Late Adulthood Flashcards
The study of social, biological and psychological aspects of aging
Gerantology
Clinica physical issues related to agin
Geriatrics
Geriatric psychiatry
mental health and again: normal vs not
modifialbe illness in late-life
distinguishing btwn early on-set psychiatric disorders
modifying normal aging to improve functioning
65-84
Young-old
85 and up
old-old
Cause of growing population of 65+ and 85 +
Baby boomers
supposed to be over 80 by 2050
increasing alot in midwest
Populatation by age and sex
more females and males
Projected growth of 65+ population in 2030
1.36 million (not as much as in 18-64)
Race thats increasing in number of old people
hispanic
more men/women are widowed over 90+
women
Brain weight decreases by what % by age 80 and flow decrease by what %
17% and 20%
Where does myelin decrease
white matter
Sensory loss
all…vision, hearing ,some loss of fine touch in fingers and toes
Where does neurogenisis occur?
Subventricular zone and subgranular zone
lateral ventricles and hippocampus
What suppresses cell proliferation
chronic stress
Peak/ platue and declind of cognitive change
30/ 60/ 70s
Harder: word retrieval or talking
retrieval
Executive funcitoning is maintained/decreaed
maintained, solving new problems are harder
Cognitive function decline in Mild cognitive impairment
declines but can be slowed
Alzheimers function in cognitive function
LOSS of ADL function
Atrophy of hippocampus and entorhinal cortex good predictor of
AD; see more amyloid plaques showing up bright green and yellow on PET
Eriksons stage
Integrity vs Despair
integrity sense of self satisfaction. have i been productive and worthwhile
Despair is loss of hope and life has no purpose or meaning. Fear of death. Feel worthless
Stages of Grief
Denial Anger Bargaining Depression Acceptance
% time grief triggers depression
10-20% and lasts for more then 2 months
% of adults over 60 suffering from despressive symptoms
20%
This group of men 85+ complete suicide 6x the general populaiton
white males
Clearance of amyloids can be done by?
A-beta.. but needs to occur b4 changes
T/F
Chronic illness is more prevelant than acute condintions
True
75% people between 65-74 describe themselves in good health
Physicians feeling towards older persons; fear of their own old age, conflicts about aging or death of parents; lack of awareness
Countertranserence
Symptoms overlapping with those form common medical illnesses, psychosocial stressors
confounding factors
3 things to look for to improve recognition of depression
PHyscial apperance
Physical health: physical and cognitive decline
Emotional states
Look at their living conditions
Drug and alcoholism dependencies:
4-8%
Age of men and women 65 and older for maximum alcohol use
1 drink per day as max or total of 7xs a week
% below poverty level and which is it highest in
9% and highest in hispanics
men/women have higher poverty rate
women: 10.7 vs 6.6
What % of old people make up working population
17.2% of older americans
total of US is 4.2%
% highschool or higher eduction
% w. bachelors degree
78%
21%
2 ADL’s that are high in 65+
Walking and Bathing
Chornic health conditions
Hypertension and Artritis
Most common type of elderly abuse
neglect… then physical….then financial
Prevelance of abuse
1-12%
women more then men and most are frail, confused and in home setting, often are family members
Passive Model
brain reserve
