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65 Cards in this Set

  • Front
  • Back

“a wholeness and harmony of body mind and spirit”.

Health

Most older adults have one or more

Chronic disease

Gerotransendance

includes acceptance of normal aging changes, making plans for future, and having strong relationships with those around them. The objective is not to run a marathon or never experience illness.

Health promotion focuses on wellness and must include

Motivation and incentives

_________ is the incentive or drive that causes a person to act.

Motivation

Incentives

1. A belief that activities improve fitness and health


2. The enjoyment of socialization


3. A belief that activities help maintain independence


4. Influence of significant others

Greater than 60% of individuals over the age of 60 are living with

Two or more chronic diseases

Most frequent chronic diseases

arthritis, hypertension, heart disease, hearing impairment, dementia.

Aging changes that affect optimum nutrition:

Metabolism slows. Senses of taste and smell decrease. Decrease in socialization opportunities.

Exercise: build and maintain muscle condition, short term illness decreases muscle strength, weak muscles lead to falls. This exercise prevents falls.

Strengthening

exercises include slow stretching motions, prevent muscles from becoming short and tight, motions should be done gradually and slowly. Prevents contractures.

Flexibility

improves function of heart, lungs and blood vessels, aerobic exercise best like swimming, walking, cycling, correct breathing techniques should be emphasized

Endurance

Stress in older adults is related to 3 basic areas:

Environment- weather, crime, crowds, time pressures


Body- illness, accidents, lack of sleep, normal age changes


Mind- negative attitudes, boredom, despair, hopelessness

impairs mental alertness, judgment, physical coordination and reaction time. Less tolerant of even small amounts

Alc and old people

Aging individuals should be urged to develop interests:

Unrelated to work

Phases of Retirement

Remote: early on. Don't necessarily have a plan in place.


à Near: reality is evident and preparation begins.


à Honeymoon: have retired. Start to test fantasies.


à Disenchantment: they start to realize their fantasies aren't as enchanting.


à Reorientation: start making more realistic goals.


à Stability: they understand the new role.


à Termination: If financially they have to go back to work.

most prevalent cause of death resulting from unintentional injury among older adults

Falls

Bodily causes of increase falls

Musculoskeletal, decreased gait. Neurological, decreased proprioception. Sensory loss, hearing and vision loss. Cardiovascular, increased risk or orthostatic hypotension. Genitourinary and digestive, more likely to have frequency and urgency. Cognition, reaction times slow. Nutrition/Hydration, BP fluctuates due to not drinking enough.

Signs of hyperthermia

body temp higher than 103. Abnormal confusion. Headache. Heavy sweating or hot dry skin with no sweat. Pallor. Tachycardia. Fatigue. Dizziness. Muscle cramps. Nausea. Rapid, shallow breathing.

Signs of hypothermia

shivering, shallow breathing, weak pulse, memory loss, slurred speech, decreased responses (mental and physical), increased lethargy or fatigue.

Elder abuse; what to look for

bodily injuries or malnutrition. Withdraw. Changes in emotion. Missing money. Injury to genitals or mention of sexual aggression from others. Lack of care or caregivers.

Risk factors for malnutrition in older adults

immobility, sensory changes, poor dentition, pain, inability to acquire or prepare food, depression or loneliness.

defined as inadequate or excessive exposure to nutrients.

Malnutrition

the body breaks these down slowly and they sustain energy over a longer period. Simple- easier for the body to digest, quick source of energy.

Carbohydrates

Carbs come from

grains, beans, nuts, milk, fruits, vegetables

Carbs are in

grains, beans, nuts, milk, fruits, vegetables

amino acids that provide support for various body parts.

Structural proteins

help the body perform the activities that keep the body alive.

Functional proteins

amino acids the body cannot make in sufficient quantities for metabolic needs and usually comes from diet.

Essential

amino acids the body can make in adequate amounts to meet needs.

Non essential

contain essential amino acids, animal sources.

Complete proteins

contain essential amino acids, animal sources.

Complete proteins

do not contain all essential amino acids, plant sources.

Incomplete proteins

Provide a source of fuel for the body, support internal organs, provide insulation and help with the absorption of certain vitamins.

Fats

found in plants- beans, nuts and oils produced by plants. also found in beef, poultry, fish, shellfish, dairy and eggs. Assist with absorption of vitamins A, D, E, and K

Fats

Needed for maintenance of metabolic processes and growth.

Vitamins

fat soluble, comes from animal and plant sources. Dark green leafy vegetables and deep yellow or orange fruits and vegetables. Good vision, growth and immune system function. Stored in body’s fat. Symptoms of excess vitamin- ataxia, dry skin, poor appetite and liver damage

Vitamin A

Necessary for energy metabolism and cell function. Whole grains or enriched cereals, nuts, organ meats, pork and legumes

Vitamin B1 (Thiamine)

Essential in building and maintaining healthy tissue. Milk and dairy products, enriched cereals, eggs and meats

Vitamin B2 (riboflavin)

Essential in maintaining healthy nervous and digestive system and skin. Whole grains, enriched breads, liver, meats, poultry, fish, tea and coffee.

