Term
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Definition
| The ability to engage in productive activities and fulfilling relationships and cope successfully with change and adversity |
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Term
| Healthy behavior is ______ defined |
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Definition
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Term
| Mental health varies throughout the |
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Definition
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Term
| One developmental task of old age is ______ |
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Definition
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Term
| Abnormal and normal behavior depends on the person’s |
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Definition
| personality and past actions |
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Term
| American culture puts more emphasis on the ______ and _______ of the individual to achieve success and independence |
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Definition
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Term
|
Definition
Intelligence vs. Experience
more losses with depression or surgery
Terminal Drop occurs just before death |
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Term
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Definition
| lapses are caused by anxiety, lack of sleep or drug side effects |
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Term
| _______ experience can compensate for decline in problem-solving skills |
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Definition
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Term
|
Definition
|
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Term
| Personality changes in age |
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Definition
Personality remains remarkably stable over time
Elders have better coping skills – often they “mellow” out |
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Term
| Transitions are characterized by what losses |
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Definition
Physical losses
Psychological losses
Social losses
Economic losses
Interpersonal losses |
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Term
| Retirement can signal the beginning of a life of ______, or can be fraught with the _____ __ ____ |
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Definition
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Term
| _____ and ____ help with the financial loss, pensions and retirement savings |
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Definition
| Social security and medicare |
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Term
| Retirement is hardest on ________ and _______ who may not have pensions or did not pay into Social Security |
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Definition
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Term
| Elders usually derive much strength and support from their ______ |
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Definition
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Term
| Roles may reverse as elders need more support, causing the children to become “______” |
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Definition
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Term
| Many grandparents raise or care for ______ |
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Definition
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Term
| Adjustments to divorce, _______ and ______ can all be experienced in the later years |
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Definition
| widowhood, and remarriage |
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Term
| Widowhood has many changes |
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Definition
| financial, living situation, friendships and sexual relationships change |
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Term
| Expectations of marriage vary by |
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Definition
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Term
| People used to have kids early and not have real time just as a couple so “_____ ______” can be tough. |
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Definition
|
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Term
| Three factors affectng adjustment |
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Definition
Personality, health status, financial situation, social support and ability to cope with stress all affect adjustment
The emotional health of the elder is important
The elder’s perception of their own health is a factor |
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Term
| Even though elders have so many changes, they report _____ stress than any other age group |
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Definition
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Term
| If one has a ______ personality, then they tend to cope better with aging changes. |
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Definition
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Term
| Elder’s perception strongest correlates with |
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Definition
|
|
Term
| Report less stress because |
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Definition
| learned to anticipate changes, allow more time to adapt, and minimize number of stressors to those they can control. |
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Term
