Stuff Old People Like
Stuff Old People Can Easily Get Away with
Caring for Old People
I really wanted this entire Jeopardy to be
about Pathophysiology, but there was already a presentation for it,
so I'm just gonna make a category about it and make it relevant to old people.
Let's test your memory about being a S.O.M. student
100

This is a multicompartment compliance aid for storing scheduled doses of medications.

What is a pill organiser?

other names: pill container, dosette box, pillcase or pillbox  

=====

• For people with Alzheimer's dementia, they recommend a pill box so they don't need to remember how much of each medication to take every day, but just know to take what is in that box for the day 

• Ways to remember to take what is in that box: 

- Some pill boxes have alarms to remind the patient 

- Leave a sticky note somewhere 

- Call them every day 

- Be there with them when they take it 

100

True or False: 

Driving: It is illegal for older adults with dementia to drive in Texas. 

What is false?

====

Reporting a patient depends on the state.


Texas has no laws against driving with dementia specifically, but obviously has laws about medical conditions which impact a person’s ability to drive safely.   However, anyone can report a possibly unsafe driver to the Texas Department of Public Safety’s Drivers License Division, for review by a medical advisory board to determine next steps.


100

True or False: Donepezil is used to cure Alzheimer Disease.

Although there is no cure for Alzheimer disease, pharmacological treatment can help relieve symptoms.

100

the most common cause of dementia in older adults

What is Alzheimer disease?

===========



https://www.alz.org/media/documents/facts-and-figures-2018-r.pdf

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Alzheimer's disease is the most common cause of dementia in older adults. Other dementias include Lewy body dementia, frontotemporal disorders, and vascular dementia. It is common for people to have mixed dementia—a combination of two or more types of dementia.

100

This event is every Friday from 6pm-8pm where TCU serves light food to students, faculty, and staff by the TCU Frog Fountain.

What is Food Truck Friday?

200

A facility for the residential care of elderly people

What is a nursing home?


Nursing homes may also be referred to as skilled nursing facility, long-term care facilities, old people's homes, care homes, rest homes, convalescent homes or convalescent care.

200

True or False:

Alzheimer's is usually underreported.

True. But not because older people do not want to report it.

=========

But outside of research settings, a substantial portion of those who would meet the diagnostic criteria for Alzheimer’s and other dementias are not diagnosed with dementia by a physician.

Furthermore, fewer than half of Medicare beneficiaries who have a diagnosis of Alzheimer’s or another dementia in their Medicare records (or their caregiver, if the beneficiary’s cognitive impairment prevented him or her from responding) report being told of the diagnosis.


Because Alzheimer’s dementia is underdiagnosed and underreported, a large portion of Americans with Alzheimer’s may not know they have it. 


...Alzheimer’s disease begins many years before the onset of dementia.


https://www.alz.org/media/documents/facts-and-figures-2018-r.pdf

200

Donepezil belongs to this class of drug. 

Cholinesterase inhibitors: First-line treatment of AD is cholinesterase inhibitors (donepezil, rivastigmine, and galantamine), which increase acetylcholine levels in the central nervous system. Because acetylcholine is the most important neurotransmitter for memory function, these medications have a modest benefit. Cholinesterase inhibitors can have many adverse effects from excessive muscarinic stimulation, including nausea, stomach cramps, and diarrhea.

200

True or False: 

Having dementia is a normal part of aging.

False.

----------------

While dementia is more common as people grow older (up to half of all people age 85 or older may have some form of dementia), it is not a normal part of aging. Many people live into their 90s and beyond without any signs of dementia. 


https://www.nia.nih.gov/health/what-dementia-symptoms-types-and-diagnosis

200

Dr. Kunkler Clue



What is:

• the simulation room

• room 379

• one of the rooms on the 3rd floor of IREB

300

True or False:

The total lifetime cost of care (including Medicare, Medicaid, out-of-pocket expenditures, and the value of informal care) for someone with dementia was estimated at $341,840 in 2017 dollars.

True.

The total lifetime cost of care (including Medicare, Medicaid, out-of-pocket expenditures, and the value of informal care) for someone with dementia was estimated at $341,840 in 2017 dollars. 

The costs associated with family care are 70 percent of lifetime dementia care costs ($143,735 in the value of informal care, and $95,441 in out-of-pocket expenses related to care in 2017 dollars).262

300

The greatest risk factors for late-onset Alzheimer’s are older age, having a family history of Alzheimer’s, and carrying the APOE-e4 gene. 

Amongst of these three, this one has the greatest risk factor.

