Final exam misc (via jillianmaul8)

Age related change in cortical bone involves the diameter and marrow cavity INCREASING which results in...

Larger bone but thinner wall

T scores for osteopenia and osteoporosis

* > -1 = normal

* -1 to -2.5 = osteopenia

* < -2.5 = osteoporosis

WOMAC scale is used for __ with a (lower/higher) score being worse

OA // HIGHER

For sarcopenia, muscle mass must be greater than ___ SD below healthy

2

SARC-F has high (sens/spec)

SPECIFITY

A SARC-F score ≥ __ suggests further assessment

4

Normal ejection fraction

50-70% — stay same or slightly incr with age

> __/15 on geriatric depression scale increases fall risk by 48%

7

PINCHME mnemonic for delirium

Pain

Infection

Nutrition

Constipation

Hydration

Medication

Environment

Less than ___ is severe on the mini mental status exam (MMSE)

17

CLEAR symptoms of medication related problems

• Cognitive changes

• Loss of bladder or bowel control

• Eating or appetite changes

• Activity or energy changes

• Recurrent falls

T/F: for sarcopenia, walking programs in isolatation are reccomended

FALSE — do strength + resistance training 40-60% 1RM

For COPD, we should do (higher/lower) intensity aerobic exercise over a (longer/shorter) duration

LOWER / LONGER

T score indicative of osteoporosis

-2.5 or less

T/F: impact exercise ONLY is effective for increasing BMD in hip osteoporosis

FALSE — SLS & high intensity strength training

T/F: for type 2 DM, many exercise sessions per week were effective

FALSE - fewer sessions per week for 12 weeks of HIIT training

For what chronic condition would a combo of exercise (resistance + aerobic) and health education be effective?

HTN (AVOID VALSALVA!)

___ is most commonly reported sx from cancer

Pain

Best intervention for breast cancer?

Combined aerobic + resistance along with YOGA

__ is first line of defense for OA

EXERCISE

T/F: Isometrics are best for pain relief for OA

FALSE — Isokinetics and isotonic (OKC)

(Aerobic/resistance) exercise most effective in increasing memory for mild cog impairment

Resistance (multi component best for incr executive function)

High (spec/sens) increases confidence that negative result means they dont have the condition

SENSITIVITY

Things to eval for older adults

-pain

-fear of falling

-environmental home/community

-footwear

-posture

-ROM

-strength

-balance

-gait

In balance assessment, we are looking to see if they can maintain __ within __

COG // BOS

T/F: you can be balanced but not stable

TRUE

Leading cause of injury related death in adults ages 65+

Falls

This exercise has shown effective in reducing fall risk

Tai chi

the conditions in which people are born, work, live, and age, including the health system; include 5 domains economic stability, education, health care, neighborhood, social/community context

Social drivers of health (SDOH)

there is mandated reported and screening of ___ in inpatient settings

SDOH

Tx strategies for hoarding

-cognitive behavioral training

-overcoming ambivalence

-motivational interviewing

Political approach that favors capitalism

Neoliberalism

T/F: capitalism requires justic

FALSE — not everyone is equal + incentivizes exploitation

Something that can be sold

Commodity (EVERYTHING is commodity in hypercapitalism)

Free choice/agency to enter/exit market at any time; works well w capitalism

Rationality

Anything that promotes the needs of older adults

Aging enterprise (most healthcare workers are simultaneously in the medical industrial complex and the aging enterprise)

The transformation of goods, services, ideas, and people - which often have intrinsic, non-economic value - into commodities that can be bought and sold in a market

Commodification

Older adults and people with disabilities are often viewed as useless in capitalistic society bc they can't contribute so they become ___

commodified

T/F: healthcare seekers control when they enter and exit the market

FALSE!! If you get shot for instance, you need care!

Lack of competition in healthcare prohibits a natural price ___

Equilibrium — govt interference means it is NOT a free market system

We need ___ hours of care for nursing home residents per day but there are currently staffing minimums so this cannot happen

4.1