Chapter 14: Healthy Aging Flashcards

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1
Q

What is the largest generation to reach older adulthood?

A

Baby boomers

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2
Q

What four changes can we expect in demographics between now and 2030?

A
  • Older pop. in the US will nearly double
  • Older adults will be more educated and politically involved than past generations. They will be proficient users of the Internet.
  • Older adults will expect to keep their benefits for retirement. They will believe that a comfortable retirement is right, not a privilege. they may not have the financial savings necessary to support these expectations.
  • Dependency ratio will change to where more older individuals will be dependent or fewer workers to pay taxes needed to provide revenue for social support programs.
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3
Q

How does Social Security work?

A

Workers pay taxes that help current retirees.

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4
Q

How can the increased rate of divorce and number of ethnic minority older adults change Social Security and Medicare?

A

The increased rate of divorce can leave middle-aged adults feeling less obligated to take care of parents or step-parents who were not involved in their upbringing. The care of these older adults will then be placed on society.

The increase of ethnic minority older adults will cause a reconsideration of issues such as health disparities and access to goods/services. It will also provide a richer understanding of the aging process.

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5
Q

What % of older adults are under the traditional definition of poverty? What % are under the SPM definition of poverty?

A

10% and 15%

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6
Q

Compared to European Americans, poverty rates are ________ times higher for Latinos and ________ times higher for African Americans

A

Three times higher for Latinos and two and a half times higher for African Americans.

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7
Q

The cost of taking care of baby boomers will likely increase US debt from 75% of GPD to ______

A

120%

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7
Q

What was Social Security originally intended to do? What has changed since then?

A

It was originally supposed to supplement savings and other means of financial support.

Since then, the number of people who reach 65 has increased and SS is now the primary or only source of financial support after retirement for most US citizens.

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7
Q

When was Social Security established? Who established it?

A
  1. Franklin Roosevelt.
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8
Q

What are some changes that Congress made to Social Security, Medicare, Older American Act, and other policies in 1983?

A
  • Reduced benefits to wealthy older adults
  • Changed eligibility rules
  • Provided targeted benefits for poor older adults
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9
Q

The shift from traditional pensions to contributory retirement plans (ex. 401k) is likely to result in what? Why?

A

Many older adults rely on SS as their primary source of income. This is because contributory plans are impacted by the stock market but traditional pension plans aren’t.

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10
Q

True or False. The benefits a person receives from SS comes from an account that reflects what they contributed over their employed career.

A

False. SS is actually a revenue in/payments out program in which workers pay taxes that go out as payments to those who are collecting benefits today. Payments that current workers will receive in the future will come from taxes paid by workers in the labor force at a future time.

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10
Q

Why does the payee/recipient ratio matter in SS?

A

It matters because the amount of taxes that the workforce must pay to help take care of older adults is dependent on how many workers there are and how many older adults there are. The smaller number of workers in the labor force plus the growing number of older adults will cause taxes for workers to increase.

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11
Q

By 2034, revenue from SS taxes will only cover ____% of the benefits promised.

A

75%

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12
Q

What criteria must a person meet to be eligible for Medicare?

A
  • Be over 65
  • Be disabled
  • Have a permanent kidney failure
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13
Q

What three parts does Medicare cover?

A

Part A covers inpatient hospital services, skilled nursing facilities, home health services, and hospice care.

Part B covers the cost of physician services, outpatient hospital services, medical equipment/supplies, and other health supplies/services.

Part D covers some coverage for prescription medications.

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14
Q

How does tax on Medicare differ from tax on SS?

A

SS tax is based on a cap while Medicare tax is based on one’s earnings.

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15
Q

True or False. Medicare has been subjected to significant cuts in expenditures typically through reduced payouts to healthcare providers.

A

True.

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16
Q

Heckhausen, Wrosch, and Schluz state that healthy aging includes what two components?

A

Keeping a balance between various gains/losses and minimizing the influences of factors unrelated to aging.

16
Q

What is healthy aging?

A

A process in which a person avoids disease, is engaged with life, and maintains high physical and cognitive functioning.

17
Q

When is healthy aging reached?

A

It is reached when a person achieves their desired goals with dignity and as independently as possible.

18
Q

When designing interventions to help older adults, what must be understood?

A

The target person’s goals

19
Q

What trends are apparent in health promotion programs for older adults?

A
  • Exercise programs for older adults need to focus more on low-impact aerobic exercises since older adults are more prone to injury
  • Health education programs are effective in minimizing the effects of emotional stress
  • Health screening programs are effective at identifying serious chronic disease that limit the quality of life and can be addressed through behavioral interventions
20
Q

What is salutogenesis?

A

It is an approach to wellness that emphasizes factors that support/promote health rather than factors that cause disease.

21
Q

What do Mittelmark and Bauer say that a salutogenic framework emphasizes?

A

It emphasizes that life experiences help shape one’s sense of coherence (global orientation toward life). A strong coherence helps mobilize resources to cope with stressors and manage tension.

21
Q

What components does quality of life include?

A
  • Amount of interpersonal relationships/social support
  • Physical/ mental health
  • Environmental comfort
  • Psychological constructs (locus of control, emotions, usefulness, personality, meaning of life).
22
Q

How can technology help older adults remain competent?

A

Technology can help compensate for the loss of physical or cognitive abilities. Ex. Smartphone mapping apps can provide voice directions to help older people get to their destinations.

23
Q

Which act provides programs for improving the health of older adults?

A

Older Americans Act through the Administration of Aging

24
Q

What is primary prevention?

A

Any intervention that prevents a disease/ condition from occurring.

Ex. Immunizations against polio and influenza

25
Q

What is secondary prevention?

A

Any intervention that is initiated early after a condition has begun and before significant impairments have occurred.

Ex. Cancer and cardiovascular disease screening

26
Q

What is tertiary prevention?

A

Efforts done to avoid the development of complications/secondary chronic conditions, manage pain associated with primary chronic condition, and sustain life through medical intervention.

Ex. Sitting a person up in bed who is bedridden so they do not contract pneumonia.

27
Q

What is quaternary prevention?

A

Efforts aimed at improving the functional capacities of people who have chronic conditions and avoiding overmedication.

Ex. Cognitive interventions to help people with Alzheimer’s disease remember things

28
Q

What is aerobic exercise?

A

Exercise that places moderate stress on the heart by maintaining a pulse rate between 60-90% of the person’s maximum heart rate.

29
Q

What physical benefits does aerobic exercise have on older adults?

A

Improved cardiovascular functioning, maximum oxygen consumption, lower blood pressure, better strength, endurance, flexibility, and coordination.

30
Q

What psychological benefits does aerobic exercise have on older adults?

A

Low levels of stress, better moods, and better cognitive functioning.

31
Q

How many minutes of moderate aerobic exercise should be done weekly?

A

150 minutes

32
Q

What is metabolism?

A

How much energy the body needs.

33
Q

What are lipoproteins?

A

Fatty chemicals attached to proteins carried in the blood.

34
Q

Low-density lipoproteins cause what?

A

Fatty deposits to accumulate in arteries, impeding blood flow

35
Q

What do high density lipoproteins cause?

A

They help keep arteries clear and break down LDLs.

36
Q

A high level of LDL is associated with __________.

A

A higher risk for cardiovascular disease

37
Q

What are the most popular drugs for treating cholesterol problems?

A

Statins

38
Q

The CDC defines healthy weight as having a BMI less than _______

A

25

39
Q

How many African Americans are obese?

A

1/2

40
Q

How many Latinos are obese?

A

40%

41
Q

Having a very high and very low BMI is associated with ________

A

Increased morbidity