Adulthood Flashcards
when ages are considered early adulthood
19-40s
men experience growth in vertebrae until they are this old
30
what age do people have peak bone mass
35 yrs
what happens to bone mass of women after 35 yrs
gradually decrease
at what age is calcium levels at its peak
20s
after 35, the capacity & maximum work rate w/o fatigue ____
decreases
aka: gingivitis
gum disease
list healthy vitals of an adult
60-90 bpm
18-24 respirations
120/80 mmHg
what changes in the GI after 30 yrs
GI secretions & juices decrease
list some things that are in its peak in your 20s
body shape, hair growth, muscle development
at what age is maximum cardiac output
20s-30s
at what ages do men & women have peak respiratory function respectively
25 yrs; 20 yrs
define BASAL METABOLIC RATE
amnt of energy used at rest
an increase in weight in adulthood could be because of _____
decrease in basal metabolic rate
at what age is hearing best?
20 yrs
at what age does visual acuity decrease
after 25 years
define PRESBYOPIA
decrease eye elasticity & increase in opacity of lens
list changes is the senses/nervous system in adult hood
- # of neurons & brain size decrease
- perception & sensation change (but speed & accuracy not affected)
- reaction time increases 20-30yrs
define SEXUALITY
broad term including anatomy, gender roles, relationships, thoughts, feelings, & attitude regarding sex
list factors for SEXUALITY
- biological development
- education
- personality
- sociocultural influences
- religious & ethical values
Who created the cycle of sexual response
Masters & Johnson
what are the 4 stages of the CYCLE OF SEXUAL RESPONSE
- excitement
- Plateau
- orgasm
- resolution
describe the EXCITEMENT STAGE of the cycle of sexual response
feelings & sensations cause muscle tension & vasocongestion in reproductive organs
describe the PLATEAU STAGE of the cycle of sexual response
excitement plateaus; high excitement before orgasm
describe the ORGASM STAGE of the cycle of sexual response
rhythmic contractions of vagina, male ejaculation, engorgement of genitalia, & increase BP/bpm/respiration, & muscle tension
define EGO IDENTITY
sense of who one is
define INTROSPECTION
self reflection
describe the RESOLUTION STAGE of the cycle of sexual response
return to unaroused state & men enter refractory period
define SOCIAL CLOCK
cultural expectations when milestones should be
define INTIMACY
being able to dedicate oneself to an emotional relationship; not necessarily romantic
define RECIPROCITY
mutual helping & supporting
define COMPATIBILITY
tone of relationship, comfort, ease of relationship, friendship
define RESPECTABILITY
role modeling & valuing of other
define PROXIMITY
frequency of interaction & duration of relationship; not really about geographic proximity
what are the 3 attachment styles to relationships
secure, avoidant, anxious
describe a SECURE ATTACHMENT in a relationship
perceive relationships positively & established smoothly & naturally
describe an AVOIDANT ATTACHMENT in a relationship
avoid commitment leading to multiple, short-lived relationships
describe an ANXIOUS ATTACHMENT in a relationship
anxious, possessive, demanding, & lack of trust in partners
list characteristics of maturity
- have broad perspectives that are not overly influenced
- interest in community needs
- take responsibility for actions
- deal w/problems/setbacks w/o losing sight of goal
define FEMINIST MORALITY (?)
true understanding of oneself & others leading to mutual satisfaction
how many calories should men in early adulthood eat per day
2700-3000 calories
how many calories should women in early adulthood eat per day
1600-2100 calories
how much of an early adult’s diet consist of protein
15%
what are the 3 types of fats
trans, saturated, & unsaturated
which fat has a direct link to coronary heart disease
trans fat
which fats are solid at room temperature
saturated fat
give examples of saturated fats
meat, eggs, organ meats, dairy products, butter
what type of fat are liquid at room temperature
unsaturated fats
what combination of fats decreases the risk for colon & rectal cancer
decrease saturated fat & increase monounsaturated fat
what are the 2 subcategories of unsaturated fat
monounsaturated & polyunsaturated
give examples of polyunsaturated fats
corn, cottonseed, safflower, sunflower, sesame, & soybean oils
give examples of monounsaturated fat
canola/olive/peanut oil, avocados, olives, almonds, cashews, hazelnuts
what percent of early adult’s diet should consist of carbohydrates
50-60%
what vitamins & minerals do young adults generally lack
calcium, iron, potassium, zinc, vitamin D & B
what two vitamins/minerals prevent osteoprosis
calcium & vitamin D
what two vitamins are antioxidants
vitamin C & E
what vitamin is not stored in the body so they need to be ingested daily?
