Chapter 12 LECTURE 8 PART II Flashcards
Middle Adulthood
AGE 50 TRANSITION
-What ages does this include?
50-55
AGE 50 TRANSITION
-What do they continue to do?
-What do they refine?
-Reassess their goals
-Their goals
AGE 50 TRANSITION
-What do they improve?
-Why?
-Their life structure
-It allows for greater fufillment in later years
AGE 50 TRANSITION
-What does life structure stand for?
-your work, career, relationships (personal and familial), and social world
LEVINSON: CULMINATION OF MIDDLE ADULTHOOD
-What ages does this include?
55-60
LEVINSON: CULMINATION OF MIDDLE ADULTHOOD
-Adults at this stage aquire a sense of what?
fulfullment and stability before transitioning into late adulthood
LEVINSON: CULMINATION OF MIDDLE ADULTHOOD
-They may achieve a sense of ____, which allows them to accept what?
-accomplishment
-how life is
LEVINSON: CULMINATION OF MIDDLE ADULTHOOD
-What is this considered?
-What does it consist of?
-the final phase of middle adulthood
-life structure is solidified & goals are largely achieved
THE SANDWICH GENERATION
-This generation must handle increased what?
Financial and emotional responsibilities related to their children and their older (and possibly dependent) parents
THE SANDWICH GENERATION
-What will help validate positive self-esteem during this time?
A fulfilling marriage
THE SANDWICH GENERATION
-What 3 things may have negative impacts on psychological functioning?
- Divorce
- Separation
- Conflicts with adult children or aging parents
THE SANDWICH GENERATION
-What should the nurse tell adults that are suffering from this? (4)
- Hire assistant care takers for their parents if they are able to afford it
- Share the responsibilities
- Talk about what they are feeling
- Use community resources
SEXUALITY
-What 11 things does sexuality encompass?
- Sex
- Gender identity and orientation
- Intimacy
- Eroticism
- Desires
- Pleasure
- Attitudes
- Values
- Behaviors
- Roles
- Relationships
SEXUALITY
-Many adults are often focused on what?
-This gives them little time or energy for what?
-career goals and financial stability
-to fulfill sexual needs
SEXUALITY
-Some middle-aged women may be at the peak of what?
sexual desires
SEXUALITY
-What does climacteric mean in females?
-What does it lead to?
-Hormonal changes that result in cessation of the reproductive ability in the female
-a decrease in sexual activity/desires
SEXUALITY
-Erectile dysfunction may be due to three things. What are they?
- Hypertension
- Diabetes Mellitus
- Side effects of medications
SEXUALITY
-What 3 things can erectile dysfunction cause in males?
- Low self-esteem
- Not being compliant with medications, which puts them at risk for heart disease or strokes
- They may take other medications that claim to help
WOMEN’S HEALTH
-Complex interactions exist among what?
sex hormones, physiology, and physical & emotional well-being
WOMEN’S HEALTH
-What is menopause?
-When does it begin?
-It must be ____ ____ months
-the cessation of the menstrual period, caused by hormonal changes in the body
-between 45-55
-12 consecutive
WOMEN’S HEALTH
-What 3 things occur with hot flashes?
- Capillaries dilate & blood rushes to the skin surface
- The body feels warm & the woman may sweat
- Vasoconstriction occurs & the woman feels cold
WOMEN’S HEALTH
-What may women experience?
Mood swings
WOMEN’S HEALTH
-What are two things that can help?
- Hormone replacement therapy (HRT)
- Complementary & alternative medicine (CAM) therapy
MEN’S HEALTH
-What concerns may arise with men?
Sexual concerns
MEN’S HEALTH
-What does male climacteric involve?
A gradual decline in the blood concentration of testosterone & other hormones
MEN’S HEALTH
-What ability remains intact?
-What are they always doing?
-The ability to procreate
-producing sperm
MEN’S HEALTH
-They engage in ____ and ____ that increase risk for what?
-sports and activities
-injury
MEN’S HEALTH
-What may they delay seeking?
-Explain.
-Medical care
-ignore symptoms of illness
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN
-When should vision testing be?
At least every 2 years
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN
-When should dental checkups be?
once or twice yearly
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN
-Blood pressure monitoring should be done…
at least yearly
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN
-Lipids consist of what?
-Lipids and ___ should be checked
-cholesterol and triglycerides
-blood glucose
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN
-_____ cancer screening should begin at what age?
-Colorectal
-45
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN
-What immunization should they be getting yearly?
-What immunization should they get after age 50?
-Flu
-Shingles
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN: Women
-Breast examinations and mammogram should be every ____ years between what ages?
-2 years
-50-74
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN: Women
-Osteoporosis screening should be done between what ages?
50-70
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN: Women
-Papanicolaou (pap) testing should be done every ___ years for ages ___-___
-They can be done every ____ years for ages ___-___
-3 years
-21-29
-5
-30-65
ESSENTIAL HEALTH SCREENING FOR MIDDLE-AGED WOMEN & MEN: Men
-Prostate cancer screening should be done at what age?
-Especially for what group?
-45-50
-African Americans
PHYSICAL ACTIVITY
-What is the purpose of physical activity?
To maintain fitness and avoid disease
PHYSICAL ACTIVITY
-Exercise can be what for an isolated person?
A social outlet
PHYSICAL ACTIVITY
-What starts the decrease at age 35? (3)
- Cardiovascular endurance
- Muscle strength
- Bone mass
PHYSICAL ACTIVITY
-A minimum of ___ hours of ___ physical activity should be done every week
-2.5
-moderate
TEACHING TECHNIQUES
-Teaching plans should relate to what?
-You should teach based on what?
-concerns of the individual & age group
-what is a concern for THEM
TEACHING TECHNIQUES
-What can inhibit or motivate learning?
-You may want to wait until what?
-stress
-the person is less stressed before you teach them
TEACHING TECHNIQUES
-What two things should the nurse incorporate?
-the independence and competencies of the adult learner
TEACHING TECHNIQUES
-What is the teach-back method?
-First explain and then demonstrate how to do something
-Then ask them to teach you back and walk you through the steps to make sure they understand
TEACHING TECHNIQUES
-The nurse should provide information that coincides with what?
the concerns and stresses of the patient