54 Questions
What is the study of health and practice of medicine within gerontology called?
Geriatrics
Which age group is considered 'Young old' according to the older terms mentioned in the text?
65-74
According to the Data from CDC, what was the life expectancy at birth in the US in 2000?
80
Which group of patients make up the highest percentage of specialist consultations?
Patients aged 65 years and older
What percentage of primary care visits in the healthcare system are composed of patients aged 65 years and older?
29%
Who is attributed with the quote 'Anyone can get old. All you have to do is live long enough.'?
Groucho Marx
What is a key difference between geriatric care and normal adult care?
Normal adult care involves evidence-based treatments, while geriatric care may lack such treatments
What differentiates the presenting symptoms of older patients from younger patients?
Older patients often present with atypical symptoms
What is emphasized in geriatric care in terms of treatment goals?
Control and prevention of diseases rather than cure
Why might health literacy be a concern in geriatric care?
Older patients may have diminished health literacy
What is a significant aspect of the assessment and plan process in geriatric care?
It is based on a proficient history and physical examination
Which statement best summarizes the focus of geriatric care compared to normal adult care?
Geriatric care aims at control and prevention, while normal adult care focuses on chronic disease management
What is the main focus of the course in Geriatrics as described in the text?
Caring for older individuals with dignity
Which term is used to describe the state of being dependent, frail, and vulnerable in older adults?
Dependency
According to the CDC data shown, what was the approximate life expectancy at birth in the US around the year 1940?
50 years
What aspect of aging is discussed in the text by focusing on activities such as daily living and instrumental activities of daily living?
Geriatric assessment
What is emphasized as a failure in the context of aging and death, according to the text?
Death in suffering
Which term is used in the text to describe the study of homeostasis and homeostenosis in aging individuals?
"Multimorbidity"
What is the central focus of geriatric care philosophy as described in the text?
Cultural competency, dignity, and care over cure
Why is self-awareness of personal attitudes towards aging, disability, and death important for students in geriatric care?
To encourage positive aging and effective healthcare delivery
What is the main emphasis of a philosophy of end-of-life care according to the text?
Quality of life over dying process
How does the text describe the role of the 4M's in the care of geriatric patients?
Central in providing comprehensive care
What is highlighted as an intrinsic part of the life cycle according to the text?
Life itself
Why is understanding the cultural and ethnic values of older patients essential in geriatric care?
To promote respect and sensitivity in care
What term is used in the text to describe the phenomenon where older adults may experience stress due to the accumulation of losses over time?
Life course perspective
In the context of geriatrics, what is the term for the use of multiple medications by an individual, often leading to adverse effects or drug interactions?
Polypharmacy
Which term is used in the text to describe the state of being dependent, frail, and vulnerable in older adults?
Frailty
Who is credited with the quote 'Forgiving does not erase the bitter past. A healed memory is not a deleted memory.'?
Lewis B. Smedes
'To forgive is to set a prisoner free and discover that the prisoner was you.' - Which theologian is associated with this quote?
Lewis B. Smedes
What did Lewis B. Smedes suggest happens when we forgive what we cannot forget, according to the text?
We create a new way to remember
What term is used to describe the concept of maintaining stability in aging individuals?
Homeostasis
Which of the following is NOT a factor contributing to polypharmacy in older adults?
High levels of physical activity
What term is used to describe the ability of older adults to adapt and recover from challenging situations?
Resilience
In the context of geriatrics, what is the role of spirituality and legacy focused on?
Addressing end-of-life care and meaning-making
What is a common misconception about dependency in older adults?
Dependency indicates self-sufficiency
Which theory focuses on the idea that aging is primarily due to the accumulation of damage in cells and tissues over time?
Deterioration theory
What is the term used in geriatrics to describe the study of maintaining balance and equilibrium in aging individuals?
Homeostenosis and heterostenosis
Which of the following is NOT considered a theory of aging mentioned in the text?
Darwinian theory
What is a common challenge associated with polypharmacy in older adults?
Increased risk of adverse effects
In geriatric care, which aspect is emphasized in the assessment related to the spiritual and emotional well-being of the patient?
Quality of life
Which concept focuses on the intricacies of understanding and addressing the needs of caregivers in geriatric care?
'Caregiving burden'
What core concept in geriatrics emphasizes the ability of individuals to adapt and overcome difficult circumstances as they age?
'Resilience'
What is an important emphasis in geriatric care in terms of treatment goals?
Control and secondary/tertiary prevention
Which theory of aging discussed in the text suggests that aging is primarily due to the accumulation of damage in cells and tissues over time?
Free Radicals Theory
What term is used to describe the use of multiple medications by an individual, often leading to adverse effects or drug interactions in the field of geriatrics?
Polypharmacy
How does geriatric care differ from normal adult care in terms of presenting symptoms?
Older patients often present with atypical or blunted symptoms
In the context of geriatrics, what is the term for the state of being dependent, frail, and vulnerable in older adults?
Frailty Syndrome
What aspect is highlighted as a core concept in geriatric assessment and planning?
Holistic, biopsychosocial approach
What is the main focus of promoting a philosophy of health care embedded in cultural competency for older patients?
Stressing care rather than cure
Which aspect is NOT central to the care of geriatric patients as embodied by the 4M's approach?
Meditation
What is the philosophy of end-of-life care focusing on according to the text?
Quality of life over the dying process
Which theory of aging attributes aging to a primary accumulation of damage in cells and tissues over time?
Free Radical Theory
What is the term for the phenomenon where an individual uses multiple medications leading to adverse effects?
Polypharmacy
What is emphasized as central in the care of geriatric patients with respect to cultural competency?
Respecting dignity and ethnic values
Study Notes
Introduction to Geriatrics
- Geriatrics is the study of health and practice of medicine within gerontology, which is the study of aging.
Importance of Geriatrics
- Patients 65 years and older comprise: • 29% of primary care visits • 32% of surgeries • 44% of emergency department visits • 43% of specialist consultations • 48% of hospitalizations
Life Expectancy
- In the US, life expectancy at birth has increased over the years: • 1900: 48 years • 1920: 54 years • 1940: 60 years • 1960: 67 years • 1980: 74 years • 2000: 77 years • 2020: 79 years
Geriatric Care
- Geriatric care is not just normal adult care for older patients, but involves: • Holistic, biopsychosocial approach • Assessment and plan based on proficient history and physical
- Geriatric care is also different due to: • Multiple chronic diseases present concomitantly • Diminished "health literacy" • Little evidence-based treatment • Lengthy encounters • Absent or blunted typical presenting symptoms
Course Objectives
- To provide basic knowledge about the aging process and essential skills and attitudes necessary to provide better healthcare to older adults
- To promote a philosophy of healthcare embedded in cultural competency
- To promote students' self-awareness of personal attitudes towards the aging process, disability, and death
Course Outline
- Core Concepts: demographics, theories of aging, homeostasis, homeostenosis, theories of longevity and cellular and tissue death, chronic disease states, polypharmacy and iatrogenic disease, dependency, frailty, vulnerability, robustness, resilience, home environment, catastrophes, and syndromes of the aging patient
- Activities of daily living and IADLs, geriatric assessment, spirituality, legacy, loneliness, dying and palliative care, care coordination/community resources, caregivers, osteopathic and podiatric care, competency, surrogacy, and other legal issues, financial dependency, public health policy and healthcare financing
Explore core concepts in geriatrics and learn about caring for the elderly. Delve into the importance of dignity in end-of-life care and the challenges of aging. Dive into the course taught by Volker on 27th March 2024.
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