| Mental disorders can cause changes |
|
Definition
| in thought, mood or behavior that result in distress or impairment in function |
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Term
| Elders who have sustained multiple losses, who have little support or who do not adapt well are vulnerable to |
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Definition
|
|
Term
| Diagnoses of common mental disorders _______ among elders, but cognitive impairment ______ with age |
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Definition
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|
Term
| ___ in ___ 55+ suffer from diagnosable mental disorders. |
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Definition
|
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Term
|
Definition
|
|
Term
| Leading cause of disability in the US |
|
Definition
|
|
Term
| Differentiating between depression and _______ can be difficult |
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Definition
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Term
|
Definition
| therapy, medications, and/or time |
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Term
| Elders with depression are at a greater risk for ______ |
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Definition
|
|
Term
| Five symptoms to look for in depression |
|
Definition
-depressed mood
-loss of interest or pleasure in everyday activities
-unintentional weight loss or gain
-insomnia or excessive sleeping
-agitation or slowed movement; fatigue/loss of movement, |
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Term
| Anxiety disorder may be a disorder or a symptom of |
|
Definition
|
|
Term
| Anxiety disorder treatment |
|
Definition
| therapy, medication and/or desensitization therapy |
|
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Term
| Four types of anxiety disorder |
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Definition
Generalized anxiety – anxious all the time with no apparent reason
Panic – disabling attacks
OCD – can’t get certain thoughts out of the head and repeat behaviors over and over
Anxiety to general medical condition – worry they forgot something/lost something and wander and fuss all day to find it |
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Term
| Anxiety disorder can mimic |
|
Definition
| depression, dementia and alcoholism |
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Term
| Three time lengths of sleep disorders |
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Definition
| transient, short-term, chronic |
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Term
| ______ are high users of sleeping pills |
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Definition
|
|
Term
| Some sleep disorders are due to age-related changes in sleep patterns |
|
Definition
Physical problems
Depression
Dementia
Heart disease
Pain
Medications
Caffeine |
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
|
Term
|
Definition
| brief periods during sleep when breathing stops |
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Term
| Alcohol use usually declines with |
|
Definition
|
|
Term
| Elders become more susceptible to ______ with advancing age |
|
Definition
|
|
Term
|
Definition
A progressive, debilitating chronic illness
Can be fatal and causes problems in nearly every organ system |
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Term
| Which gender is more likely to drink |
|
Definition
|
|
Term
| Why are elders more susceptible to intoxication |
|
Definition
| change in metabolism, having a lower water content in body, a reduced amount of alcohol dehydrogenase and medications. |
|
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Term
| What percent of elder population are alcoholics |
|
Definition
|
|
Term
| The proportion of people who have quit smoking _______ with age |
|
Definition
|
|
Term
| the number one cause of premature death and disability in the US |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what can help elders quit smoking |
|
Definition
|
|
Term
| most commonly diagnosed mental illness in the US today. |
|
Definition
|
|
Term
|
Definition
| progressive brain impairment that interferes with memory and normal functioning |
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Term
|
Definition
|
|
Term
| Second most common dementia |
|
Definition
| Multi-infarct dementia (series of small strokes) |
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|
Term
| Dementia ______ with advancing age |
|
Definition
|
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Term
|
Definition
| losing memory and language skills, the ability to care for one’s self; advanced dementia includes behavior problems |
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|
Term
| What diet can strengthen brain cells and protect the body from diabetes |
|
Definition
| rich in antioxidant fruit and vegetables, omega-3 fats from fish and nuts and whole grain |
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|
Term
| Having diabetes ______ the risk for Alzheimer’s! |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Majority of cognitive disorders are diagnosed after the age of ___ |
|
Definition
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|
Term
| Some dementias are reversible – if they are resulting from |
|
Definition
| depression, hearing loss, thyroid disease, pneumonia, electrolyte imbalance, syphilis and nutritional deficiencies. |
|
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Term
|
Definition
| is a worsening of symptoms in the evening hours |
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|
Term
| Known cause of alzheimers? |
