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31 Cards in this Set

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AAA(Area Agencies on Aging)

The public or private nonprofit agency created pursuant to the federal Older Americans Act of 1965, system of services for older persons administered by the State Units on Aging serving the local areas. In many cases, AAAs subcontract with other organizations to facilitate the provision of a full range of services for older people.
Advance Directives
Documents that allow each person, while still competent, to make their wishes known regarding decisions that will be made at a time when they become legally incompetent, especially in illnesses that may result in death.
DNR Do Not Resuscitate
A legal order written either in the hospital or on a legal form to respect the wishes of a patient or resident to not undergo cardiopulmonary resuscitation (CPR) if your heart stops or if you stop breathing. The DNR is usually made by the patient/resident or Power of Attorney and allows the medical teams taking care of them to respect their wishes.
Durable Power of Attorney
In estate planning, a durable power of attorney is often chosen as a way to plan for those times when you are incapacitated. It is a written document that remains valid even if you should later become unable to make your own decisions. With a durable power of attorney, you are able to appoint an agent to manage your financial affairs, make healthcare decisions, or conduct other business for you during your incapacitation.
Living Will
This written, legal document spells out the types of medical treatments and life-sustaining measures you want and don't want, such as mechanical breathing (respiration and ventilation), tube feeding or resuscitation. A living will is a form of an advanced directive, leaving instructions for treatment.
POA(Power of Attorney)
Advanced directives that enable a patient to specify a surrogate or proxy decision maker who they want to make treatment decisions when they are no longer able to make them. The POA directive can be tailored to be as broad or specific as the patient wishes it to be and can authorize such legal actions as signing checks, making healthcare decisions, selling property, or depositing/withdrawing funds.
Medical or Health Care Power of Attorney (POA)
The medical POA is a legal document that designates an individual — referred to as your health care agent or proxy — to make medical decisions for you in the event that you're unable to do so. However, it is different from a power of attorney authorizing someone to make financial transactions for you.
Age Dependency Ratio
Is the ratio of older dependents--people older than 64--to the working-age population--those ages 15-64. Data are shown as the proportion of dependents per 100 working-age population. A high dependency ratio can cause serious problems for a country. As the largest proportion of a government's expenditure is on health, social security & education which are most used by old and young population.
Aging
The life-long process of growing older; not just a later life experience. A series of time-dependent anatomical and physiological changes that reduce physiological reserve and functional capacity. Age can be defined from multiple perspectives and human behavior is affected by experiences that occur with the passage of time rather than time itself.
3 types of aging
Primary aging – normal, disease-free development during adulthood, secondary aging – developmental changes that are related to disease, Tertiary aging – the rapid losses that occur
Alcohol and Drug Abuse
Alcohol and prescription drug problems, among adults 60 and older is one of the fastest growing health problems in the country. Yet, the situation remains underestimated, under-identified, under-diagnosed, and undertreated. People 65 and older consume more prescribed and over-the-counter medications than any other age group in the United States. Prescription drug misuse and abuse is prevalent among older adults not only because more drugs are prescribed to them but also because, as with alcohol, aging makes the body more vulnerable to drugs' effects. Not to mention the effects of mixing the two.
Arteriosclerosis
Hardening of the arteries. Most common disease of the arteries. Lessened elasticity and thickening of walls causes high blood pressure. Pathology of the blood vessels.
Arthritis
A chronic disease that causes joint inflammation or degenerative changes in body joints and has consequences of pain and inflammation. A common complaint of older adults. Ex Rheumatoid and Osteoarthritis
Atherosclerosis
Most prevalent type of arteriosclerosis. Fatty lesions and scar tissue and blood clot formation cause hypertension. White patches called plaques build up in the arteries.
Auxiliary Grant
Supplement to income for recipients of Supplemental Security Income (SSI) and certain other aged, blind, or disabled individuals residing in assisted living facilities or adult foster care to help them afford the cost of their care. The Auxiliary Grant Rate is the rate that assisted living facilities agree to charge a person who is eligible for Auxiliary Grant Assistance.
Between-subjects design
Compare different groups in order to address your research question (ex. with vs. without dementia). This minimizes the demands on each participant because there are more participants involved but also increases the chances for selection bias. This may also be likened to “cross-sectional” designs.
Biological Aging
Aging is a complex biological process with changes occurring at the molecular, cellular, and systems/ organ level causing increasing difficulty in the body’s ability to respond to internal /and/or external stressors. Biological aging is the process of cells dying faster than they can be replaced.
Biopsychosocialspiritual Framework
Aging is due to multiple forces
Biological forces
Genetic and health
Psychological forces
Internal perceptual, cognitive, emotional and personality
Sociocultural forces
Interpersonal, societal, cultural, and ethnic
Spiritual
Meaning making, connectedness
Life-cycle
Differences in how the same event or combination of BPSS forces affect people at different points in life
Culture and ethnic
Provide status social settings living conditions and personal experiences for people of all ages
Calorie Restriction Model
Metabolic theory says that calorie restriction in diet increases the lifespan, slows metabolism, and delays onset of a number of chronic conditions. Dietary restriction as an experimental approach to extending lifespan in mammals. The slowing of metabolic rate and oxidative stress= diminishing free radicals.
Cardiovascular Disease
Cardiovascular disease refers to any disease that affects the cardiovascular system, principally cardiac disease, vascular diseases of the brain and kidney, and peripheral arterial disease. The causes of cardiovascular disease are diverse but atherosclerosis and/or hypertension are the most common. With aging come a number of physiological changes that alter cardiovascular function and lead to subsequently increased risk of cardiovascular disease, even in healthy asymptomatic individuals.
Caregiver
A person, either paid or voluntary, who helps and provides an older adult with their ADLs, healthcare, finances, companionships, and social interaction. Usually a female (wife or daughter), family member, or friend. They help to provide ongoing assistance with a wide variety of functions ranging from periodic chores, housework, and transportation to 24-hour monitoring and help with ambulation and eating.”
Informal Caregiver
Provide extraordinary, uncompensated care predominantly in the home setting involving significant amounts of time and energy over months and years. Informal caregivers may experience physical, emotional, and social and financial stress due to their caregiving role.
Caregiver Stats
In 1996, 22 million US households contained informal caregivers, Mean age is 46, 22% under 35 years, 36% 50 + 73% female, Median household income $35,000, 2/3 worked either full or part time, 70% cared for more than one person, About 6.8 million adults over the age of 65 need help with ADLs, Particular stress for adults caring for person with dementia and National agencies and resources for caregivers
Caring Response
Entails responsibilities that have clinical, ethical, and legal dimensions. It is highly individualized through the idea of person-centered care. A caring response includes navigation between friendly and professional conduct, caring expressed through technical competence, and having care as a part of the professional responsibility.
Code of Ethics
Highlights that you are in a special type of group that is given societal privileges, but with these privileges come the responsibility to conduct yourself in ways that are acceptable not only to members of your own group but also to the larger society. An example would be the Hippocratic Oath taken by health professionals.