Term
People over age 65 are what percent of the population |
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Definition
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|
Term
What is the expected percent of people over the age of 65 in the year 2030 |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
|
Definition
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Term
What age group is the most rapidly increasing segment of many populations |
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Definition
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Term
What aspects need to be included in the geriatric history |
|
Definition
medical, functional, social, psychological |
|
|
Term
third most common chronic problem in older Americans |
|
Definition
|
|
Term
What instruments and tests could be used to test hearing impairment |
|
Definition
audioscope, otoscopic examination, whispered voice test |
|
|
Term
How do you test for cognitive impairment |
|
Definition
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|
Term
at what age should you start assessing for fall risk |
|
Definition
|
|
Term
What are two indicators of a fall risk patient |
|
Definition
>2 falls in the last year
History of vertebral, wrist, and or humerus fractures |
|
|
Term
What are several keys to primary prevention of falls |
|
Definition
regular exercise, reduce environmental hazards in the home, prevent osteoporosis with vitamin D and calcium |
|
|
Term
What are some secondary and tertiary prevention keys |
|
Definition
Home fall hazards checklist, treat risk factors, adjust dosing/frequency of medications |
|
|
Term
What are some secondary and tertiary prevention keys |
|
Definition
Home fall hazards checklist, treat risk factors, adjust dosing/frequency of medications, avoid sedatives, prescribe exercise, physical therapist |
|
|
Term
What should be prescribed to older adults at fall risk |
|
Definition
(800 IU) Vitamin D.
(1200mg) Calcium |
|
|
Term
How is osteoporosis most commonly diagnosed. What are some other ways it can be diagnosed |
|
Definition
Most commonly diagnosed by dual-energy x-ray absorptiometry of the total hip, femoral neck, or lumbar spine. It can also be diagnosed clinically or radiographically. |
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|
Term
What is the score that tells a physician that a patient has osteoporosis |
|
Definition
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|
Term
When taking a fall risk what are some of the aspects that need to be included in the history |
|
Definition
circumstance of falls, history of previous falls, associated symptoms, problems with movement, medications, co-morbid conditions, previous stroke, parkinsonism, cardiac disease, seizures, and osteoporosis |
|
|
Term
What should be included in the physical exam of a fall risk patient |
|
Definition
orthostatic blood pressure, timed up and go test, tandem walking, stance and gait, foot exam, mental status exam |
|
|
Term
What is the unintentional leakage of urine |
|
Definition
|
|
Term
How many people are affected by urinary incontence |
|
Definition
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|
Term
What other physical problems can be caused by urinary incontinence |
|
Definition
decubitus ulcers, sepsis, renal failure, urinary tract infections, death |
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|
Term
What are a few psychosocial implications of urinary incontinence |
|
Definition
loss of self esteem, restriction of activities(less exercise), depression |
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|
Term
What is the number one reason for nursing home placement |
|
Definition
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|
Term
What should the assessment of an incontinent patient include |
|
Definition
fluid intake, meds, cognitive functions, mobility, and previous urologic surgeries |
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|
Term
What is the number one question you should ask patients about incontience |
|
Definition
"Do you have a strong and sudden urge to void that makes you leak before reaching the toilet?" |
|
|
Term
always evaluate the patients ability to do what? |
|
Definition
hear, see, understand and provide an accurate history |
|
|
Term
What do you do when a patient comes in with multiple complaints |
|
Definition
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|
Term
What is the term for multiple drugs. |
|
Definition
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|
Term
What is the brown bag method |
|
Definition
Ask the patient to bring all of their medications, vitamins, herbs, etc with them in a brown paper bag |
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|
Term
Who should receive the influenza vaccine and how often |
|
Definition
All adults over 50. Annually |
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|
Term
Who should receive the pneumococcal vaccine and how often |
|
Definition
All adults over 65. Usually only once |
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|
Term
Who should receive the varicella zoster vaccine and how often |
|
Definition
All adults over 60. Only once. |
|
|
Term
How often should an individual receive the TDP vaccine |
|
Definition
|
|
Term
How many people are abused in the US(over 65) |
|
Definition
|
|
Term
How many incidents of geriatric abuse are estimated to go unreported? |
|
Definition
2 million(4x as many as are reporte |
|
|
Term