|
Definition
|
|
Term
| Greatest risk factor for dementia |
|
Definition
|
|
Term
|
Definition
| mostly supportive, some drugs can help, therapy supports the patient |
|
|
Term
| How many individuals in US have Alzheimer’s and the number increases rapidly beyond age 75. |
|
Definition
|
|
Term
| Usual time from diagnosis to death from dementia |
|
Definition
|
|
Term
| Risk factors for dementia |
|
Definition
| diabetes, heart disease or high cholesterol are at increased risk. Also those with a family history. |
|
|
Term
| If parent or sibling, you are __ to __ times more likely to also be diagnosed. |
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Definition
|
|
Term
|
Definition
| The sudden appearance of a state of confusion; mostly in frail elders; often due to infection |
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|
Term
|
Definition
| agitation, confusion, memory loss, decreased attention span |
|
|
Term
|
Definition
| should be for the root problem: infection, heart failure, dehydration |
|
|
Term
| How fast does delirium come on |
|
Definition
|
|
Term
|
Definition
| Could be due to infections (UTI, pneumonia), new medications, surgery or dehydration. Malnutrition, alcoholism, heart attack, anemia, fever, head trauma, diabetes or thyroid disease may also cause delirium. |
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Term
|
Definition
| good treatment for most mental disorders discussed |
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|
Term
| Experts believe that psychotherapy with older adults should be |
|
Definition
| brief and focus on problem solving |
|
|
Term
|
Definition
| a structured relationship between a client and mental health professional with purpose to improve the client’s mental health. |
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|
Term
| ____ have become the most common place for mentally ill elders – but the homes may not be set up for mentally ill patients |
|
Definition
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|
Term
| Some states require more _____ training for nursing home personnel |
|
Definition
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|
Term
| A _____--- care movement has advanced care for elders with dementia |
|
Definition
|
|
Term
| Advantage of nursing homes is |
|
Definition
|
|
Term
| There are TWO types of mental health services: |
|
Definition
| Institutional and Community based |
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|
Term
| Approximately __ in __ patients in mental institutions is an elder |
|
Definition
|
|
Term
| Most elders in public mental institutions are there with |
|
Definition
| schizophrenia, or alcoholism or depression |
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|
Term
| Many elders in public mental institutions have been there since |
|
Definition
|
|
Term
| Psychiatric Units in Hospitals are |
|
Definition
| Primary providers for acute mental problems |
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|
Term
| Hospitals offer a high ____ ratio and ______ treatment |
|
Definition
staff to patient
close to home |
|
|
Term
| Psychiatric Units in Hospitals are not designed for |
|
Definition
|
|
Term
| Public Mental Institutions – more with |
|
Definition
| chronic mental health issues. |
|
|
Term
|
Definition
| acute mental health issues |
|
|
Term
| Inpatient geriatric psychiatric units began ___ years ago and are increasing |
|
Definition
|
|
Term
Private Therapists and Psychiatric Outpatient Clinics are usually
Usually cost-________ for elders |
|
Definition
|
|
Term
| Elders comprise ______ of private clients of therapists |
|
Definition
|
|
Term
| Halfway houses are excellent |
|
Definition
| for those who can meet most of their own needs with support or supervision |
|
|
Term
| Halfway houses can prevent / postpone ________ |
|
Definition
|
|
Term
| Private therapists – are seldom reimbursed by |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Case managers are trained to know the |
|
Definition
| local services and how to use them to support mentally ill patients |
|
|
Term
| Case managers work to delay |
|
Definition
|
|
Term
| Mentally ill elders are vulnerable to ____; each state must protect their patients |
|
Definition
|
|
Term
| LPS conservatorship ensures that |
|
Definition
| mentally ill elders are cared for |
|
|
Term
| Nursing home _____ can help |
|
Definition
|
|
Term
|
Definition
| county mental health systems. |
|
|
Term
| PAIMI (Protection and Advocacy for Individuals with Mental Illness Program) is funded by |
|
Definition
| the Center for Mental Health Services |
|
|
Term
| LPS (Lanterman Petris Short) is initiated |
|
Definition
| initiated in court when an individual is determined to be a danger to themselves or other (terminates after one year). |
|
|
Term
|
Definition
|
|
Term
| Medicare Part A helps cover costs for: |
|
Definition
Acute psychiatric hospitalization
Hospitalization in a psychiatric hospital (190 days) |
|
|
Term
| Medicare Part B helps cover costs for: |
|
Definition
Inpatient mental health services
Outpatient mental health services
There is a $1,100 cap/year on mental health services |
|
|
Term
|
Definition
Hard to admit you need help
May attribute symptoms to illness or age |
|
|
Term
|
Definition
| “Can’t teach an old dog new tricks” |
|
|
Term
|
Definition
Medicare doesn’t pay for enough services
Dementia is often excluded altogether
Often not enough doctors in a community trained in geriatric mental health |
|
|
Term
| Factors Limiting Elders’ Use of Mental Health Services |
|
Definition
elder beliefs
professional barriers
system barriers |
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|
