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Psychiatry pro +1700 > Geriatrics > Flashcards

Flashcards in Geriatrics Deck (63)
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1

What is the "oldest old" segment of the population?

85+

2

What happens to cerebral blood flow with aging?

Decreases

3

What happens to the transport across the BBB with aging?

Increases

4

What is the major concern with increased fat with aging in terms of drug prescriptions?

More lipophilic drugs stay around longer--lower doses needed

5

IQ is stable until what age?

80

6

True or false: the verbal abilities of the elderly generally decline with age

False

7

True or false: simple recall declines with older age

True

8

True or false: Recognition is generally intact in the elderly

True

9

Does personality change much with age?

Thinking is no

10

What is the role of social activity in the elderly?

Socially active seniors are generally healthier, both physically and emotionally

11

What is the major issue with retirement in some older folk?

Loss of identity and self esteem

12

True or false: most people who retire voluntarily will not re-enter the workforce

False--will reenter the workforce in 2 years

13

What happens to sexuality with geriatrics?

-Frequency of orgasms declines
-social/culture factors prevent them to realize their full sexual potential

14

The level of sexual activity in the elderly depends largely on what?

The presence of and health of the spouse

15

Who are the usual caregivers with the elderly?

Wives, daughters, and daughters-in-law

16

Do caregivers to the elderly usually have jobs outside the home?

Yes--more than 50%

17

What are the levels of care for the elderly?

-Home care services
-Assisted living
-Nursing homes
-Memory care units

18

True or false: there is a good correlation between physical health, and mental health in older patients

True

19

What is the major challenge with family dynamics in the elderly?

Maintaining appropriate boundaries, and ensuring that information is released appropriately

20

How hard is it to get durable power of attorney for healthcare?

Tough-ish (legal document must be signed)

21

What is the difference between a guardianship vs a conservatorship?

Conservatorship = Court ordered person to look over a specific aspect of a pt's life (financial)

Guardianship = Personal and property interests of a person is given to another

22

True or false: a civil commitment can be filed by anyone

True--but need two

23

True or false: mental decline falls under the jurisdiction of civil commitment

True

24

Which is judge determined: competency vs capacity

Competency

25

Does self-abuse (e.g. no eating/drink etc) fall under the category of dependent adult abuse?

Yes

26

True or false: if it's not your patient, then you do not have a legal requirement to report abuse

True

27

What is the major issue with interviewing the a patient with their caretaker?

May not see abuse, or interfere with examination

28

True or false: if you are determining capacity, you should not tell the patient that you are assessing them for it

False--should inform them

29

What are the two major things that should be done with elderly patients on a regular basis?

-Updated medication list
-Cognitive screening

30

Personality changes in the elderly should be suspicious for what?

Neurocognitive disorder or dementia