vitamin C
which race is more likely to have hypertension
african americans
how many hours of sleep should young adults get per night
7-9 hrs
define INSOMNIA
inability to sleep; includes long time to fall asleep, wake frequently/too early, tired & unrested when awokem
benefits of aerobic exercise
- increase cardiac output & metabolic rate
- develop muscle fitness, endurance, power, & flexibility
- best for burning calories
benefits of resistance exercise
- burn fewer calories
- build muscle mass
- maintain metabolic rat
what is the recommended amount of physical activity for young adults
150 min of moderate exercise/75 min of vigorous activity per week
to improve cardiovascular health in adults, how much exercise should they do per week
3-5 times per week for at least 30 min
purpose of MANTAOUX SKIN TEST
screen for TB
the papanicolaou test is also called what
pap smear
how many classes are there for the pap smear
5
define CLASS 1 of a papsmear
absence of abnormal cells
define CLASS 2 of a papsmear
atypical but nonmalignant cells
define CLASS 3 of a papsmear
abnormal cell presence
define CLASS 4 of a papsmear
cells possibly but not definitely malignant
define CLASS 5 of a papsmear
conclusive for cancer
what vaccines should young adults get
tetanus booster every 10 yrs & annual flu
at what age should women get mammograms and how often
50-74 yrs every 2 yrs
how often should breast examinations be done
once a month 1 week after period
if someone has history of breast cancer or positive for BRCA1/BRCA2, when should they begin mammograms
begin in 20s
define occult blood
hidden blood (gen in stool)
fiber can prevent what 2 cancers
colon & rectum
give examples of carcinogens
- viruses
- fat
- excessive alcohol
- insecticides/pesticides
- UV rays
fat can lead to what 2 types of cancer
colon & breast
how much excess weight is needed to be considered obese?
20-30%
obesity causes an increased risk for ….
- gallbladder disease
- cirrhosis of liver
- kidney disease
- cancer
- osteoarthritis & back problems
- hypertension & high cholesterol
- heart disease & strokes
- diabetes mellitus type 2
define WEIGHT CYCLING
large fluctuations in weight leading to gradual increase in weight
list different types of birth control
- natural/calendar/rhythm method
- hormonal
- mechanical
- chemical
- intrauterine devices
describe the components of the NATURAL/CALENDAR/RHYTHM METHOD of birth control
- monitor body temp
- check cervical mucus
- pull out method & abstinence
- not very reliable
give examples of HORMONAL BIRTH CONTROL
oral contraceptive, implant, morning-after pill
characteristics of hormone birth control
almost 100% if used correctly + side effects
give examples of mechanical birth control
condom, diaphragm, cervical cap, & sponge
give characteristics of mechanical birth control
increase risk toxic shock syndrome & may prevent STD transmission
give examples of CHEMICAL BIRTH CONTROL
spermicide cream/jelly/foam & vaginal suppositories
cons of chemical birth control
messy & can cause local irritation
give example of intrauterine devices for birth control
copper/progesterone contraceptive
characteristics of intrauterine devices
- don’t affect hormone cycle or sex
- can cause hemorrhage, infection, perforation, or spotting
s/s: alcohol poisoning
- hypotension
- loss of consciousness
- low body temp
- loss of control of nervous system
- trouble breathing
- death
list physical effects of alcoholism
- kidney & liver damage
- cancer
- heart & nerve problems
- death
list social effects of alcoholism
- increase work absence & tardiness
- workplace accidents
- illnesses
- lower productivity
- strained relationships
list factors for insomnia
- stress, anxiety, depression
- caffeine, nicotine, & alcohol
- medication
- medical conditions
- change in work schedule
- irregular sleep schedules/uncomfortable sleep environment
list components/characteristics of young adult cognitive development
- peak fluid intelligence
- crystalized intelligence
- good memory & innovative
- better episodic memories than semantic
- prefrontal cortex fully develop @ 26
