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48 Cards in this Set

  • Front
  • Back

process of growing old

aging

study of factor that deals with illness involving the elderly

gerontology

branch of medicine that deals with illness involving the elderly

geriatrics

maximum survivable potential (110-120 y.o.)

life span

descrimination of age

ageism

late stage adulthood -> death (senile na sya)

senescence

premature aging syndrome

progeria

20 y.o but looks old (KMJS)

progeria

rare genetic d/o that cause a person to age prematurely, incurable mutation of Lamina A Gene

progeria

childhood onset= "Hutchinson-Gilford"

progeria

young adults= "werner's syndrome"

progeria

age/ disease related loss of adaptation

frailty

condition of being frail/weak

frailty

example:


body builder getting old

frailty

criteria: 3/5


1. generalized weakness


2. decrease physical weakness


3. decrease walking speed


4. self reported feeling of exhaustion


5. unexpected weight loss

frailty= to be classified as frail

1. young elderly


2. old elderly


3. old old elderly (frail)

classification of elderly:

60-74

young elderly

75-84

old elderly

>85

old old elderly

1. muscular changes


2. gait changes


3. skeletal changes


4. neuro changes


5. cognitive changes


6. sensory changes


7. cardiovascular changes


8. respiratory changes


9. integumentary changes


10. GIT changes


11. renal changes

physiological changes:

1. hypokinesis


2. sarcopenia

muscular changes

decrease in activity level

hypokinesis

decrease # of sarcomere

sarcopenia

functional unit of muscles

sarcomere

decrease muscle bulk


decrease strength, power, endurance

sarcopenia

clinical implication:


1. increase fatigue (d/t decrease power, strength, endurance) RISK


2. increase injury (d/t weakness); RISK


3. decrease functional mobility


4. decrease speed of mobility

muscular changes:

cause: fear of falling

gait changes

1. wide BOS


2. decrease step & stride length


3. decrease cadence & speed of mxmnts


4. decrease pelvic rotation & arm swing


5. increase period of DLS (double limb support)

gait changes

front wheel rolating walker


mobility


stability


foldable (portable/ convenient)

AD for gait changes

1. bone mass density


2. cartilage


3. IV disc


4. senile posture

skeletal changes:

decrease density secondary to reduce weight bearing or activity

bone mass density

cartilages in elderly will have decrease?

water content

majority is made up of water (for cushioning)

cartilage

cartilages decreases in water content d/t

degeneration/ erosion

IV disc decreases in

water content

IV disc decreases in water content will result to

decrease height

forward head


thoracic kyphosis


flat lumbar lordosis


hip & knee flexion

senile posture:

1. brain weight


2. lipofucin


3. senile plaque & neurofibrillary tangles


4. decrease nerve conduction


5. decrease reflex activity

neurochanges:

brain weight of elderly

decrease atrophy of nerve cells

brain weight of elderly decreases atrophy of nerve cells d/t

lack of use (use it or lose it)

a yellow- brown pigment d/t waste of fat deposition

lipofucin

in hair/ skin/ brain

lipofucin

hallmark of aging

lipofucin

liver spots

lipofucin

most likely in AD (alzeimers)

senile plaque & neurofibrillary tangles

sensory > motor

decrease nerve conduction

decrease reflex activity

increase reaction time (longer for person to react)

interventions:


1. allow increase reaction time -> better adherence, motivation


2. avoid long sequence -> short, clear, concise


3. use familiar activities + repetition

decrease reflex activity