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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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Definition
| 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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Definition
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| Mobility in elderly is effected by |
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Arthritis Cataracts Hemiparesis Ataxia Spasticity |
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Term
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Definition
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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Definition
falls positioning incontinence pressure ulcers |
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Definition
income decreases after retirement SS primary income source |
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| How do we explain the differences in income? |
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Definition
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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Definition
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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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Definition
| Feel secure in their home setting and moving would contribute further to their losses |
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Term
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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Term
| 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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Term
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Definition
| 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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Definition
| predetermined rate and time a species ages and dies |
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Term
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Definition
| 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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Definition
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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Definition
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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Definition
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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