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The aging body and disabling disease april 10 : read ch 14 omit section on dementia. An overview From normal aging- ---- chronic disease ----- ADL impairments. A rundown of Chronic Diseases and ADL’s Instrumental vs basic ADLS.
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The aging body and disabling disease april 10: read ch 14 omit section on dementia An overview From normal aging-----chronic disease-----ADL impairments
A rundown of Chronic Diseases and ADL’sInstrumental vs basicADLS
Aging pathways by gender; SES and Cohortwomen=living longer sickerPoor people=dying sooner sickerBaby boomers=dying sooner?
What causes us to age? Random damage theories Programmed aging theories Immune system Hypothalamus
Extending the MAXIMUM LIFESPAN CALORIE restriction as the fountain of youth?????
SENSORY MOTOR SPECIFICS #1VISION Poor dark vision Poor close vision=presbyopia Sensitivity to glare
Focusing on the LENS (pun intended!) and exploring other OA eye issues
Sensory Motor Specifics #2hearingThe problem= can’t hear high pitched tonesThe cause= Hair Cell atrophy
hearing loss causes, consequences and lifeCauses= noiseConsequences=withdrawal from life
Elderspeak and hearing aids= two not- so- good interventions
Sensory motor specifics #3Movingreaction time lossesskeletal problems=osteoporosis,osteoarthritis, and loss in muscle mass
Interventions: changing the world to make it sensory motor friendly
Focus on driving in old age: a critical social policy concern
Examining the issues and the consequenceswhat causes most OA accidents?What can we do about the need to drive?
THE FRAIL ELDERLY #1 (april 17) • A note on who cares for the elderly • A note on who pays for Chronic Care
Their OUTSIDE of NURSING HOME options Continuing care Assisted living TINAS’ DAY CARE • Day care
THE FINAL OPTION: NURSING HOMES Scanning the residents Scanning the places Scanning the staff: CNAs Cutting edge Interventions to improve nursing homes
Worst case scenario: DementiaNOV 14 read: dementia section ch 14 PART 1: SCANNING THE TERRITORYHow is it diagnosed?Mild cognitive impairment vs dementiaWhat are the symptoms and how do they progress?Early middle and later stagesWhen does it happen--- and who is at risk?APOE MARKER
What are its main causes? Alzheimer’s disease (plaques and tangles) Vascular dementia (small strokes)
Can we prevent it?Scanning the research/ medication scene(Amyloid Aracept)Exercise as the new anti Alzheimer’s “pill”
PRESENTATIONS: Last half of April 17 class A cultural perspective on old age If time permits: Caregiving perspectives on the frail elderly
APRIL 24: VISIT TO ASSISTED LIVING Facility PARK VIEW MEADOWS OF MURFREESBORO 240 MTCS rd. (class meets at 4:45) Go up memorial….pass Northfield…next road is MTCS go right… road winds around to left, Park View Meadows is at right on end Marie Luttrell 907-5800
Death #1: Scanning the territory( NOV 17th: start reading chapter 15)How we died in the past and how we die todaydeath is routine and occurs anytime– death occurs at the end of life (often) in the hospitalThe late 20th century death awareness movement
Cultural variations and a Kubler- Ross Critique Scanning the hmong way of death Scanning the importance of many emotions and hope
Scanning life’s worst tragedy: The death of a childshould you discuss death with a dying child?The importance of keeping continuing bonds alive
Death # 2: options, priorities and new wave interventions Dec 5th LAST CLASS! ALL WRITTEN WORK DUE TODAY
ExploringIN HOSPITAL optionsEnd of life trainingPalliative care
Non controversial ways of controlling dying Advance directivesLiving will##durable power of attorney###DNR and DNH orders
Controversial ways of controlling DyingExploring Physician assisted suicideExploring ACTIVE euthanasia
WRAPPING THINGS UP Social policy issues affecting today’s adults and then…… A VISIT FROM MARIA our angelic hospice NURSE