Age is the greatest of these three risk factors, with the vast majority of people with Alzheimer’s dementia being age 65 or older. The percentage of people with Alzheimer’s dementia increases dramatically with age: 3 percent of people age 65-74, 17 percent of people age 75-84 and 32 percent of people age 85 or older have Alzheimer’s dementia.


https://www.alz.org/media/documents/facts-and-figures-2018-r.pdf

300

Multiple Choice:

Of these non-pharmacologic therapies tested in randomized controlled trials, two of these listed below have shown the most benefit to those with Alzheimer Disease:

a) Cognitive Stimulation

b) Exercise

c) Increased Sleep

a and b

----

Reviews and meta-analyses of non-pharmacologic therapies tested in randomized controlled trials (in which participants are randomly assigned to either receive or not receive a therapy, and the results for the two groups are compared) have found that some are beneficial to people with Alzheimer’s dementia. Among these are exercise and cognitive stimulation

Specifically, a meta-analysis found that aerobic exercise and a combination of aerobic and non-aerobic exercise had positive effects on cognitive function, while a systematic review found that exercise has a positive effect on overall cognitive function and may have a positive effect on the rate of cognitive decline in people with Alzheimer’s. However, researchers caution that additional randomized controlled trials involving larger numbers of participants are needed to understand to what extent exercise may slow cognitive decline. 

A second systematic review found that cognitive stimulation had beneficial effects on cognitive function and some aspects of well-being. Cognitive stimulation ranged from object categorization activities to reality orientation exercises. No single type of cognitive stimulation was identified as being more effective than another. Benefits to cognitive function lasted up to 3 months after cognitive stimulation activities ended. Cognitive stimulation did not impact mood, challenging behaviors or ability to perform activities of daily living.

300

This type of dementia is less common in older adults (i.e., those over 65), and more common in middle-aged adults.

One type of dementia, frontotemporal disorders, is more common in middle-aged than older adults.

https://www.nia.nih.gov/health/what-dementia-symptoms-types-and-diagnosis

----

Dementia mostly affects people over 65, but frontotemporal dementia tends to start at a younger age. Most cases are diagnosed in people aged 45-65, although it can also affect younger or older people.


https://www.hopkinsmedicine.org/health/conditions-and-diseases/dementia/frontotemporal-dementia

300

True or False: 

You've never experienced such emotions you've had today this during a Zoom Session.

True. And probably will never again. 

All Zoom Sessions once you leave this PIBL Group will never be the same again.

400

True or False:

The Geriatric Depression Scale (GDS) is a self-report measure of depression in older adults. Users respond in a “Yes/No” format.

The GDS was originally developed as a 30-item instrument. Since this version proved both time-consuming and difficult for some patients to complete, a 15-item version was developed.


https://www.apa.org/pi/about/publications/caregivers/practice-settings/assessment/tools/geriatric-depression

400

Multiple Choice:

Alzheimer's is more common in the group of older people (i.e., aged 65 or older) listed below:

a) Men

b) Women

What is women?

==========

Of the 5.5 million people age 65 and older with Alzheimer’s in the United States, 3.4 million are women and 2.0 million are men. Based on estimates from ADAMS, among people age 71 and older, 16 percent of women have Alzheimer’s or other dementias compared with 11 percent of men.


There are a number of potential biological and social reasons why more women than men have Alzheimer’s or other dementias.170 The prevailing view has been that this discrepancy is due to the fact that women live longer than men on average, and older age is the greatest risk factor for Alzheimer’s.


400

Multiple Choice:

This is the percentage of family caregivers (of people with dementia) who suffer from depression.

a) 0 %

b) 10 to 20 %

c) 30 to 40%

d) 100 %

Approximately 30 to 40 percent of family caregivers of people with dementia suffer from depression, compared with 5 to 17 percent of non-caregivers of similar ages.

400

One of the main reasons why Alzheimer disease have increased prevalence in advanced age.

Protein accumulation worsens with time, so neurodegenerative diseases are more common in older patients.


Neurodegenerative diseases result from aberrant protein homeostasis, and with aging the body demonstrates decreasing capacity to eliminate toxic molecules like these aberrant proteins. Consequently, it is logical that diseases like Alzheimer disease have increased prevalence in advanced age.


Neurodegenerative diseases are a group of relatively common, progressive neurologic conditions that tend to affect people as they age. Basically, neurons in the brain die, causing functional losses. The part of the brain affected determines whether patients will experience dementia (deteriorated cognitive function), psychiatric disturbances, problems with movement, or a combination of these. These conditions usually are incurable.

400

Bill Nye the Science Guy is doing the _______.


Go Frogs!