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183 Cards in this Set

  • Front
  • Back
AGING
The chronological change in our age from year to year
GROUPING
Characteristics are shared
Young-old
55-64
middle-old
65-74
old-old
74+
frisky
64-74
frail
75-85
fragile
85+
elderly
referred to as anyone over the age of 65
1900's
1 in 10 were 55+ years old.
1 in 25 were over 65
2000
1 in 5 were 55+
1 in 8 were 65
by 2040 its estimated that 1 in 5 will be
over 65
baby boomers
1946-64
baby boomers occured because of
increased wealth and time saving devices like the washing machine
population change is occurring because of
increase life expectancy
why is the elderly population growing so much?
improved disease prevention/health promotion.
activities and health care technology
average life expectancy has increased in relationship to
decline in mortality rate
life expectancy varies with
age, gender, race
life expectancy for caucasians at birth is
6-8 yrs longer than african americans
increase in life expectancy leads to:
changes in illness patterns
decrease in mobility
increase in dependency
increase in use of health services
ethnicity
membership in a group defined as set apart by race, religion, national orientation or a combination of these.
elderly are mostly whtie, with
8% african american
and 5% hispanic
between 1990 and 2030
elder minority growth estimates
(ethnicity)
whites: 92%
blacks:257%
hispanics: 395%
variations in education
non-whites tend to have less education and lower incomes than whites
professionals must make sure all ethnic groups have access to:
health care
cross sectional design
people @ diff. age groups are examined at the same point in time.
developmental effect
some fundamental change that can occur as we age
cohort effect
-an effect that is a result of being born at a particular point in time.
- a group born roughly at the same time.
cognitive representation of a group
specific characteristics we expect certain members of a group to have
attitude
overall emotional response to a person or group of people.
ageism
tell the diff. in ages, and think badly about older individuals.
younger people look at older people as
part of another group
men have more _______ stereotypes associated with aging.
positive
men are better reproductive partners with age because of:
wealth and status
myth: you can't teach an old dog new tricks.
you can learn and grow, in diff. ways and it takes more time and commitment.
myth: the secret to positive aging is choosing your parents well.
we control how we age with our lifestyle choices of our mental and physical health.
myth: the lights may be on but the voltage is low
we ignore the positive aspects of aging and just look at the negative too often.
myth: the elderly do not pull their own weight
they may not be able to work as hard, but they can volunteer or help
negative stereotype: severly impaired
slow thinking, incompetent, feeble, incoherent, inarticulate, senile.
negative stereotype: despondent
depressed, sad, lonely, hopeless, afraid, neglected.
negative stereotype: shrew/curmudgen
complaining, bitter, prejudiced, demanding, selfish, stubborn, nosy.
negative stereotype: recluse
timid, quiet, naive.
positive stereotype: golden ager
lively, adventorous, witty, sociable, independent, skilled, productive, volunteer.
positive stereotype: perfect grandparent
kind, loving, famliy oriented, generous, grateful, supportive, understanding, trustworthy.
positive stereotype: John Wayne conservative
patriotic, religious, nostalgic, reminiscent, retired, conservative, emotional, mellow, determined, proud.
young adulthood:
mid-teens to 30
middle age
30's to 50's
old age
50's and older
people with negative views of aging live for __ years less than people with a positive view.
7.5
theories of aging:
-stochastic
-nonstochastic
-psychosocial
-sociological
stochastic theories
view aging as a set of adverse changes in the cells that lead to replicative errors.
ex) wear and tear theory
error theory
cross link theory
free radical theory
Wear and Tear Theory
idea that continuous use leads to worn out or defective body parts.
ignores repair mechanisms available to body.
error theory
concerned with cumulative DNA and RNA mistakes.
mistakes that are copied and transmitted impairing cellular function.
Cross-link theory
elastin and collagen are primary.
-go from molecules taht are loosely associated to those who are tightly associated
-making them more rigid.
making elastin and collagen more rigid leads to:
-affects white cells to fight infection
-decreased access to nutrition
-inhibits cell growth
-reduces the cells ability to eliminate waste
-age related changes to skin
free radical theory
chemical by-products in normal cell metabolism involving O2.
-unstable, only last few min.
free-radical theory: chemical changes:
-highly reactive with other molecules.
-normally protective enzyme systems deal with this
-with age, bodies ability to produce enzymes decreases.
-can be supplemented with vitamins.
nonstochastic theories:
aging is caused by replication errors in cells that are intrinsic or pre-programmed.
programmed aging theory
genetic or biological clock may determine aging process
immunological theory
with age the body becomes less able to fight off antigens.
loses its ability to distinguish between antigents and the body's own tissues.
psychosocial theories of aging:
-idea that earlier life events effect later life decisions.
