of inactivity on functional capabilities (BEDREST)
B: bladder and bowel incontinence and retention; bedsores E: emotional trauma; electrolyte imbalance D: deconditioning of muscles & nerves; depression; demineralization R: ROM loss and contractures; restlessness; renal dysfunction E: energy depletion; EEG activity decreases S: sensory deprivation; sleep disorder; skin problems T: trouble
Is depression common for people after the age of 80?
No less than 20%
What are the three principles of geriatric rehabilitation?
Variability, Activity, and Optimum Health
What is considered as the 6th vital sign?
Walking
Functional age is what the person is......
able to do or not do
Geriatrics and Gerontology both have the goal of understanding ______ so that people can be helped to maximizer their ________ and receive the highest ________
aging; function; QoL
Chronological age is based on the ______ ______
calendar year
The second most common cause of death after age of 65 is ________
cancer
The number two cause of death in people age 65 and older is _______ and has been _______ from ICD-9 to ICD-10
cancer; steady
Heart disease has had a steady _________ from ICD-9 to ICD-10, but it still is the ______ ______ cause of death in people age 65 and older
decline; number one
The proportion of the older population in the middle income group _______ from _____ percent (1974) to _____ percent (2014)
decreased; 33; 31
Marital status can have an affect on _______ and _______ well-being. Additionally, living widowed can have the individual living alone which may have ramifications.
emotional and economic
The most common cause of death after the age of 65 is ______ _____
heart disease
The number three chronic heath condition in adults age 65 and older is _________ ________.
heart disease
The second largest projected demographic group is expected to be the ______ or ______ race in 2060
hispanic or latino
The number one chronic heath condition in adults age 65 and older is _________.
hypertension
Higher levels of education are usually associated with higher _______, higher standards of ______, and above-average ________.
incomes; living; health
Educational attainment has continued to ________ steadily
increase
Geriatrics and Gerontology are both _______ _______
inherently multidisciplinary
More men die _______ versus women who die _______ in the age group of 85 and over
married; widowed
The term geras in geriatrics/geriontology means ______ ______?
old age
Gerontology refers to the the study of _____ ____, ______, and problems specific to _____ _____
old age; aging; old age
A person is considered pre-frail if they meet ______ or more of the Fried Frailty Criteria
one
Subjective age is based on how.....
the person feels
Educational attainment has effects throughout the life, which in turn plays a role in _______-_____ at older ages
well-being