Vitamin B3 Niacin

Niacin can interfere with

blood glucose control. Niacin toxicity- diarrhea, vomiting, gastric ulcers and liver damage

Assists in the metabolism and use of glycogen that has been stored as a fuel. Required for brain activity and normal functioning of CNS and immune system. Eggs, whole wheat products, nuts, vegetables and animal sources. Toxicity can occur with intake of large doses of dietary supplements- lack of muscle coordination, neuropathy, sensitivity to sunlight, heartburn and nausea

Vitamin B6 (Pyridoxine)

Essential for production of hemoglobin and for proper nervous system function. Gastrointestinal changes related to normal aging can decrease the absorption of vitamin B12. Meat, fish, poultry, eggs and milk products. No plant sources

Vitamin B12 (cobalamin)

Essential for healthy cell growth and function and red blood cell formation. Green leafy vegetables, legumes/dried peas and beans, liver and fortified grains and cereal. Deficiency- fatigue and weakness, heart palpitations, bright red tongue and shortness of breath. High doses can cause colorectal cancer.

Folate

ascorbic acid. water soluble build and repair body tissues and bones, keep teeth and gums healthy and aid with iron reabsorption. Scurvy ( vitamin C deficiency). citrus fruits, strawberries, kiwi, cantaloupe, broccoli, brussel sprouts

Vitamin C

fat soluble. produced naturally by the body if enough sunlight. absorption of calcium and phosphorus for maintenance of bone tissues and other body functions. liver, fish oils, egg yolks and foods fortified with Vit

Vitamin D

fat soluble. powerful antioxidant that provides protection from many body tissues and slows aging process. PB, nuts, wheat germ, vegetable oils. large doses of Vitamin may interfere with blood clotting so patient taking anticoagulants should only take the recommended amount

Vitamin E

fat soluble. blood clotting functions, aiding in bone development and regulating blood calcium. leafy vegetables, cabbage, broccoli, cauliflower, brussel sprouts, kale. antibiotics prevent absorption of vitamin from intestinal tract

Vitamin K

Inorganic substances found in nature and human body and are classified according to the amount needed to maintain a healthy body. Major minerals (electrolytes)- calcium, phosphorus, sodium, magnesium, chloride and potassium

Minerals

bones and teeth, blood clotting, muscle and nerve activity, digestion, maintenance of blood pressure

Calcium

bone maintenance, metabolism, cell maintenance

Phosphorus

energy, maintaining cell membranes, muscle activity, metabolism

Magnesium

mainly responsible for maintaining the body’s water balance , nerve and muscle function, glucose activity

Sodium

mainly responsible for maintaining the body’s water balance , nerve and muscle function, glucose activity

Sodium

fluid balance, digestion (mineral)

Chloride

fluid balance, function of nervous and musculoskeletal system, insulin release, metabolic activities (mineral)

Potassium

Trace minerals

Iron- production of hemoglobin, aiding in metabolism


Zinc- wound healing, insulin storage.


Iodine- component of thyroid hormone, regulates metabolism


Selenium- healing, preventing disease, metabolic activities


Copper- produce hemoglobin


Manganese- metabolic functions, blood clotting


Chromium- improves glucose metabolism


Fluoride- bone and dental integrity

How to Help Older Adults Stay Active:

Older adults must be encouraged to do as much activity for themselves as possible. Examples: walking residents to meals. sitting in chair to eat- promotes digestion. encourage older adults to do ADL’s. be aware of physical ability

Four Types of Exercise Recommended for Older Adults.

Endurance- aerobic exercise increases respiratory and cardiac function. Muscle Strengthening- resistance exercise. Balance Training- prevents falls Flexibility- improves overall movement and helps them stay active muscles are stretched

deepest sleep and is essential for good nights sleep- if person’s sleep interrupted- the cycle disturbed and the deep healthy sleep is lost.

REM

stages progress from relaxation to deeper sleep

NREM

the body’s ability to synchronize the activity of the body to the 24-hour cycle of the external environment

Circadian rhythm

Risk factors for bad sleep

sedentary lifestyle, psychiatric conditions, physical conditions, psychosocial stressors, medications, lifestyle changes, environment changes. Fatigue is not a normal outcome of aging- it is a problem

How to improve sleep

Balance daytime activity and rest Provide activity. during the day. Provide socialization. Limit number and length of naps during day. Maintain bedtime routine. Provide 2-3 hours uninterrupted sleep during night

To have maximum health- all people need ACTIVITY that fits their physiology. REST that accommodates their lifestyle and SLEEP that allows them the ability to function without fatigue

All done!! ❤️