Aging, Sexuality with older adults, Bariatrics, prosthetics
UI, Dysphagia, Nutrition, Dehydration, Feeding
Orthotics and Prosthetics, Hearing
Low Vision
Hearing, POA, Living Wills, DNR, Elder Abuse
100
Older Adults experience a higher risk of falls potentially due to a number of factors. Which of the following THREE may contribute to an increased risk of falls?
a. not owning a pet
b. sedentary behavior
c. engagement in daily physical activity
d. continence
e. diabetes and arthritis
f. fear of falling
B sedentary behavior
E. Diabetes and arthritis
F. fear of falling
100
What is the last taste bud to remain with older adults?
SWEET
100
Pertaining to amputations, what is a neuroma?
bulbous benign tumor
feel hard like a marble. Very painful with pressure (ie wearing prosthesis)
100
A pt has low vision and is wanting to participate in leisure activities as a smart, active, 60 year old male. What would 3 generic suggestions for leisure pursuits to adapt?
Answers could include: adaptive chese with raised squares, peleton, adaptive sports (skiing, running, ect), smart speaker for trivia, ect
100
What does Presbycusis mean?
Age related hearing loss
200
As people age, the may experience physiological changes that affect their ability to perform functional activities. Which type of physiological change(s) would be MOST impactful on an older adult’s ability to access his or her community?
a. the ability to taste and smell
b. declines in vision and cognitive function
c. facial weakness, causing difficulty with current denture fit
d. changes in the endocrine system
B. Declines in vision and cognitive function
200
What typically holds more a brief or a depends
brief
200
What is the medical term for an amputation above the knee.
Transfemoral
200
What eye condition results from a build up of protein and fibers of the eye lens? Results in diminished visual acuity with dull, blurry vision.
cataracts
200
As a mandatory reporter, what should you include when reporting elder abuse? List at least 4 pieces of information
Name of victim
Address of the victim
Description of the alleged mistreatment
Nature and extent of the injury
Name and contact information of the alleged perpetrator, if possible.
300
What is involved (parts of the body) in the integumentary system AND what are 2 OT interventions to address these changes with aging?
Skin, hair, nails, sebaceous & sweat glands- protective, regulatory and aesthetic functions.
Protects internal organs, prevents dehydration, sensory receptors, detect temp. pain, pressure and touch.
OT Interventions: sun protection, improve sitting/wc seating, decrease chance for skin tears
300
List 3 common contributing factors that can lead to obesity?
Genetics
Lifestyle
Environment
Emotional State
Lack of Sleep
Medication Side effects
Age
Medical Conditions
300
Name 3 OT interventions to address phantom limb pain
-Relaxation techniques
-Heat Modality
-Massage
-TENS
-Mirror Box visual feedback
300
If someone is experiencing low vision, what are 3 adaptations or patient training you could teach for grooming, hygiene, or application of makeup?
Toothpaste
•Squeeze out entire tube in covered container and dip toothbrush in paste.
•Apply toothpaste to finger before putting on toothbrush
Makeup Application
•Count # strokes on cheeks
•Magnified mirror
Toiletry items
•Color caps with bright colors
•Place toiletry items on white towel
•Remove clutter
300
Dehydration, malnutrition, soiled bedding, and inadequate clothing could all be signs of what type of abuse?
Neglect
400
This is a photo of a:
Canadian-type hip-disarticulation prosthesis
400
Explain the difference between stress and urge UI
•Urge Incontinence “overactive bladder”
•Sudden intense need to urinate with inability to hold
•Results in entire bladder emptying
•Stress Incontinence
•Urine escapes with increased intra-abdominal pressure (coughing, sneezing, exercising, etc…)
400
List 4 benefits of early prosthetic fitting
●edema
● postop phantom pain
● wound healing
●Maintenance of two-handed fxn
● length of hospital stay
● prosthetic use and acceptance
● proprioceptive input thru resid limb
●Improved psych adjustment
●Improved pt rehab
400
If someone is experiencing low vision, what are 3 adaptations you could teach a patient while performing self feeding.
•Clock
•Shake seasonings into hand to measure
•Low base of support glasses and cups
•Contrast
•Plate guard or divided plate
•Rotate meat so it is close to you – 6 o’clock
•Lighting/glare issues
•Placemat
•“pusher” to stabilize food on the utensil
400
Broken eye glasses and wrist bruising could be signs of what type of abuse?
Physical
500
List 3 ways that the cardiopulmonary system changes as one gets older.
Endocardium becomes fibrotic
Fatty tissue builds up in heart/surrounding area- CVD
↓pacemaker cells that regulate rhythm- CAD
Arterial walls become thicker, more rigid, dilated, elongated, and twisted- CAD
↓ elasticity in heart valves- heart murmors
↓ stroke volume, max HR, and cardiac output→SOB and ↓ endurance- overall disability
↓ lung volume due to ↓ elasticity- SOB, fatigue
500
What are 4 signs that may indicate swallowing problems/dysphagia?
•Coughing or choking during or after eating/drinking
•Difficulty initiating swallowing
•Frequent throat clearing
•Unintended weight loss
500
List 5 signs, symptoms or patient observations you might see for a patient that may indicate hearing loss.
•Speaking volume
•TV/radio volume
•Turning to get a better hearing position
•Asking for repeated directions
•Not responding during conversation
•Only respond when gestures are included
•Disoriented or confused
•Inappropriate responses
•Answering questions addressed to another
•Isolating
•Short attention when two people are talking
500
List and explain 3 techniques for money management for someone with low vision.
•Print versus cursive
•Write with bold pens
•Typing lists for improved legibility
•Consider using credit card vs check or debit card
•Teach money folding strategies
•Keeping money in separate compartments or envelopes in wallet or purse
500
List 3 potential financial or material signs of exploitation of an older adult
Sudden changes in bank account (unexplained withdrawal)
Inclusion of additional names on an elder’s bank signature card
Abrupt changes in a will or other financial documents
Unexplained disappearance of funds or valuable possessions
Sudden appearance of previously uninvolved relatives claiming their rights to an elder’s affairs