- long term illness
- often permanent, leaving residual disability that may require long-term management rather than a cure
chronic disease
more than what percent of older adults have at least one chronic health condition?
80%
multiple conditions occur in what percent of medicare beneficiaries?
70%
close to what percent of seniors with a chronic health condition report limitations in daily living skills?
40%
chronic diseases account for more than what percent of healthcare costs?
75%
which disease can lead to these effects on function:
- breathlessness
- managing oxygen/life of tank
- psychological implications/emotional well-being
- decrease engagement in social activities
- fatigue with showering, grooming, yard maintenance
- stair climbing limitations
- influence of weather
COPD
which disease can lead to these effects on function:
-difficulties with shopping, cleaning, heavy housework, laundry, traveling
CHF
which disease can lead to these effects on function:
-neuropathy in hands and feet, vision impairments, poor circulation leading to skin problems, ulcers, amputations
diabetes (high blood sugar levels)
which disease can lead to these effects on function:
- jittery
- weakness
- lethargy
- poor coordination
- cold and clammy
- blurred vision
diabetes (low blood sugar levels)
which disease can lead to these effects on function:
- persistent difficulty walking several blocks and climbing one flight of stairs
- difficulty with bathing, dressing, transferring, using the toilet and eating are also more common
OA
name the 3 trajectories of chronic disease in order.
- slowly accumulate functional deficits over time
- difficulty walking long distances and doing heavy housework
- progress to basic ADL difficulty and difficulty walking short distances
name 4 threats to autonomy with chronic disease.
- functional decline
- long-term care placement
- negative mindset
- professional’s attitudes
name 2 measurements of QOL.
- SF-36
- CDC HRQOL - 14
___ ___ is the ideal way for someone to manage chronic disease.
self-management
- group intervention for people with any type or number of chronic diseases
- has been modified to make it disease specific, trained healthcare professional led
- 2.5 hours/week for 6 weeks
- includes disease-related problem solving, action planning
- skills related to medication management, communication with healthcare providers, nutrition and exercises
- strong evidence to support effectiveness for improving occupational performance
stanford chronic disease self-management (CDSMP)
name 7 focuses of diabetes self-management interventions.
- healthy eating
- being active
- monitoring
- taking medications
- problem solving
- healthy coping
- reducing risks
the most promising diabetes self-management programs focus on which 4 skills?
- problem solving
- decision making
- action planning
- self-tailoring
- 6-week group-based program and an individual session to promote carry over of self-management strategies to locations of daily living
- be active! manual developed based on this program/study
- multidisciplinary team approach including OT, PT, nursing and speech
- clinical nurse specialist monitors medication adherence
Parkinson’s self-management
each Parkinson’s self-management session includes which 5 components?
- motion, flexibility, and strength exercises
- speech exercises (stretching facial muscles, strengthening muscles of vocal cords)
- functional training (getting up from bed or a chair, dressing, social communication)
- gait training (walking with external auditory cues to improve gait pattern and speed)
- group discussion
what is an important component of health management?
medication management
use of multiple medications, use of more medications than clinically indicated
polypharmacy
- clinical tool that catalogues medications that cause adverse drug events in older adults due to their pharmacologic properties and the physiological changes associated with aging
- also includes drug-disease and drug-syndrome interactions that may exacerbate the disease
Beers Criteria
older adults are at a higher risk of which 2 nutrition related complications?
- malnutrition
- dehydration
name 7 nutritional needs of older adults.
- protein
- potassium
- calcium
- vitamin D
- dietary fiber
- vitamin B12
- nutrition supplements in select cases