-maslow
-erikson
-peck
maslow's hierarchy of basic needs:
-needs that motivate human behavior
-as the needs are met at one level, they move to the next.
1. physiological needs:food, water, O2
2. safety or security
3. belonging
4. esteem/self-worth
5. self-actualization: develop one's ability to fullest.
erikson's stage theory of development: (ERIK ERIKSON)
-series of developmental crises that the individuals must resolve in either a postive or neg. fashion
- the attributes the person chooses directs a person's life.
middle age: generativity vs. ego stagnation
-realize finite period of time
-start to want to leave a legacy
- interests broaden to a more social perspective
-if you do not resolve probs you become fixated on yourself.
late adulthood: integrity vs. despair
reviewing one's life
-reconciles failures and success
- self-worth knowing you did the best you could
- If life is seen as series of failures, person will feel despair.
peck's taks of middle and old age:
robert peck (1968)
subdivided eriksons last 2 stages into 7 specific tasks taht must be accomplished.
peck's middle age tasks:
-valuing wisdom vs. physical powers.
-socializing vs. sexuality
-emotional flexibility vs. emotional rigidity.
-mental flexibility vs. mental rigidity
socializing vs. sexuality
urges broaden requirements for a meaningful relationship away from sexuality
emotional flexibility vs. emotional rigidity
flexibilty involves to reinvest emotional energies in new relationships and new roles as older, well-established emotional attachments undergo changes with age.
-those who don't do this, find themselves isolated
mental flexibility vs. mental rigidity
helps you cope and adapt effectively
pecks' older age tasks: ego differentiaion vs. work role preoccupation
give yourself a sense of self-woth other than by work.

contribute to community with other ways than work.
peck's older age tasks: body transcendence vs. body preoccupation
have to rise above preoccupation with health related issues in order to derive more personal satisfaction from life
peck's older age tasks: ego transcendence vs. ego preoccupation
must see beyond themselves to maintain an active interest in society and people in order to see lives in a positive perspective.
sociological theories:
care about demographics of aging (baby boomers).
-geographic mobility of elderly in regards to services and how well they can handle influx of people or deflation.
-concerned about friendship network and how it changes
-sex ratio, 48& men, 52% women, 65 years and older.
-over age of 80: women 70%, men 30%.
network approaches for sociological theories:
links social network, structure of network and content of relationships to health.
theories of successful aging:
-disengagement theory
-activity theory
-continuity theory
-socioemotional selectivity theory
-selective optimization with compensation model
-social-environmental theory
disengagement theory:
-mutual withdrawl of older adults from society as society withdraws from them.
mutuality:
carry out a normatively defined mutual disengagement
insuitability:
the system's needs are dealt with rather than personal needs or interest
universality:
disengagement from elderly is prerequisite for social stability.
with disengagement theory, elderly who willingly withdraw from society will adapt to aging
those who do not will not fulfill needs and have a hard time adjusting.
communication implications of disengagement theory.
-withdrawal is associated with reduction in amount and quality of communication interaction.
if disengagement theory is correct:
- elder should enter fewer relationships
-closeness of relationships lessen
-lessening of qualitative and quantitative aspects of the relational network should be apparant.
ACTIVITY THEORY:
collection of research findings rather than one specific theory.
-successful aging is linked to an active social life.
*high social interaction and high satisfaction w/ life.
communication implications of activity theory
suggests communciation should be maintained at high levels throughout the aging process.
if the activity theory is correct:
- an elder should enter into frequent comm. interactions.
-relationships should be close
-conversation should reflect interest in community events and other topics that are oriented toward others.
continuity theory: neugarten et al. 1968
successful aging is dependent on individual personality
-people maintain personality characteristics over time
-individuals consistency determines how they adapt to aging.
communication implications of continuity theory :
-describe each individual's comm. personality
-to successfully age, person must maintain communication personality.
socioemotional selectivity theory:carstensen 1992
-aging individuals reduce their number of overall communication partners, but maintain close relationships that provide most satisfaction.
(few, closer relationships)
socioemotional selectivey theory involves:
-social interaction involves cost, and rewards.
older: new relationships are more costly.
-life span approach is acquiring rewarding relationships and discarding unsatisfying ones.
communication implications of socioemotional selectivity theory:
closeness in relationships is acheived via communication
-as we age, we learn to reap more rewards from relationships while lessening costs.
if the socioemotional selectivity theory is correct:
elder should communicate frequently with close relationships and less with distant ones.
