Alzheimers compromises how many % among dementias ?
60%
affects 5-10% of people of age 65
incidemece and prevalence doubles every 5 yrs after 60yrs
prevalence of anxiety among old people
prevalence of anxiety - more common young than adults
anxiety is the most prevalent psych condition among old people
Phobic anxiety is the most prevalence anxiety type
Panic -least
in general prev of anxiety decreases as we age.
Physiologic changes during senesecence
brain- dec in brain wt, ventricular enlargement, neuronal loss 50, 000/ day
eyes- lens thickens
cardiac- dec C. O and stroke vol
lungs - dev vital capacity and oxygenation
renal - dec GFR
skin- dec melanin, but inc skin cancer
G.I - inc colon CA
G.U- inc protate CA
endo- postmenopausal estrogen decrease, breast involution, vaginal atrophy.
Testosterone decline at 6th decade, inc FSH and LH
learning in adult , memory encoding is still intact as we age .
t or F
False.
Memory encoding ability decreases
Simple recall becomes difficult
complete learning of new material is still intact
IQ still intact until 80yrs
recognition of correct answers persists
The most common cause of metab intoxication
uremia
mild DM, hepatic failure, gout
alcohol, drug use
cardiac insuff, emophysemia, after surgery- anoxia
Genes associated with early onset dementia
mutation at amyloid precursor gene on ch 21
presenelin genes on ch 1 and 4
Apolipoprotein E 4 - inc risk,
Apolipoprotein E 2 lower risk
down syndrome - dev alzheimers dementia before 40 yrs- amyloid precursor gene at ch 21
protective factors for dementia
highger educxation
mod consumption of red wine
same characteristics shared by victims and perpetreator of abuse
isolation and cognitive impairement
there are 5 type of perpetrators accoridng to…
Holly Ramsey Klawsnik impaired overwhelmed- most common narsci domineering sadistic- most brutal type