How many incidents of geriatric abuse are estimated to go unreported? |
|
Definition
2 million(4x as many as are reported) |
|
|
Term
What percentage of elderly abusers are family members |
|
Definition
|
|
Term
Are men or women more likely to be elder abusers |
|
Definition
There is an equal ratio of men and women abusers |
|
|
Term
Who are most likely to be abused
|
|
Definition
Elderly women <80 are more likely to be abused than men |
|
|
Term
What are the two main settings of elderly abuse |
|
Definition
Domestic, institutional(nursing home) |
|
|
Term
What are the five basic types of elderly abuse |
|
Definition
Physical, sexual, psychological, neglect, financial |
|
|
Term
What percentage of cases of elderly abuse are neglect
|
|
Definition
|
|
Term
How many of the cases of elderly abuse are physical |
|
Definition
|
|
Term
Is weight gain or weight loss more common in elderly patients |
|
Definition
Weight loss. Malnutrition is common |
|
|
Term
What are some factors of emergency preparedness that need to be taken into account |
|
Definition
plans for any illness or functional decline, plans for emergency, availability of emergency help, plans for any change in caregiver misfortune or ill health |
|
|
Term
Should you provide the patient with information of chances of recovery or not |
|
Definition
Yes. Always be truthful with the patient. |
|
|
Term
Short-term life expectancy |
|
Definition
Death within the next year |
|
|
Term
|
Definition
Death within the next 5 years |
|
|
Term
Long term life expenctancy |
|
Definition
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|
Term
When should the physician become worried about weight loss |
|
Definition
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|
Term
What physical measurement may indicate osteoporosis |
|
Definition
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|
Term
When should the physician be worried about changes in postural blood pressure |
|
Definition
>20mmHg fall in systolic pressure
>10mmHg fall in diastolic pressure
The patient experiences dizziness, lightheadedness, weakness, or syncope |
|
|
Term
Is high or low frequency hearing loss more common |
|
Definition
|
|
Term
What are ADL's and what are six of them |
|
Definition
Activities of Daily Living
Eating, Dressing, Bathing, Toiletting, Able to get out bed alone, able to walk without assistance, difficulty going up and down stairs |
|
|
Term
What are the IADLs and what are four of them |
|
Definition
Cooking, banking, making appointments, and ability to drive themselves |
|
|
Term
Besides vitamin D and calcium supplements how can you help osteoporosis |
|
Definition
|
|
Term
What is the six-second rule |
|
Definition
Give the patient an extra six seconds to answer all your questions and requests before you become concerned about cognition |
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|
Term
How are health benefits related to physical activity |
|
Definition
Health benefits are typically proportional to the amount of physical activity |
|
|
Term
What are two economic effect of activity in older adults |
|
Definition
It lowers medical expenditures and even sedentary adults who become active see a decrease in medical expenditures |
|
|
Term
What should be prescribed to a patient with cardiovascular disease |
|
Definition
increased physical activity to improve quality of life |
|
|
Term
Prescription for patient with bad cholesterol |
|
Definition
physical activity is essential to the nonpharmocologic treatment of elevated cholesterol. |
|
|
Term
prescription to patient with chronic lung disease |
|
Definition
lower and upper extremity training should be coupled with pulmonary rehabilitation |
|
|
Term
Prescription to patient with diabetes mellitus |
|
Definition
Aerobic exercise with precautions to prevent foot injury, as well as moderate weight training programs |
|
|
Term
Prescribed to fall risk patients |
|
Definition
long term exercise and balance training. |
|
|
Term
Prescribed to patients with high blood pressure |
|
Definition
Aerobic physical activity like walking 30 min/day 5days/wk |
|
|
Term
Prescribed to patients with osteoporosis |
|
Definition
Exercise in late years in the presence of adequate calcium and vitamin D intake. Especially resistance and high impact activities |
|
|
Term
What is vigorous aerobic activity |
|
Definition
20 minutes of vigorous physical activity 3 or more days a week |
|
|
Term
What is moderate aerobic activity |
|
Definition
Brisk walk or equivalent for 10 minutes at a time for a total of 30 min/day 5 day/wk. |
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|
Term
What is the recommended amount of resistance training |
|
Definition
Working major muscle groups 2 to 3 days/wk with 48 hours of rest in between at a moderate intensity. |
|
|
Term
What is the most feasible and safest method of resistance training for elderly adults |
|
Definition
|
|
Term
What is the best method of resistance training for individuals with lower fitness levels
|
|
Definition
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|
Term
How often should an elderly adult do flexibility training |
|
Definition
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|
Term
What is the point of flexibility training...besides becoming more flexible |
|
Definition
It permits and facilitates the types of physical activity that have health benefits |
|
|
Term
What are the advantages of moderate activity |
|
Definition
No special skills, equipment, or facilities are needed.
