Exam 2.3 Flashcards
Geriatrician
physician specializing in care of patients with multiple chronic diseases whose care can be managed but may not be cured
Terms for seniors
elders, older adults, mature adults, elderly, aged, senior citizens
Demography of seniors
85+ fastest growing segment of older population, increase in median age
Factors affecting population size and age
fertility rates (baby boomers of 1946-1964), mortality rates (increase in life expectancy), migration
Dependency ratio
economically unproductive to economically productive, traditionally defined by age
Unproductive population
0-19 and 65+
Productive population
19-64
Labor force ratio
number of people actually working compared to those that do not, independent of their ages, can be affected by state of the economy
Morbidity
activity limitations increase with age, chronic conditions, impairments
6 instrumental needs that determine lifestyle for people of all ages
income, housing, personal care, health care, transportation, community facilities and services
Instrumental tasks
housekeeping, transportation
Expressive tasks
emotional support, socializing and inclusion
Cognitive tasks
scheduling appointments, reminders to take medication
Daily living tasks
eating, dressing, bathing
Activities of daily living (ADLs)
measures of functional limitations
Instrumental activities of daily living (IADLs)
measure more complex tasks
Care provider
helps identify the needs of the individual and personally performs the care giving service, informal (unpaid)
Care managers
helps to identify needs and makes arrangements for a paid or unpaid care giver
Respite care
planned short-term care, allow family caregivers to get a break
Myths of aging
assumes age 65+ is the same for everyone, assumes all change is decline, assumes 65+ is stage of frailty and illness
Facts of aging
more variability in late life than any other age, certain cognitive skills are stable/increasing, young old more similar to middle aged, healthier now than prior generations, better health behaviors, majority report good to excellent health
Trends of aging
graying of the population, global trend, oldest old is fastest growing group
Why the increase in seniors?
fertility rates, mortality rates, migration rates
Late life disability
need for assistance with activities of daily living, caused by either cognitive or physical pathology, impacted by psychological, social, environmental resources and barriers
Psychological disability
poor mobility + low motivation = higher disability
Environmental disability
poor mobility + live on 3rd floor with no elevator = higher disability
Cause of death for older adults
chronic medical conditions, not uncommon to have a period of disability prior to death
When ADL impairment occurs
need care, low impairment - often at home services, high impairment - residential care
At home services (not family)
meals on wheels or meals at senior center, homemaker services, transportation, home health, hospice, companionship for isolated seniors, adult day services
Daily tasks
eating, bathing, dressing, toileting, grooming, shopping, paying bills transportation, cooking, etc.
Ethnicity categories
Hispanic or Latino/Non-Hispanic or Non-Latino
Race categories
Black, Asian, Native Hawaiian/Pacific Islander, American Indian/Alaska Native, White
Hispanic Origin
lowest education of any group, religion plays important role in health, good health seen as a matter of fortune or reward from God for good behavior, Curanderismo
Curanderismo
a common form of fold medicine involves religion herbs, witchcraft, and science
Black Americans
more than half live in south, slightly lower high school graduation rates than whites, lowest median income of any group
Asian Americans
higher average education levels but distribution bipolar, higher average incomes than all other groups (bipolar), concept of balance is related to health and imbalance is related to disease
Pacific Islander
lower education levels and median incomes than whites, healer cannot be reimbursed directly for his/her therapeutic work, believed it is not appropriate for healer to get paid