-relationships should have a high level of closeness.
selective optimization with compensation model (baltes and baltes 1990)
"dont work harder, work smarter".
selective optimization with compensation model details:
theory based on propositions of aging from a psychological p.o.v.
-aging is heterogenous
-great deal of reserve tapped when needed during aging
-with age, we lose some reserve capacties
-knowledge-based pragmatics and technology offset age-related decline in cognitive mechanics
- with aging, balance b/w gains and losses is less positive.
- AGING IS AN ADAPTIVE INTERPLAY OF GAINS AND LOSSES
* memory aids, hearing aids.
communication implications for selective optimization with compensation model
whena person loses some ability, ppl involved with that person can help foster independence of reinforce dependence.
if the selective optimization with compensation model is correct:
communication for elderly should help person maintain as many options as possible in selecting and optimizing conditions of life
* compensations used to maximize ability of controlling own life
* interactions focus on maintaining a postivie self-worth
social-environmental thoery:
-concerned with pragmatic, functional impact of environment on communication
-proximity is related to determination of with whom we enter a relationship
-age segregation can determine social contacts
-external and internal factors are related successful aging.
epidermis
-top layer of skin
-made of keratinocytes
-purpose is to protect
-produces vitamin D3
epidermis
-top layer of skin
-made of keratinocytes
-purpose is to protect
-produces vitamin D3
melanocytes
pigment
langerhan's cells
activate immune system
merkel cells
sensory receptors
dermis
-connective tissue
-contains blood vessels
-pressure, pain and temp receptors
-hair follicles
-sebaceous glands
-eccrine glands
-apocrine glands
hypodermis
secures dermis to muscle tissue
-contains:
connective tissue
blood vessels
nerves
fat cells
functions of hypodermis
-protection
-temp regulation
-excretion
-prevention of drying out
-physical, chemical and biological barrier
-helps make vitamin D
-provides important info about environment
aging changes: epidermis
-thins
-rate of cell turn over declines
-greater sensitivity to physical trauma and chemicals
-slower heating rate
-melanocytes decrease
-langerhan's cells decrease
when melanocytes decrease:
regeneration rates vary causing lentigo senilis(age spots)
when langerhan's cells decrease:
-reduced immune responses
-increased rash, skin tumors, allergic reactions
aging changes for dermis:
-loses 20% thickness
-collagen decreases
-fragility of blood vessels
-loss of subcutaneous fat
-decreased oil production
-sweat glands decrease
-decreased # of blood vessels to cool/heat body.
aging changes for hypodermis:
fat cells become thinner
xerosis:
dry rough appearance.
itchy.
due to reduced sweat glands or changes in fluid release from body.
from cold, dry climates; harsh soap; frequent bathing or bed rests.
treated with cream
senile purpura
blood vessels rupture easily and blood pools into tissue around it
solar elastosis
rough, leathery wrinkles skin w/ irregular pigmentation due to repeated sun exposure.
actinic keratosis
pre-malignant lesion cause by sun exposure
-seen on areas most exposed to sun
seborrheic keratosis
appears raised, tan, reddish-brown to black-purple, wort-like.
may develop into cancer.
herpes zoster
(shingles)
-viral infection
-stays dormant in dorsal nerve endings and is re-activated by stress or decreased immune response
-causes extreme pain during outbreaks
pressure ulcers
(bed sores)
4 stages where varying degrees of skin is involved.
gradual loss of calcium
dec. in bone mass and bone density
cartilage surfaces become rougher in joints
dec. water density. less cushioning
age related changes in muscuskeleton system:
cartilage of the intervertebral discs loss fluid and become stiffer.
tendons and ligaments lose strength.
osteoporosis:
-metabolic bone disease
-rate of bone resorption becomes greater than rate of formation
-results in dec. bone mass
-brittle, fragile, porous bones
-effects women more than men
-fractures aren't most commonly associated with it.
kyphosis
"hump back"
-posture changes as result of osteoporosis.
risk factors of osteoporosis:
age, female, white or asian, petite, estrogen deficiency, heredity, inadequate calcium intake, alcholic, excessive caffeine, high fat.
3 types of athritis:
osteoarthritis
rheumatoid
gout
osteoarthritis
degnerative joint disease
leading cause of disability over 65
osteoarthritis caused by:
age, injury, obesity, diabetes, genetic disposition, other joint disorders.
rheumatoid arthritis
autoimmune disorder- bodies antibodies attack tissue
-involves connective tissue
-40-60 yrs.