define EPISODIC MEMORIES
personal experiences/events
define CRYSTALLIZED INTELLIGENCE
judgment, knowledge, & skills needed in life & work
define FLUID INTELLIGENCE
ability to reason abstractly, solve math problems, & learn quickly
define infatuation
obsession w/someone bc of their appearance or ability
give the different feelings/characterisitics associated w/infatuation & love
love: mutual, respectful, enriching
infatuation: attracted, impressed, powerful & overwhelming
what are the 3 types of love
affectionate, romantic, & consummate
define AFFECTIONATE LOVE
romantic way for expressing love & not necessarily sexual; love that is not sexual
define ROMANTIC LOVE
friendly & affectionate love that can turn into consummate love; secure, care, & appreciation
define CONSUMMATE LOVE
affectionate love & desire to commit to relationship through good times & bad; gen leads to marriage
list topics to discuss to determine marriage readiness
- finances
- career paths
- living situations
- decision to parent
- family expansion
what ages are middle adulthood
40s-early 60s
define UNIVERSAL DESIGN
housing design that meets physical needs of all ages & abilities
list characteristics/highlights of middle adulthood brain development
- better @ processing & problem solving
- better @ semantic memories than episodic
- cognitive skills begin to decline
define SEMANTIC memories
knowledge; “how tos”
how should nutrition for middle adults differ from young adults
reduce 100 cal/day & add more activity
list highlights of middle adulthood cognitive development
- fluid intelligence decreases
- crystallized intelligence increases
- ability to reason (deductive & inductive) peaks
define INDUCTIVE REASONING
make conclusions from detailed facts to general theory
define DEDUCTIVE REASONING
general observation/theory to detailed conclusion
how much height do middle adults lose?
1-4”
about how much weight do middle adults gain if they do not do any activity
10-20 lbs
define SARCOPENIA
loss of muscle mass & strength
list changes in muscle & bone development of middle adults
- lose elasticity in connective tissue
- sarcopenia
- DJD & osteoporosis
- fat increases
in middle adult hood, where does fat redistribute to in both men & women
stomach
in middle adulthood, where does fat redistribute to in women
hips, thighs, (+stomach)
osteoporosis is being more commonly seen in what 2 races
white & asian
list ways to prevent osteoporosis
- diet
- exercise
- hormone replacement
- vitamin D & calcium supplements
osteoporosis is more prevalent in women older than 50 bc of ____
decrease estrogen & progesterone
define PRESBYCUSIS
loss of hearing w/age related to thickening in capillary walls of ear gen causing damage to inner ear
define CLIMACTERIC
decrease in reproductive capacity in men & women
describe MENOPAUSE
cessation of menses for over 1 yr from decreased estrogen & progesterone gen beginning 45-55 yrs
what is the average age menopause starts
51 yrs
define PERIMENOPAUSE
1st stage of menopause consisting of several years of reduced fertility
s/s: perimenopause
- hot flashes
- forgetfulness
- mood changes
- sleeplessness
s/s: menopause
- cycle irregular/shorter/longer between periods
- amnt of blood in period decreases or increases
- menses suddenly stops
- loss of muscle strength
- palpitations, nervousness, headache
- decrease skin elasticity
- decrease vaginal lubrication (+dyspareunia)
- sleep disturbances/fatigue
- increase in facial hair
- hot flashes & chills
pros & cons of hormone therapy for menopause
- effectively treat s/s
- not recommended for ppl w/history of breast disease/cancer
- last resort treatment
- may decerase risk of death from plaque in arteries
define DYSPAREUNIA
itching or pain during sex
define MALE CLIMACTERIC
may/may not decrease testosterone w/fewer sperm w/changes in thinking patterns & self-image
how do some men respond to the male climacteric
try to look & act younger/take on young partners to show they still are appealing
men may need testosterone replacement if they experience ___ & ____ during male climacteric
