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Deep and profuond predjudice in American Society against older adults.
Ageism
The study of aging and older adults
Gerontology
Medical care of the elderly
Geriatrics
Where do elders go when they do not feel safe at home or are unable to attend to ADL's?
Assisted living
S/S Progressive Demntia, memory loss, inability to care for themselves.
Alzheimer's disease
A place with focused social activites and health care where nursing care varies by need.
Adult Day care
A steady decrease in muscle fibers
sarcopenia
stooping posture
Kyphosis
Porous and fragile bones
osteoporosis
Spontaneous Fractures
Pathologic fractures
Inability to focus or accomodate due to a loss of flexibilty of the lens, cause decreased near vision.
Prebyopia
Lens opacity
cataphracts
Loss of hearing ability related to aging
Presbycusis
Aging individuals have a voluntary withdrawal from other elders
disengagement theory
The best way to age is to stay physically active
activity theory
the ability to interrpret enviornment, depends on acutenedd of the senses
Perception
Momentary perception to stimuli from enviornment
Sensory memory
Information held in the brain for immediate use or what one had in mind at any given point.
Short term memory
Memory of the recent activities or past minutes to a few hours
recent memory
Information stored for longer than 72 hours.
Long Term memory
Body temperature below body requirements
Hypothermia
Progressive loss of cognitive function
Dementia
Categories of elders:
Young-old
65-75yrs
Categories of elders:
Old
75-85yrs
Categories of elders:
old-old
85-100yrs
Categories of elders:
Elite old
over 100yrs
characteristics of elders
Longer life span
Fastest growing section 85yrs. +
Minorities increasing
Hispanic the largest growth
Women live longer
Men more likely to remarry
Educational level gradually increasing
lower incomes
Most live in a community setting
Poverty mor likely when living aloneĀ 
Charecteristic of elders health
chronic health problems and disabilities increase
73% rate health as good, very good, or excellent
20%report diability and most have chronic disease
Care settings for elders
Intensive Care Units
Emergency department
Rehabilitation
Assisted living
Intermediate care
Skilled care
Alzheimers Unit
Hospice
Rehabilitation
Nurse-run clinics
Adult day care
Skin dryness, pallor, fragility
Wrinkling and sagging
Age spots
Decreased perspiration
Thinning, graying of body hair
Slower growth and thickening of nails
Integumentary Changes that occur
Decreased speed and power of muscles
Slower reaction time
Loss of height
Loss of bone mass
Jointstiffness
Impaired balance
Greater difficulty with complex learning/abstraction
Neuromuscular Changes
Loss of visual acuity
Increased sensitivity to glare
Decreased ability to adjust to darkness
Arcus Senilis
Presbycusis
Decreased sense of taste and smell
Increased threshold for pain, touch, and temperature
Sensory-Perceptual Changes
Decreased ability to expel accumulated matter
Decreased lung exspansion
Less efective exhalation
Reduced vital capacity
Increased residual volume
Dyspnea with exertion
Pulmonary Changes
Reduced stroke volume and Cardiac output
Reduced elasticity
Increased rigidity of arteries
Increased SBP and DBP (systolic & Dystolic)
Orthostatic hypotension
Cardiovascular Changes
Delayed swallowing time
Increased indegestion
Constipation
Gastrointenstinal Changes
Reduced Filtering
Impaired renal function
Less effective concentration of urine
Urgency and frequency
Nocturia
Retention
Urinary Changes
Prostate enlargement
Atrophy of vulva, cervix, uterus, fallopian tubes, ovaries
Reduced vaginal secretions
Changes in vaginal flora
Changes in sexual functioning
Genital Changes
Decreased immune system function
Lowered resistance to infection
Poor response to immunizations
Decreased stress response
Immunological changes
Increased insulin resistance
Endocrine changes
Decreased physical strength and health
Retirement
Lower fixed income
Death of parents, spouse, and friend
New relationships with adult children
Leisure time
Slower physical and cognitive respons
Keeping active and involved
Making satisfying living arrangements
Additional Developmental Tasks (65-75 years) KATHY SAID WE NEED TO KNOW!!!!!
Adjusting to:
-Living alone
-Posibility of moving into a nursing home
-ones own death
Safeguarding physical and mental health
Remaining in touch with other family members
finding meaning in life
Developmental tasks (75yrs.and older)
KATHY SAID WE NEED TO KNOW!!!
Retirement
Ecological changes
Grandparenting
Relocation
Maintaining independence and self esteem
Facing death and grieving
Psycological Changes
Formal operations
Intelectual Capacity
-Perception
-Cognitive agility
-memory
-Learning
cognitive abilities
Helps resolve issues related to meaning of life, adversity, good fortune
May be important coping resource
May feel impoverished or despair if not matured spiritually
Benefits to spirituality
Injuries, chronic disabling illnesses, drug use and misuse, alcoholism, demntia, elder abuse are examples of...
Older adults select health problems
Safety
Nutrition and exercise
Elimination
Social interaction
Health Promotion Topics
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