ch23: middle adult (35-65 yrs) Flashcards
erikson’s psychosocial dev for middle adult
generativity vs stagnation
- productivity/care vs lack of accomplishment
piaget’s cognitive dev for middle adult
formal operational
exercise requirements
30min/day 3-5 days/wk
rec total cholesterol level
<200 mg/dL
recommended alcohol amounts for men and women
men: <2 drinks/day
women: <1 drink/day
what two complications are common in middle adult
constipation and stress incontinence
what type of exercise pattern in recommended for middle adult and describe examples
continuous and rhythmic
- walking, jogging, swimming, cycling
what makes the middle adult sleep cycle different
spend less time in deep sleep, therefore need occasional nap throughout the day
what is schaie’s factors
efforts to maintain cognitive function
- involvement, absent chronic disease, satisfaction, family/spouse intellectual
what are some visual problems that middle adults can have
presbyopia: farsightedness
glaucoma
dec visual sensitivity
cataracts
diabetic retinopathy
macular degeneration
presbycusis
loss of hearing
what are the 3 parts of midlife crisis
reassessment, turmoil, change
what did the framingham study show
worry, conflict, anger, and ambitiousness can negatively affect BP
role of the nurse with middle adult health
assess: indiv, baseline health, hazards, workplace safety
screen
education
leading causes of middle adult death
heart disease and cancer
middle adults can lose ____inches of height
1-4 inches of height
life expectancy for male and female
M = 75.2
F = 80.4
ethnic groups at higher risk for cancer, heart disease, diabetes, HIV
black and latino/hispanic
mammogram and pap smears
- screening sched
- screening methods
mammogram: q2yrs, start at 50-74
pap: from 21-65
methods: digital/3d mammography, MRI, pap smear
lipid profile and vital signs
- how often should the middle adult get this done
q1-5yrs
colonoscopy
- screening sched
q10yrs start at 50+
kyphosis
angulation of posterior spine
osteoarthritis
degenerative joint disease
osteopenia
subnormal bone mineralization
osteoporosis
abnormal loss of bone density
constipation
dec stool frequency
menopause
- what is it, when does it start
- s/s leading up to it
- patho
- tx
cessation of menses, 12 months after last period
s/s leading up to it: change in cycle, hot flashes
patho: drop in estrogen = more bone resoprtion than formation = osteoporosis
tx: hormone replacement therapy, healthy diet, layer clothing, exercise, yoga
andropause
- what is it
- s/s
- tx
male menopause; lower levels of testosterone with aging (50+) –> fatigue, sexual probs, depression
s/s: low energy, dec motivation, insomnia, dec libido, infertility
tx: diet change, exercise, antidepressants, testosterone replacement (risk prostate growth)