lethargy & low sex drive
the male climacteric can also be referred to as
midlife crisis
empty-nest syndrome may also be called
launching children
why is empty-nest syndrome less relevant today
women work more now than before
what are the 5 types of grandparents
formal, informal/spoiler, surrogate, wisdom provider, & distant figure
define the DISTANT FIGURE GRANDPARENT
limited contact
define the WISDOM PROVIDER GRANDPARENT
ideology/title bestowed by family beliefs & customs
define the SURROGATE GRANDPARENT
make many parental decisions & does most of the child raising
define the INFORMAL/SPOILER GRANDPARENT
close, indulgent relationship w/grandchild
define the FORMAL GRANDPARENT
parent disciplines child while grandparent maintains close interest in grandchild
how much sleep should middle adults get per night
at least 7-9 hours
list characteristics of middle adult sleep
- sleep lighter for less time
- more prone to sleep deprivation
- may have insomnia, sleep apnea, restless leg syndrome, & narcolepsy
list effects of sleep deprivation
- poor judgment
- mood disorders
- lack of memory retention
- slower reaction time
- diabetes & obesity
- cardiovascular disorders
- depression & irritability
- inability to concentrate & solve problems
- poor productivity
define SLEEP APNEA
repeated partial/complete blockage of upper airways during sleep
list causes of sleep apnea
- obesity
- enlarged tonsils
- endocrine/neuromuscular disorders
- heart/kidney disease
define RESTLESS LEG SYNDROME
fragmented sleep from muscle aches/pain/leg cramps/spontaneous leg movement bc of changes in dopamine
define NARCOLEPSY
excessive daytime sleepiness
how often should middle adults visit the optometrist
at least every 2 years
define GALAUCOMA
buildup of fluid in chambers of eye leading to damage to optic nerve & can go unnoticed until irreparable damages
what cholesterol is “good”
HDL
how is glaucoma detected
during routing eye exam
define CATARACTS
cloudy formation on lens common after 60 yrs; forms gradually & doesn’t allow light passage thru lens; can be caused by other conditions
when should men & women get colonoscopies & how often
after 50 yrs old & every 10 yrs
describe FIBROCYSTIC BREAST DISEASE
benign large & uncomfortable cysts in breast in 30yrs-menopause women; no correlation to breast cancer; potentially caused by estrogen engorging & swelling cells along mammary ducts
how often should women get pap smears & HPV tests (combo)
every 5 yrs
if only getting a pap smear, how often should women get it
every 3 yrs
describe BENIGN PROSTATIC HYPERTROPHY (BPH)
enlarged prostate common in men older than 50 yrs; detected in annual rectal exam after 50/suspicious blood test
s/s: benign prostatic hypertrophy
- difficulty voiding
- diminished urine stream
- dribbling
- frequent need to pee
what are factors for increased risk of prostate cancer
african americans & men w/1st degree relative diagnosed before 65 yrs
define MATURITY
ability to adapt to life changes
define SANDWICH GENERATION
adult caregivers for elder parents & grown kids
what are the 4 types of generativity
biological, parental, work, & cultural
define BIOLOGICAL GENERATIVITY
raise kids
define PARENTAL GENERATIVITY
relationship within extended family
define WORK GENERATIVIty
mentoring/teaching/training youth @ work
define CULTURAL GENERATIVITY
communicate values & traditions to youth
characterisitics of middle adult social development
- divorce common
- reestablish relationship w/SO
- see themselves as younger than their age
- see more differences between themselves & youth
define GENERATION COHORTS
people born in similar time
describe BABY BOOMERS
1946-1964; life expectancy of 83 yrs; lead government, education, & corporate US
list topics relevant to baby boomers
- parenting, nutrition,, education
- health care
- independent living
- workforce participation
- retirement
- marriage & familial trends in aging
describe Gen X
1965-1979; saw huge social changes; changed business environments; the “digital generation”
what years are the millenials
1980-1995
millenials are also called
echo boomers