Lecture 23- Ageing adult Flashcards
What is the life expectancy for male and female new Zealanders?
Female- 83.19 years
Male- 79.48
Whats the life expectancy for Maori male and females?
73.4 for men
77.1 years for women
What is Menopause?
Women undergo menopause, a gradual decrease in ovarian function, with subsequent depletion of oestrogen and progesterone. With the cessation of ovulation, menstrual periods stop either gradually or abruptly, and many women experience hot flushes, mood swings and fatigue. The loss of oestrogen also increases the risk of osteoporosis and heart disease.
What age does menopause usually occur?
40 and 55 years of age
What is Andropause?
Men experience some physical symptoms from the decreased levels of hormones. Androgen levels diminish slowly; the man may have some loss of sexual potency but may still be capable of reproduction.
In ageing adults, all organ systems undergo some degree of decline in overall functioning, and the body becomes less efficient.
What is Erikson’s - ego integrity versus despair and disgust?
Age 65- death death
Last stage of human development
Ageing adults continue to look forward but now also look back, either with pride or despair, and begin to reflect on their lives. Inner search for meaning and order in the life cycle.
Ageing adults search for emotional integration and acceptance of the past and present, as well as acceptance of physiological decline without fear of death.
The tasks of midlife continue or may resurface.
Ageing adults still strive to guide the coming generations and to leave something behind (generativity versus stagnation). Their need for love and closeness continues (intimacy versus isolation), as does a strong sense of who one is in relation to family and community (identity versus role confusion).
What are the most common chronic conditions in ageing adults?
Arthritis, hypertension, osteoporosis, osteoarthritis and asthma.
What are common disabilities in ageing adults?
Total and partial deafness and diseases of the eye, particularly long-sightedness.
What are health-promotion activities that can be taught to the patient and families?
Eat a diet that includes all food groups; is low in fat, saturated fat and cholesterol; balances kilojoules with physical activity; has recommended amounts of fruits, vegetables and grains; and uses sugar and salt in moderation.
Make exercise a part of daily activities.
Drink alcohol in moderation.
Do not smoke.
Discourage excessive napping, encourage sleep ‘hygiene’ (including maintaining regular bedtime and waking times).
Whats the age of a middle adult?
Middle adult (40 to 65)
Whats the age of a Young-old?
Young-old (60 to 74)
Whats the age of middle old?
Middle-old (75 to 84)
Whats the age of old old?
Old-old (ages 85 plus)
What’s the average loss of height for aging people?
5cm
What decreases with age?
Height, weight, muscle mass, taste buds, lung vital capacity, bone mineral mass, brain weight.
What are some common myths and stereotypes that perpetuate ageism?
Old age begins at 65 years of age.
Most ageing adults live in nursing homes.
Most ageing adults are sick.
Old age means mental deterioration.
Ageing adults are not interested in sex.
Ageing adults do not care how they look.
Most ageing adults are isolated and lonely.
All old people are incontinent.
Ageing adults do not deserve aggressive treatment for serious illnesses.
What are some Health screening for ageing adult (both genders)
Physical exam – 3 yearly to age 40, yearly there after – heart, diabetes screening
Immunisation – flu annually, herpes zoster (shingles) at 65, and others see Ministry of Health immunisation programme
Vision – eye exam with test for glaucoma annually (optician/optometrist)
What are some Health screening for ageing adult (male)
Men - Prostate – begin PSA testing at 45 if family history of Ca, otherwise 50, also recommended - Digital rectal exam, testicular self–exam monthly