Term
| Normal Physiologic Process |
|
Definition
decreased physiologic reserve - less ability to respond to stress
increased risk for disease
increased number of chronic medical conditions |
|
|
Term
|
Definition
Absence of disease & disability
High cognitive and physical function
Active engagement with life |
|
|
Term
|
Definition
Relative to decline
Capacity to function accross physical, functional, cognitive, emotional, social, and spiritual domains to one's satisfaction in spite of medical condition |
|
|
Term
|
Definition
Fun: fully able to do all activities including leisure/rec
Function: able to do work, ADL, self-restrict in rec activity, reserve being used in key functions
Frail: reserve only to do ADLs
Failure: needs assist with ADLs |
|
|
Term
|
Definition
| Promote, Maximize, Maintain |
|
|
Term
| Developmental-Genetic Theories |
|
Definition
Neuroendocrine & Hormonal Theory: neurons and hormones "talk" to each other, aging breaks down this communication
Immunicological Theory: immune system decline makes more susceptible to disease
Free Radical Theory: free radicals accumulate over time leading to death |
|
|
Term
|
Definition
| Aging changes are likely interdependent: result from environmental damage as well as intrinsic cellular changes |
|
|
Term
|
Definition
| Aging occurs as a result of environmental influences on genetics: accumulation of envirionmental toxins, gravity, sun, radiation exposure |
|
|
Term
|
Definition
Sleep & Aging: lack of sleep exacerbates aging process, affects mood, performance, physiologic function
Growth Hormone: imbalance of increased GH and decreased Insulin, decreased reserve capacity and increased disease
Telomeres: shortening of telomeres in dividing cells with insufficient telomerase, decreases life span |
|
|
Term
|
Definition
Knowledge of typical development and age-related changes
Recovery vs. compensation
Older adults' goals and expectations, health & cognitive status, support network, and living environment, as well as health care setting --> movement-oriented prognosis
POC - outcome oriented |
|
|
Term
| Principles of Geriatric Practice |
|
Definition
EBP
Patient-centered
Outcome-centered
Prevention-focused practice |
|
|
Term
|
Definition
~40% of total population
over 12 million |
|
|
Term
|
Definition
Healt system/hospital-based OP: 20.9%
Private OP: 33.6%
SNF: 5.1% |
|
|
Term
| Setting Older persons percentage |
|
Definition
Acute: 51.8%
Sub-acute/rehab: 53.6%
Hospital-based OP: 31.3%
Private: 27.4%
SNF/ECF/ICF: 82.2%
Home: 60% |
|
|
Term
| 65+ Population Projections |
|
Definition
2020: 54.8 million
2030: 72.1 million
Increased survivorship, many people born at once, less people being born
Trend toward rectangularization = larger base of growth
Prevention/treatment of CV disease in oldest-old |
|
|
Term
|
Definition
77.9 years for someone born in 2007
+12.8 years if trend continues
reach 65, live 18.6 more years; 19.9 female, 17.2 male |
|
|
Term
|
Definition
|
|
Term
|
Definition
Personal: Age, Comorbidities, Meds, Depression, Self-efficacy, Exercise & Health beliefs
Environmental: Income, Social Support, Living situation |
|
|
Term
|
Definition
64% live with relatives/spouses
27% live alone
5% live in group quarters (nursing home)
3% live with nonrelative/nonfamily home |
|
|
Term
|
Definition
Require "skilled care"
Disciplines: Nursing, Rehab PT/OT/SLP, Audiology, Nutrition, Psychology
Similar to hospital - may share room, common areas
Cost varies |
|
|
Term
|
Definition
Do NOT require "skilled care"
provide housing, meals, help with certain ADLs, meds
Apt complexes
Expensive |
|
|
Term
|
Definition
"Age in place"
consist of independent apts, assisted living units, skilled nursing units
Very expensive |
|
|
Term
|
Definition
Accomodations for accessibility
Supervision/support: motion sensors, radiofrequency sensors, tele-caregivers |
|
|
Term
|
Definition
Neighbors that help each other
Small membership fee per year to cover staff
Volunteers |
|
|
