Chapter 14 Flashcards

1
Q

Demographic shift

A

A shift in the proportions of the populations of various ages.

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2
Q

Average life expectancy

A

The arithmetic mean, calculated by adding up all the ages of death of a group and then dividing by how many people are in that group. If, in a group of five older adults, one dies every decade (60, 70, 80, 90, 100), the average would be 80. Note also that, among the three who reach 80, their average life expectancy would be 90.

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3
Q

Young-old

A

Healthy, vigorous, financially secure older adults (generally, those aged 65 to 75) who are well integrated into the lives of their families and communities.

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4
Q

Old-old

A

Older adults (generally, those over age 75) who suffer from physical, mental, or social deficits.

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5
Q

Oldest-old

A

Older adults (generally, those over age 85) who are dependent on others for almost everything, requiring supportive services such as nursing homes and hospital stays.

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6
Q

Ageism

A

Older adults (generally, those over age 85) who are dependent on others for almost everything, requiring supportive services such as nursing homes and hospital stays.

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7
Q

What is the demographic shift, and why does it matter?

A

The demographic shift refers to the changing population structure, a shift to higher proportions of older adults and fewer children. That matters because it changes how a community is organized, with fewer schools and later retirement age, for instance.

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8
Q

How are the numbers and the rates of Alzheimer’s disease changing?

A

The rates are decreasing, as more people are healthy and cognitively engaged, but the numbers are increasing, as more people live a long time.

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9
Q

What is the difference between young-old, old-old, and oldest-old?

A

The main difference is how able people are to meet their own caregiving needs. This is somewhat related to age, with most of those in their 60s young-old and those in their 90s oldest-old, but independence, not age, determines category.

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10
Q

How can getting old be a self-fulfilling prophecy?

A

If a person thinks age brings infirmity, then that person might do things to increase infirmity, such as avoiding doctors, exercise, and self-care.

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11
Q

How is ageism similar to racism

A

Like racism, ageism categorizes people based on external traits, and thus ignores individuality in favor of stereotypes.

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12
Q

What is elderspeak and how is it used?

A

Elderspeak refers to how people might talk to the old, louder, with less complexity. It is often used in medical settings.

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13
Q

How do sleep patterns change with age?

A

In late adulthood, people sleep less at night and nap more in the day.

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14
Q

Why don’t older people exercise more?

A

The social and physical environment does not encourage exercise in late adulthood, and the older people themselves have not developed exercise habits.

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15
Q

Wear-and-tear

A

A view of aging as a process by which the human body wears out because of the passage of time and exposure to environmental stressors.

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16
Q

Weathering

A

The gradual accumulation of wear and tear on the body with age, as with a plank of wood left exposed to the weather over several years.

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17
Q

Calorie restriction

A

The practice of limiting dietary energy intake (while consuming sufficient quantities of vitamins, minerals, and other important nutrients) for the purpose of improving health and slowing down the aging process.

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18
Q

Intermittent fasting

A

A pattern of eating that includes periods of restricted eating interspersed with usual consumption. The most popular pattern is two days per week eating less than 750 calories and five days of normal eating, all while drinking plenty of water.

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19
Q

Maximum life span

A

The oldest possible age that members of a species can live under ideal circumstances. For humans, that age is approximately 122 years.

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20
Q

Cellular aging

A

The cumulative effect of stress and toxins, first causing cellular damage and eventually the death of cells.

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21
Q

Telomeres

A

The area of the tips of each chromosome that is reduced a tiny amount as time passes. By the end of life, the telomeres are very short.

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22
Q

Universal design

A

The creation of settings and equipment that can be used by everyone, whether or not they are able-bodied and sensory-acute.

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23
Q

How could wear on a child’s body affect senescence in later life?

A

Organ reserve may be depleted, so hearts, for instance, are weaker because of childhood habits

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24
Q

When do genes become more influential for health than habits?

A

This is a matter of some dispute, but genes seem particularly influential in late adulthood

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25
Q

How is cellular repair related to cancer?

A

Wayward cells can appear at any point in life, but usually the immune system repairs damage. Repair mechanisms are reduced in later adulthood, allowing cancer to spread.

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26
Q

How do visual losses affect the other senses?

A

The various systems of the body all affect each other. Visual losses may restrict activity, make falls more likely, and cut off information and entertainment if reading and watching TV is hard.

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27
Q

Why does impaired hearing affect the brain?

A

Hearing activates brain neurons, so impaired hearing reduces brain activity.

28
Q

How can falling in late adulthood be a multisensory experience?

A

Many senses increase the risk of falling-vision, hearing, balance, muscle strength. Breakdown in all of these make falling multisensory.

29
Q

What determines whether or not an older person has an active sex life?

A

For contemporary elders, the presence of a partner, physical health, and the idea that sex is, or is not, beneficial for health.

30
Q

Why is a community to blame if an older adult has a motor-vehicle accident?

A

Many regulations and conditions make accidents more likely, including the design of cars and roads, and policies about renewal of driver’s licenses. Alternate transportation-busses, trains, bikes, walking paths-also affect how much older adults drive.

31
Q

What are examples of universal design in your community?

A

This answer will depend on specifics. The best answers consider whether impairments in hearing, seeing, and mobility are taken into account in measures designed for everyone. For example, public announcements need to be articulated clearly, and signs need to convey the same information in case someone cannot hear well.

32
Q

What advances in technology would be especially helpful in your community?

A

Again, the answers vary depending on the community. The best answers are creative, considering what could be done to advance universal design.

33
Q

Neurocognitive disorder (NCD)

A

Again, the answers vary depending on the community. The best answers are creative, considering what could be done to advance universal design.

