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12.3 of US population 35.6 million in '02 Life expectancy has increases |
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1900 47.7 years 1950 68.4 years 2001 76.9 years |
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normal period of the lifespan with its own special characteristics and developmental tasks |
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branch of medicine and nursing concerned with aging |
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period of lifespan during which a person grows old, begins a different ages for different people |
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a person's position in time related to his potential lifespan |
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the individual's capacity for adapting to his environment |
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person's role in family, at work or in community as well as his interests and activities |
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Problems with cognition and communication in elderly |
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acute confusion irreversible confusion reality orientation validation therapy |
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depression, delusional disorder, bipolar disorder, anxiety disorder, schizophrenia |
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Women live longer than men (5.2 years) |
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What is the fastest growing population in the US? |
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Baby boomers 65 and older |
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Integrity vs. despair 8th stage Senescence 65-100 years |
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occurs when older person looks back at accomplishments and errors and derives a sense of integrity |
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A person views life as not having meaning |
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Health influences the aging process |
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Chronic Medical condition increase with age: heart disease, respiratory disease, arthritis, diabetes, cataracts |
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#1 cause of death for people older than 65 |
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Mobility in elderly is effected by |
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Arthritis Cataracts Hemiparesis Ataxia Spasticity |
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Stress- to much pressure on bladder Urge- involuntary Functional- didn't make it Overflow- sphincter loses control when bladder full |
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Skin integrity is influenced by |
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falls positioning incontinence pressure ulcers |
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income decreases after retirement SS primary income source |
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How do we explain the differences in income? |
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Former occupational status Educational background work history age, sex, race, ethnicity marital status, living arrangements |
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What is the percentage of elderly people living in poverty? |
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How many elderly people are living in nursing homes, with family members? |
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5 % 80% men, 60% women with family |
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Why are the elderly least likely to change residences than any other population? |
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Feel secure in their home setting and moving would contribute further to their losses |
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Sociologic theory on aging Disengagement |
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Definition
mutual withdrawal by aged and society |
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remains active and interacts with society |
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Continuity or development |
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Personality is one of the few constants in life |
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Life Cycle changes can be identified, predicted, planned for and managed |
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Wear and tear- stress and use wear out the body Collagen- decreases Immunological response- body doesn't recognize changed cells and attacks them initiating the aging process |
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Free molecules eventually damage cells, consuming Vitamins A,C, E |
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Age pigments accumulate in cell, initiating the aging process |
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Cell division errors occur progressively over time causing alteration and changing function |
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Cell death of genetic programming |
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predetermined rate and time a species ages and dies |
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Did not recommend psychoanalysis for the aging |
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Ego remains intact according to Erikson when |
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Definition
Elder is please with their life |
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What are some main causes of social adjustments for the elderly? |
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Forced retirement Alteration of income Loss of family, spouse, friends Family members relocate Chronic illness Housing |
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Nutrition and the elderly |
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Food intake declines with aging partially due to decline in activity protein is needed to disperse meds- check albumin levels Chronic illness |
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Elderly and infection and immunity |
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Humoral immunity declines (related to hormone related such as estrogen in women) Inadequate nutrition Presence of chronic illness |
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medication RLS Sleep apnea Pain Cardiovascular and pulmonary disorders |
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Osteoarthritis Neuropathic pain Postherpatic pain Phantom limb pain |
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shock, disbelief, anger, denial of the loss |
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loss of important relationships sensory losses depression cognitive disorders cultural differences language barriers |
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