Relatively low risk of injury |
|
|
Term
Being identified as "old"is related to what? |
|
Definition
chronological age, health, functional ability, social roles, and self perception |
|
|
Term
What four things can contribute to communication difficulties in geriatric patients |
|
Definition
Cognition impairment, hearing loss, dysphasia, cultural barriers |
|
|
Term
What clues can you tell simply from observation about cognition and function |
|
Definition
unkept dress, poor personal hygiene, urinary incontinence, undue crying and anxiety. |
|
|
Term
How does the geriatric assessment differ from a normal assessment |
|
Definition
includes nonmedical domains, emphasizes functional capacity and quality of life, and it often incorporates a multidisciplinary team |
|
|
Term
What is different about illness presentation in older persons |
|
Definition
They often have atypical responses to illness. Ex: confusion due to an infection rather than to a neurologic problem |
|
|
Term
What percent of adults 85 years and older have dementia |
|
Definition
|
|
Term
What is the third most common chronic condition in older Americans |
|
Definition
|
|
Term
What are the first and second most common chronic conditions in older Americans |
|
Definition
Hypertension and arthritis |
|
|
Term
What sensory evaluations need to take place |
|
Definition
|
|
Term
Who should get a fall risk assessment |
|
Definition
All individuals over 65 with >/= 2 falls within the past 12 months, or those with a history of fractures, if they are unable to get out of a chair without using their arms, have to use a cane or walker, or if they have an unsteady gait. |
|
|
Term
What are three things that should be included in the fall risk assessment |
|
Definition
muscle weakness eval, balance, and orthostatic changes in blood pressure. |
|
|
Term
What will endurance and flexibility training always be prescribed with |
|
Definition
|
|
Term
How often is it estimated that a family member is the abuser |
|
Definition
90% of the time. Most often adult children or spouses |
|
|
Term
What over what age tend to be victimized more than men |
|
Definition
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|
Term
What are the four things that the geriatric physical exam includes |
|
Definition
mental status exam, postural blood pressure, visual and hearing assessment, and gait assessment |
|
|
Term
How long should the timed up and go test take? |
|
Definition
|
|
Term
there are 11 things overall that need to be included in the general screening assessment. What are they |
|
Definition
Functional status, visual impairment, hearing impairment, urinary incontinence, malnutrition, gait, balance, falls, depression, cognitive problems, osteoporosis |
|
|
Term
What does regular physical activity have an effect on |
|
Definition
Most if not all organ systems |
|
|
Term
what are the mortality rates of those who exercise compaired to those who dont |
|
Definition
Inactive adults have mortality rates that are 2x as high as those who are active |
|
|
Term
What is the life expectancy of a 65 year old woman who is not a smoker if she is inactive. What about active |
|
Definition
12.7 for inactive and 18.4 for active |
|
|
Term
Cardiovascular disease risk decreases most with what type of activity |
|
Definition
|
|
Term
bone density is most related to what kind of exercise |
|
Definition
resistance and high impact activities |
|
|
Term
What are the benefits of exercise for elderly patients with CVD |
|
Definition
reduction in mortality, symptoms, improvement in exercise tolerance and functional capacity and improvement in the quality of life. |
|
|
Term
What does cholesterol have to do with exercise |
|
Definition
Physical activity is regarded as ESSENTIAL to nonpharmalogic treatment of elevated cholesterol. |
|
|
Term
What type of exercise is recommended for patients with diabetes mellitus |
|
Definition
aerobic exercise. as well as moderate weight training. |
|
|
Term
What type of exercise is recommended for fall risk patients |
|
Definition
long term exercise and balance training |
|
|
Term
What type of exercise for high blood pressure |
|
Definition
aerobic physical activity such as brisk walking 30 min/ day most days a week |
|
|
Term
What type of exercise for knee osteoarthritis |
|
Definition
aerobic exercise and physical therapy involving range of motion exercises. |
|
|
Term
