Middle Adult Flashcards
1
Q
Age Period
A
35-64
2
Q
Physical Changes
A
- Hair thins and turns grey
- Skin’s moisture and turgor decreases, loss of subQ fat, wrinkling occurs
- Fat deposition increases (“love handles” and “saddle bags” appear)
- Body height decreases
- Decrease in energy and functional aerobic capacity
- Bone density and mass decrease
- Muscle tone decreases
- Some have OA, DJD, Osteopenia, Osteoporosis
- Functional capacity of all organ systems decreases
- Menopause
- Decrease in testosterone
- Leading COD in MA: heart disease, cancer, and accidents
- At greater risk for diseases known to be associated with genetics
- Presbyopia, glaucoma, cataracts, macular degeneration may all develop
- Presbycusis
3
Q
Cognitive Changes
A
- Capacity to perform intellectually stays constant
- Some decrease in reactiontime and cognitive flexibility
- Intellectual ability increase
4
Q
Nutrition Metabolic Pattern
A
- Prevent obesity by appropriate food intake and exercise
- Monitor cholesterol
- M&W need adequate calcium and Vitamin D
- Monitor caffeine consumption
- Watch Na intake
5
Q
Elimination Pattern
A
Gradual decrease of tone in large intestine
6
Q
Activity Exercise Pattern
A
- 30 minutes or more of brisk physical activity every day for a total of 3 to 4 hours per week
- Encourage muscle strengthening activities
- Focus on skill and coordination rather than speed and strength
- Caution in adults nearing 65 to prevent muscle strain or falls
- Avoid overexertion
7
Q
Sleep Rest Pattern
A
- May not sleep as much do to life demands
- Insomnia a common finding
- Rest essential to allow restorative functions to occur
- Need regularly scheduled, high quality sleep and occassional napping when fatigued
8
Q
Psychosocial Changes
A
Erikson: Generativity vs Stagnation
- Generativity is the ability to expands ones focusses on supporting future generations. Do this through parenthood, mentoring.
- caring for others
9
Q
Sexuality Reproductive Pattern
A
- Menopause (avg ~49)
- Andropause
- Unintended pregnancy still a problem
- Higher risk of maternal death and fetal complications
- Changes in reproductivesystem: arousal, orgasms, long refractory between erection and ejaculation, vaginal dryness, decreased libido
10
Q
Coping Stress Tolerance Pattern
A
- If cannot cope well with stress, can impact health detrimentally
- When crisis managed successfully, Virtue of strength will evolve
- stressors include divorce of offspring, young adult children moving home, raising grandchildren
11
Q
Health Risks/Concerns
A
- Alcohol abuse
- Iodizing radiation
- Water pollution
- Air pollution
- Noise pollution (all a little random but listed in HP book)
- Hepatitis A
- PNA & Shingles (encourage adults 60 and over to get immunizations)
- Chemicals
- Tobacco use
12
Q
Health Promotion
A
- HP topies: acceptance of aging, need to exereise, control weight
- Smoking Cessation
- Appropriate alcohol consumption
- SCREEN (depression, malignant neoplasms, osteoporosis)
- Dental care to prevent gingivitis and periodontitis
13
Q
Nursing Application
A
- Counsel on basics: diet, exercise, nutrition
- Fall risk prevention
- Limit occupational exposures
- Primary and secondary prevention for malignant neoplasms
- Firearm safety