-synovial membrane becomes inflamed and thickened.
-may have malaise, fatigue, low fever, weight loss.
-rapid period of remission
gout
-build up of uric acid in joints and blood
-causes crystals to be formed in the joints
-sudden, very painful
-last only few days
-repaeated attacks to permanent damage
muscles:
strength declines with age
muscle atrophy
replacing muscle fiber w/ fatty tissue
age related changes in structural cardiovascular system
-increased fatty tissue layer on heart
- heart/artieries thicken
-thickening of valves result in less efficient heart
-pacemaker cells dec. in #
-veins dilate and stretch
-arteries become dilated, twisted and calcified
age related changes in fucntional cardiovascular system:
-longer recovery
-slight arrhythmias
-decline in cardiac output
-increase in atrial fibrilation
-due to dec. flexibility the heart must pump harder
age rel. disorders of cardiovascular system
-angina pectoris
-myocardial infarction
-congestive heart failure
-transient ischemic attack
-cerebrovascular accident
angina pectoris
chest pain
heart muscle not receiving enough blood flow
myocardial infarction
reduced or no blood flow to heart from coronary arteries
congestive heart failure (CHF)
the heart isn't able to pump adequate blood to body tissures during exercise or rest.
transient ischemic attack (TIA)
a sudden interruption of blood flow to brain usually lasting less than 24 hrs.
cerebrovascular accident (CVA, stroke)
blood supply to brain is reduced or shut off completely.
-narrowing of arteries or clot b/c of something in bloodstream
-result of a rupture
respiratory system: functions
-transports oxygen to blood
-abnormal fucntion affects every body system
-lung structure and function reaches max development and efficiency in early 20s, declining slowly after that.
-carbon dioxide is a waste product of tissue metabolism and moves opp. direction.
respiratory system: structures:
diaphragm: main muscle of respiration
age-related changes in respiratory system
decreased muscle mass and strength leading to dec. tolerance for exercise.
-intercostals and abdominal muscles weaken leading to dec. lung recoil and more shallow respirations
-dec. lung function and reserve, esp. during stress
-alterations in respiratory defense mechanisms.
-elderly inhale more to supply oxygen to organ systems, but smaller air is expelled from lungs.
chronic obstructive pulmonary disease (COPD)
-group of dieseased that cause:
reduce airflow in an dout,
excessive secretion of mucus, chronic infection,
increaces in airspaces, dec. in elasticity of lungs, narrowing of bronchi due to allergies.
COPD
17 mill people in us affected by this.
4th cause of death in US
-50% diagnosed w/ this die w/in 10 yrs
-risk factors are smoking
-starts with cough, difficult breathing, then wheezing and chronic mucus production
emphysema
-enlargement or destruction of alveolar wall of lungs
-lungs lose their ability to stretch and obtain oxygen
pulmonary TB
-disease transmitted by inhalation of droplets
-not a new disease, normally reoccurrence triggered by dec. immune system, stress or other illnesses.
signs of pulmonary TB
weight loss
fever
green/yellow sputum w/ blood
lung cancer
-primary cause of death by cancer in men and women
-85-90% can be correlated w/ smoking
-early signs are coughing, difficulty breathing and blood
gastriointestinal system: fucntion
enzymes break down complex nutrients
-digested food is absorbed into the bloodstream thru the walls of the small intestine
-elimination of solid waste that can't be absorbed by the blood stream
age related changes in gastriointestinal system
decreased sensation of taste due to progressive loss of taste buds predominantly on the anterior portion of the tonge.