What exercise is recommended for an obese patient |
|
Definition
it should be an integral part of weight loss therapy and weight maintenance. |
|
|
Term
What type of exercise is recommended for patients with osteporosis |
|
Definition
Resistance and high impact activity alone with calcium and vitamin D intake |
|
|
Term
What should be considered besides medication for depression and mental health |
|
Definition
psychotherapy and exercise |
|
|
Term
How often should flexibility training be done |
|
Definition
|
|
Term
What is age-related decreases in skeletal mass and quality |
|
Definition
|
|
Term
What are three ways to encourage increased activity in older patients |
|
Definition
recommend exercise classes, set goals, increase activity over time. |
|
|
Term
WHat is the main risk of physical activity |
|
Definition
|
|
Term
What are the 5 A's for promoting physical activity |
|
Definition
Assess(patients activity level at least 1x/year), Advise(patient of recommended activity level), Agree(collaboratively with patient on goals), Assist(counseling/ self help materials), Arrange(follow up contact with the patient to monitor progree |
|
|
Term
Are pedometers an accurate way to measure progress. Why or why not. |
|
Definition
They can be, but they often miscount steps in adults with slow gaits, many steps do not count towards exercise, and a universal step goal is inappropriate. |
|
|
Term
What is the largest organ of the body |
|
Definition
|
|
Term
What are a few of the functions of the skin |
|
Definition
protection, temp homeostasis, excretion, synthesis, non-verbal communication |
|
|
Term
What are the three layers of the skin from top to bottom |
|
Definition
epidermis, dermis, hypodermis |
|
|
Term
What are the fiver layers of the epidermis |
|
Definition
corneum, lucidum, granulosum, spinosum, and basale |
|
|
Term
What is the epidermis made out of |
|
Definition
stratified squamous epithelim |
|
|
Term
How often does the epidermis replace itself |
|
Definition
|
|
Term
What type of cells are in the epidermis |
|
Definition
stem cells, keratinocytes, melanocytest, merkel cells(nerve receptors, and Langerhans cells(immune cells) |
|
|
Term
What are the upper layers of the epidermis made of |
|
Definition
dead cells filled with keratin |
|
|
Term
What type of tissue is the dermis made out of |
|
Definition
Strong, flexible connective tissue |
|
|
Term
What is located in the dermis. Specifically |
|
Definition
Gel like matrix containing collagen, elastin, and reticular fibers. It is rich in nerves, vessels, receptors, and hair follicles and sweat glands are located here. |
|
|
Term
What type of tissue is the hypodermis made out of |
|
Definition
|
|
Term
What is another name for the hypodermis |
|
Definition
|
|
Term
What is the purpose of the hypodermis |
|
Definition
|
|
Term
Who has less fatty tissue(which layer of the skin is that) and are therefore more sensitive to the cold |
|
Definition
It is less of the hypodermis and it is infants and the elderly. |
|
|
Term
Where is hair located on the body |
|
Definition
Covers the entire body except palms, soles, lips, nipples, and parts of external genitalia. |
|
|
Term
Growth of this skin derivitive is sensitive to hormones |
|
Definition
|
|
Term
How many hair follicles are babies born with |
|
Definition
As many as they will every have. We don't grow or develop any more hair follicles. |
|
|
Term
What are the fastest growing cells in the body |
|
Definition
|
|
Term
What is hair heavily filled with or made out of. |
|
Definition
|
|
Term
What type of glands are associated with hair follicles |
|
Definition
|
|
Term
What are two types of sweat glands |
|
Definition
|
|
Term
|
Definition
They are sweat glands that cover the entire body, mostly on the palms, soles, scalp, and armpits. |
|
|
Term
|
Definition
Sweat glands the produce phermomones. Limited to the armpits and genital areas. |
|
|
Term
What is in the secretions of apocrine glands |
|
Definition
proteins and fatty acids in addition to sweat. |
|
|
Term
Name the four types of skin glands we talked about |
|
Definition
sebaceous, sweat, mammary, and ceruminous |
|
|
Term
What is another name for natural aging |
|
Definition
|
|
Term
What are some reasons for chronological aging |
|
Definition
atrophy of dermal tissues and vascularity, decreased protein production, shrinkage of sebaceous glands, fine lines, benign growths, dryness of skin. |
