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29 Cards in this Set

  • Front
  • Back
What is homeostasis?
Body conditions and health vary slightly around desired equilibrium.
What is homeodynamics?
level of balance/equilibrium points change/decline as we age
What is compression of morbidity?

Improved quality of life




Less chronic disease


Older age of onset of chronic diseases


Adding life to years


Decreased healthcare cost

What is the anagram for compression of morbidity?

I LOAD

What does it mean to add life to years?

finite period of time that humans can live, decrease period of disability

How does the survivorship curve relate to compression of morbidity?

Survivorship curve becomes rectangular, now we need that to happen with quality of life also. Historically, vulnerability to chronic illness increased and quality of life decreased at an earlier age, now we've pushed it (time of sickness less). Because of our technology, we have compressed period of sick so people get sick later.

What are three aspects of the alternative view of compression of morbidity?

Adding years to life


No improvements to quality of life


Increase in healthcare costs

What is the anagram for the three aspects of the alternative view of compression of morbidity?

ANI

What does adding years to life mean?

increase in the number of years people will be disabled

What is the thought process behind the alternative view of compression and morbidity and no improvements to quality of life?

Morbidity still occurs at the same age, people just live with that morbidity longer. Miserable for longer.

What is health span? What do compression of morbidity and the alternative view say about it?

period of time you're sick




Compression of morbidity says we've shrunk health span, alternative view disagrees.

What is the evidence for compression of morbidity? (2)

Older adults who exercise have fewer cumulative years with arthritis




Less demand for medical services

What is the evidence for the alternative view for compression of morbidity? (2)

Increase in heart disease, diabetes, and cancer among older adults.




Increase in the number of years older adults live with at least one disease.

What is epidemiologic transition?

Three stages: age of pestilence and famine, infectious diseases, and chronic disease.

What is the definition of stage one of epidemiologic transition?

High death arises from chronic malnutrition, infectious disease, and famine.

What is the definition of stage two of epidemiologic transition?

Decline in deaths from epidemics and famine and increase in deaths from infectious diseases.

What is the definition of stage three of epidemiologic transition?

Control of infectious diseases and increase in deaths from infections.

What is system failure?

Whole system doesn't have to fail.


Equilibrium is at lowest extent.

What is sudden death and what percentage of people die this way?

all good then massive heart attack and die


7%

Who was Bin Crosby and how did he die?

The "White Christmas" writer was 70 years old and playing a good round of golf. On the 18th green he sunk his last put and dropped dead of a heart attack (sudden death).

How did Michael Jackson die?

suddenly

What is death by terminal illness and what percentage of people die this way?

living well, get illness and then downhill


22%

How did David Bowie die?

cancer, few months to live (terminal illness)

How did Ted Kennedy die?

terminal illness

What is organ failure and what percentage of people die this way?

Ups and downs in downward trajectory. Go to hospital, get better then three months later in hospital again. 16%

How did Julia Childs die?

organ failure

How did Nancy Reagan die?

organ failure

How do most people die?

Frailty, whole system begins to wear down (47%).

How did Merle Haggard die?

frailty