-TMJ structures degenerate
gastreophageal reflux disease (GERD)
most common upper GI prob in adults
-mild/severe heartburn
-severe chest pain
-regurgitation
-dysphagia
gastric ulcer
-erosion of lining of stomach
-starts mild and gets progressivley worse
-symptoms diffuse in older adults
-caused by meds
-can cause death as result of bleeding
gastric ulcer causes:
-pain in abdomen
-weight loss
-nausea
-vomiting
-thirst
cirrhosis
-inflammation and degeneration of liver
- liver cells beome filled with fat
cirrhosis: 4 types:
-alcholic
-postnecrotic
-bilary
-cardiac
functions of urinary system
-excrete toxic substances and waste products of metabolism
-regulate water balance in body
-help maintain pH balance in body
-aid in maintaining correct concentrations of salt in body
age related changes in urinary system
-dec in kidney size
-hardening of liver
-blood vessels become smaller and thicker
-muscle tone is lost
-decline in bladder capacity
-dec. in ability to filter toxins in the blood
-difficulty regulating sodium/potassium levels in body
urinary tract infections (UTI)
-80% occurs in women
-highest rate in institutions
-change in bladder cuntions b/c of stroke/diabetes lead to increased occurence
-can occur in upper UT or lower UT
benign prostatic hyperplasia (BPH)
-prostate gland enlarges and produces symptoms of urethral obstruction
-90% men in 70's and 80's
-lead to UTI, bladder stones
-feels like you have to urinate frequently and urgently
kidney stone disease
-crystalline deposits in kindeys
-small stones pass easily w/o pain
-effect more men
renal failure
kidneys cannot remove metabolic waste from body
-build of toxins disrupt pH levels, metabolic functions and endocrine fuction of body
cause of renal failure
-sudden dec. in blood flow to kidneys
-damage from medications
-sudden blockage that doesn't allow urine to leave the kidneys
signs of renal failure
-lethargy, restlessness, nausea, vomit, diarrhea, dry skin, headache, pain in back, low urinary output
endocrine systems: fucntion
secretes hormones directly into the blood or lymphatic system.
reactions take as little as a few seconds to a few hrs or days
endocrine system regulates
-growth
-metabolism
-body heat
-calcium balance in the blood
production of corticosteriods
-level of sodium/ potassium and electrolytes in blood
-our body's reaction to stress
-production of insulin/glucose
-production of melatonin
age related changes in endocrine system
-atrophy of glands and decrease in secretions.
-overall difficulty regulating the homeostasis of the system
-may be misidentified as depression or fatigue
thyroid gland: hyperthyroidism
-over production of the thyroid hormone
-causes a toxic condition
-treated with medication, removing thyroid gland or irradiation
hyperthyroidism: symptoms:
-cardiac conditions/CHF
-weight loss
-fatigue
-heat intolerance
-heart palpitations
-nervousness
-depression
-tremors
hypothyroidism
-often caused by iodine insufficiency
-very common b/w 30-60 yrs
-treated w/ drug replacement of the thyroid hormone
hypothyroidism: symptoms
-fatigue
-weight loss
-cold intolerance
-muscle cramps
-constipation
-dry skin
-mental confusion
-depression
addison's disease
-difficiency of the hormone producded by the adrenal gland
-thought to be autoimmune disorder
-people with this have difficulty dealing with physical or emotional stress
-treated with replacement hormones
addison's disease: symptoms:
-muscle weakness
-lack of appetite
-weight loss
-hypotension
-fatigue
-dark pigmentation of the skin
-GI probs
-low blood glucose levels
-low corticosteroids
cushing's syndrome
-too many corticosteroids in the system
-commonly caused by glucocorticoid medications which are often given as anti-inflamitory
-treated with meds or surgery
cushing's syndrome: symptoms
-fatty deposits around face
-thin arms and legs
-weakness
-sleep disturbance
-weight gain
-retention of sodium and water
pancreas
-secretions decrease and the body becomes more sensitive to insulin leading to diabetes
diabetes
-hyperglycemia: increased blood sugar b/c of decreased insulin production
-insulin resistance
-combination
-type 1 or 2
symptoms for diabetes
random glucose level of 200 or greater
-fasting glucose level nof 126 or greater
-2 hr glucose level of 200 during an oral glucose tolerance test
TYPE 1 DIABETES
-autoimmune disorder
-cells that produce insulin are completely destroyed
type 1 diabetes: symptoms
-sudden weight loss
-excessivce thirst
-frequent urination
-excessive hunger
TYPE 2 DIABETES
hyperglycemia caused by insulin resistance and decreased insullin secretion
-seen typically over the age 30
-caused usually by lifestyle, genetic predisposition, and age changes in metabolism
-usually non-insulin dependent
type 1 and 2 diabetes leads to:
-coronary disease
-peripheral vascular disease
-cerebrovascular disease
-diabetic retinopathy
-neuropathy of the kidneys
-sensory and autonomic neuropathy
*hyperglycemia
* hypoglycemia
immune system: function
-recognize what is foreign and not foreign
-remove/destroy what is foreign
-autoimmune response occurs when the immune system incorrectly identifies its own tissue as foreign
ways immune system works:
-skin
-inflammatory response
-actual immune response that targets foreign invaders
age related changes in immune system system
-skin thins
-thymus gland reduces in size and activity
-reduced responsiveness in immune system
-increase in autoimmune responses
age related disorders in immune system
increased occurence of:
TB
herpes zoster
pneumonia
influenza
UTI
HIV/AIDS