|
|
Term
|
Definition
Responsible for most of what we consider "old" skin. |
|
|
Term
|
Definition
|
|
Term
What does photoaging cause |
|
Definition
hyperplasia and hypertrophy, deterioration of collagen and elastin, atypical cells in the basla layer and in melanocytes, abnormal pigmentation, dilated blood vessels, actinic changes, and skin cancers. |
|
|
Term
What is type 1 glogau photoaging classification wrinkle scale |
|
Definition
minimal wrinkles, mild pigment changes, no keratoses (age 20-30's) |
|
|
Term
What type of classification on the wrinkle scale would be someone with keratoses palpable but not visible, smile lines and early lentigines |
|
Definition
|
|
Term
WHat types on the wrinkle scale is someone with obvious dyschromia, wrinkles even when not moving, telangiectasia, and visible keratoses. |
|
Definition
|
|
Term
What type of photoaging causes a person to have yellow gray skin, no normal skin, wrinkles everywhere, and skin cancers may occur |
|
Definition
|
|
Term
What happens to the stratum corneum as we age |
|
Definition
It becomes drier, and more brittle. |
|
|
Term
What happens to the epidermis as we age |
|
Definition
smaller rete ridges(less adhesion, more easily torn), decreases number of langerhan cells(decreased immunity), and decreased melanocytes(dyschromia) |
|
|
Term
What happens to the hair with aging |
|
Definition
scalp has a decresed rate of growth as well as decreased diameter of hair, and decrease in pigment. |
|
|
Term
What happens to hair in males over 65 |
|
Definition
decreased hair on scalp and in beard, increased hair in nose, eyebrows, and ears |
|
|
Term
what happens to hair in females over 65 |
|
Definition
increased hair on lip and chin, decreased hair on scalp, axillae, and pubis. |
|
|
Term
What happens to the eccrine glands with aging |
|
Definition
fewer, and the ones remaining are less active. They have less ability to thermoregulate |
|
|
Term
What happens to the apocrine glands with aging |
|
Definition
Less activity(less hormonal stimulation) less odor and less need for antiperspirants and deodorants |
|
|
Term
What happens to the sebaceous glands with aging |
|
Definition
less acitvity(hormonal stimulation) and less oil leads to more dryness of the skin. |
|
|
Term
|
Definition
|
|
Term
What is a circumscribed, flat discoloration which may be brown, blue, red, or hypopigmented |
|
Definition
|
|
Term
elevated solid lesion of to .5 cm in diameter |
|
Definition
|
|
Term
Circumscribed elevated solid lesion more than .5 cm in diameter |
|
Definition
|
|
Term
|
Definition
|
|
Term
Circumscribed, elevated, superficial solid lesion more than .5 cm in diameter |
|
Definition
|
|
Term
A firm edematous plaque resulting from the infiltration of the dermis with fluid; they are transient and last only a few hours |
|
Definition
|
|
Term
A circumscribed collection of free fluid less than .5 cm in diameter |
|
Definition
|
|
Term
a circumscribed collection of free fluid greater than .5 cm in diameter |
|
Definition
|
|
Term
A circumscribed collection of leukocytes and free fluid that varies in size |
|
Definition
|
|
Term
What are the ABDCE's of skin lesion evaluation |
|
Definition
Asymmetry, border, color, diameter, evolution, (in kansas elevation) |
|
|
Term
Life expectancy at birth in Europe and America before 1800 |
|
Definition
|
|
Term
|
Definition
|
|
Term
US only (whites) life expectancy 1900 1955 2009 |
|
Definition
46-49 66-75 76-81(African Americans 70-74) |
|
|
Term
What is the projected life expectancy by 2025-2030 in developed and undeveloped regions |
|
Definition
devoloped 80. undeveloped 71 |
|
|
Term
What is projected life expectancy in 2045-2050 in developed and undeveloped countries |
|
Definition
83 in developed. 74 in undeveloped regions |
|
|
Term
When is the number of older persons expected to exceed the number of children for the first time since 1998 |
|
Definition
|
|
Term
How much has fertility dropped from 1955-2010 in the less developed regions. |
|
Definition
|
|
Term
What is the fertility in the least developed countries. |
|
Definition
|
|
Term
What is the fertility in Eastern Africa, Middle Africa, and Wester Aftrica |
|
Definition
|
|
Term
What is the median age for the world today |
|
Definition
|
|
Term
What country has the youngest population. What is the median age |
|
Definition
|
|
Term
What country has the oldest population. What is the median age |
