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Late Adulthood Death & Dying

Late Adulthood Death & Dying. Chapter 13 & 14 Life Span. Old age . > 65 3 periods Young old 65 – 74 Old 75 – 90 Very old 90 +. Life Span. Maximum number a years a species is capable of surviving 120. When does the aging process begin?. Conception Retirement Onset of illness

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Late Adulthood Death & Dying

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  1. Late AdulthoodDeath & Dying Chapter 13 & 14 Life Span

  2. Old age • > 65 • 3 periods • Young old • 65 – 74 • Old • 75 – 90 • Very old • 90 +

  3. Life Span • Maximum number a years a species is capable of surviving • 120

  4. When does the aging process begin? • Conception • Retirement • Onset of illness • When you get that first gray hair • When your oldest child turns 13

  5. Aging Normal • Senescence • Symptoms of normal aging • Gerontology • Study of aging

  6. Theories of aging Biological Theories Psychosocial theories Disengagement theory Activity theory Continuity development theory • Clockwork theory • Free-radical theory • Wear & Tear theory • Immune system failure theory • Autoimmune theory

  7. Clockwork theory • Connective tissue has an internal clock • Stop reproducing after “so many” times

  8. Free-radical theory • Metabolism  • free radicals  • Bind with proteins etc.  • Mutations  • Aging

  9. Anti-oxidants prevent formation of free radicals

  10. Wear & Tear theory • Repeat injury

  11. Immune-System Failure theory • Decrease in immune function  • slow response to invaders  • susceptibility to infection

  12. Autoimmune theory • Weakened immune system  • Failure to recognize its own system  • Destroys self

  13. Disengagement theory • Gradually withdraw

  14. Activity theory • Satisfaction come by social activity and involvement • Replace activities • iactivites • No purpose

  15. Continuity-development theory • Unique • personality

  16. Physical Characteristics • Quality of life • Age? • independence

  17. Height & Weight • i • 1 cm /decade p\ 30 • Spinal column • nose & ears lengthen

  18. Musculoskeletal system • Osteoporosis • Kyphosis • Breathing • Balance • Flexibility • i

  19. Cardiovascular system • Heart valves • Thick and ridged • Lumen • Narrows

  20. Respiratory system • Vital capacity • i • Residual volume • h

  21. GI system • Dysphagia • Difficulty swallowing • Peristalsis • i

  22. Dentition • Gums recede • Enamel wears away

  23. Integumentary system • Wrinkles • Subcutaneous fat • i • Sweat glands • i • Sweat less • Chill • Pruritis • Thin • Less elastic

  24. Nervous system • neurons

  25. Sensory system • Presbyopia • Opacity • Lactrimal ducts • Cerumen • Tinnitus • Taste buds

  26. GU system • Atrophy • GFR • i

  27. Endocrine system • Diabetes mellitus • Thyroid dysfunction

  28. Homeostasis • Ideal temp 75oF

  29. Vital signs

  30. Motor development

  31. Sexual development

  32. Psychosocial development • Ego Integrity vs despair • Reminiscences • Agism • Prejudice against old people

  33. Change in body image • Depressed?????

  34. Changes in family roles • Husband retires  Yikes!

  35. Changes in work and leisure • #1 variable • Health

  36. 7 phases of retirement • Remote phase • Near phase • Honeymoon period • Disenchantment • Reorientation phase • Stability phase • Terminates

  37. Changes in sexuality • Privacy • Non-judgmental • Grooming

  38. The inevitability of Death He said: "I was in my early forties, With a lot of life before me, An' a moment came that stopped me on a dime. I spent most of the next days, Looking at the x-rays, An' talking 'bout the options an' talkin’ ‘bout sweet time. I asked him when it sank in, That this might really be the real end? How’s it hit you when you get that kind of news? Man whatcha do? An' he said: I went sky diving, I went rocky mountain climbing, I went two point seven seconds on a bull named Fu Man Chu. And I loved deeper and I spoke sweeter, And I gave forgiveness I'd been denying. An' he said: Some day, I hope you get the chance, To live like you were dyin'."

  39. Cognitive development • Sensory lose • Reaction time slow • Memory

  40. Moral development • wisdom

  41. Nutrition • Preparation • Alone  • i appetite • Guidelines • i salt • h Fluids • Soft/moist foods • Fiber • 6 small meals • Vitamin C

  42. Caloric intake • Women (51 – 75) • 1,300 – 1,800 / day • > 75 • 1,550 – 1,700 • Men (51 – 75) • 2,000 – 2,300 / day • >75 • 1,650 -2,000 / day

  43. Protein • 12 – 13%

  44. Weight loss • Malnutrition • Hospitalization • Nursing homes

  45. Sleep and rest • h sleep needs • h sleeping troubles

  46. Exercise & leisure

  47. Safety • Vision/hearing • Falls • Abuse

  48. Health promotion • LTC

  49. Delirium • Acute response • Cognition • Attention • S&S develop over hours or days

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