34
Q

Bio markers

A

Indicators (marks) in the body (bio-) of some condition, as shown with blood tests that can diagnose diabetes.

35
Q

Alzheimer’s disease (AD)

A

The most common cause of major NCD, characterized by gradual deterioration of memory and personality and marked by the formation of plaques of beta-amyloid protein and tangles of tau in the brain.

36
Q

Plaques

A

Clumps of a protein called beta-amyloid, found in brain tissue surrounding the neurons.

37
Q

Tangles

A

Clumps of a protein called beta-amyloid, found in brain tissue surrounding the neurons.

38
Q

Vascular disease (VD)

A

Formerly called vascular or multi-infarct dementia, vascular disease is characterized by sporadic, and progressive, loss of intellectual functioning caused by repeated infarcts, or temporary obstructions of blood vessels, which prevent sufficient blood from reaching the brain.

39
Q

Frontotemporal NCD’s

A

Deterioration of the amygdala and frontal lobes that may be the cause of 15 percent of all major neurocognitive disorders. (Also called frontotemporal lobar degeneration.)

40
Q

Parkinson’s disease

A

A chronic, progressive disease that is characterized by muscle tremor and rigidity and sometimes major neurocognitive disorder; caused by reduced dopamine production in the brain.

41
Q

Lewy body disease

A

A form of major neurocognitive disorder characterized by an increase in Lewy body cells in the brain. Symptoms include visual hallucinations, momentary loss of attention, falling, and fainting.

42
Q

Terminal disease

A

For the oldest-old, in the weeks or months before death, all the body functions may decline. This global failure is unlike problems in only one organ.

43
Q

Polypharmacy

A

A situation in which older people are prescribed several medications. The various side effects and interactions of those medications can result in dementia symptoms.

44
Q

How does changing terminology reflect changing attitudes?

A

The term senility is considered misleading, and many terms for cognitive impairment in late adulthood do not reflect variations in neurocognitive disorders.

45
Q

Q2: How has the prevalence of neurocognitive disorders changed?
Hide Answer
Disorders are less prevalent but more often diagnosed, which makes it seem as if prevalence is rising.

A
46
Q

03: What are the causes and symptoms of Alzheimer’s disease?
Hide Answer
The cause is a combination of genes and health habits. The primary symptom is impaired memory.

A
47
Q

Q4: How does the progression of Alzheimer’s differ from that of vascular disease?
Hide Answer
Alzheimer’s is progressive, showing steady decline, and vascular disease in more episodic, with sudden decreases and then apparent recovery.

A
48
Q

Q5: In what ways are frontotemporal NCDs worse than other types of NCDs?

A

Frontotemporal NCDs affect personality and planning, so a person can appear to be cognitively intact but less inhibited and thoughtful. Problems such as impulsive gambling, spending, and sexuality may occur, which are harder for caregivers to control.

49
Q

Q6: Why is Lewy body disease sometimes mistaken for Parkinson’s disease?
Hide Answer
Both are characterized by increases in Lewy bodies. However, Parkinson’s often begins with motor impairment.

A
50
Q

Q7: In addition to brain disease, what other conditions cause NCD?
Hide Answer
Drug abuse, earlier brain trauma, and deficient diet can all cause neurocognitive disorders.

A
51
Q

Q8: How are depression, anxiety, and neurocognitive disorders connected?

A

Excessive depression and anxiety are sometimes mistaken for neurocognitive disorders, and they can also be causes. One difference is that memory for the immediate past is impaired in NCDs, but not usually in mood disorders.

52
Q

Q9: How does diet affect the risk of NCD?

A

Hide Answer
Excessive fat, and deficient vitamins can contribute to NCD. If obesity increases poor circulation, that affects the brain as well as the body.

53
Q

Q10: Why is polypharmacy particularly common among older adults?

A

Many older adults have ailments that are treated with prescription drugs, but the interaction of drugs is not well researched.

54
Q

Ecological validity

A

The idea that cognition should be measured in settings that are as realistic as possible and that the abilities measured should be those needed in real life.

55
Q

Self-actualization

A

The final level of Maslow’s hierarchy, when a person becomes (actualizes) their true self. At this stage, people are thought to move past focus on selfish concerns and become more appreciative of nature, of other people, of spiritual concerns.

56
Q

Life review

A

An examination of one’s own role in the history of human life, engaged in by many elders. This can be written or oral.

57
Q

How do the structures of the brain change with age?

A

The connections within the brain are reduced, speed is slower, and parts of the brain shrink

58
Q

Which kinds of things are harder to remember with age?

A

Names and places are particularly difficult. Habits, such as how to swim or ride a bike, and emotions, such as love for family, endure.

59
Q

What might be benefits from the changing brain in late adulthood?

A

Adults may become less distracted by irrelevant details and more creative in music and the visual arts.

60
Q

What would be an ecologically valid test of cognition in late adulthood?

A

Crucial might be how an older adult is able to perform tasks of daily life, such as cooking, self-care, and caring for family members.

61
Q

What do Erikson and Maslow say about cognitive development in late adulthood?

A

They suggest that integrity and self-actualization are more likely.

62
Q

What happens with creative ability as people grow older?

A

Creative geniuses may do their best work, and other people may begin creative pursuits.

63
Q

What is the special role of music in old age?

A

The ability to respond to music endures, even when other responses fade.

64
Q

Who benefits from a life review?

A

Older people benefit from reviewing what they have done, and how they have coped, with the circumstances of their lives.
Ideally younger people learn from that.

65
Q

Why are scientists hesitant to say that wisdom comes from old age?

A

The definition of wisdom varies by culture, so it is hard to measure. However, most people think wisdom increases, and many political and religious leaders are quite old.