|
Definition
|
|
Term
What will the world's median age likely be in 2050 |
|
Definition
|
|
Term
How much has life expectancy at birth increased globally since 1950 |
|
Definition
|
|
Term
What age group is the fastest growing segment |
|
Definition
|
|
Term
What is the estimation for the year 2030 of people >/=65 |
|
Definition
|
|
Term
What is the even that is 2x the size of the olympics only for older adults. It is held every 4 years |
|
Definition
World Winter Masters Games |
|
|
Term
What events are at the WWMG |
|
Definition
ice hockey, alpine skiing, biathlon, cross country skiing, ski jumping, futsal |
|
|
Term
How many indivuals compete in the summer national senior games |
|
Definition
|
|
Term
What type of cholesterol increases with age |
|
Definition
|
|
Term
Do triglycerides increase or decrease with age |
|
Definition
|
|
Term
Does the basal metabolic rate increase or decrease |
|
Definition
|
|
Term
does glucose tolerance increase or decrease with age |
|
Definition
|
|
Term
What happens to HDL and LDL cholesterol with exercise |
|
Definition
|
|
Term
What is the most common injury in older adults who exercise |
|
Definition
|
|
Term
What factors play into the increased likelihood of dehydration in older adults |
|
Definition
impaired thirst mechanism, increased water output by kidneys, decreased total body water, attenuated increases in skin blood flow with elevated core temp, medication effects |
|
|
Term
Are senior athletes at greater risk of sudden death? |
|
Definition
|
|
Term
What would an ECG be looking for in a preparticipation evaluation of an older athlete |
|
Definition
evidence of cardiovascular disease |
|
|
Term
Would would bone density testing be looking for in an older exercising adult |
|
Definition
|
|
Term
What test would you do on an older adult before they started exercising (with diuretic use) |
|
Definition
|
|
Term
What test would you perform on an older adult who wanted to start exercising but has a history of renal disease |
|
Definition
|
|
Term
What is a lipid analysis a test of |
|
Definition
CAD risk factor evaluation |
|
|
Term
What is exercise testing prior to exercise recommended |
|
Definition
Moderate risk/vigorous exercise. High risk/moderate and vigorous exercise |
|
|
Term
|
Definition
frequency intensity time type |
|
|
Term
What is a 5-6 on a ten point activity scale. What is a 7-8 |
|
Definition
|
|
Term
How often should individuals who exercise at a moderate intensity engage in exercise |
|
Definition
|
|
Term
How often should individuals who engage in vigorous exercise, work out? |
|
Definition
|
|
Term
What is prescribed for cardiorespiratory fitness |
|
Definition
20-60 minutes of exercise/day |
|
|
Term
exercises that improve cardiovascular fitness |
|
Definition
|
|
Term
exercises that improve flexibility and balance |
|
Definition
stretching, yoga, tai chi, pilates |
|
|
Term
|
Definition
|
|
Term
Why is the quality of the diet more important in elderly patients |
|
Definition
older adults require less caloric intake based on decreased lean body mass |
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Term
What should be the percentage of carbs and fats? |
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Definition
55% carb no more than 30% fat |
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Term
what is the min of protein an elderly person should be getting |
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Definition
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Term
how many oz water are recommended per minute of exercise |
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Definition
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Term
What effect do diuretics have on exercising patients |
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Definition
increased risk of dehydration |
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Term
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Definition
cause peripheral vasodilation, reduce performance, but could improve exercise tolerance by improving blood flow to the heart. |
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Term
What are the side effects of NSAID's |
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Definition
fluid retention, HTN, gastric ulceration, increased risk of cardiac effects |
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