Week 11 Slides Flashcards

1
Q

_______ helps seniors recover better from illnesses such as stroke

A

An optimistic view

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2
Q

____ _____ at age 65 is predictive of more rapid declines in later life

A

Chronic illness

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3
Q

_% of those aged 18-34 self-report their health as

fair or poor, where as _% of those over 65 years of age self-report their health as fair or poor

A

6%; 22%

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4
Q

Most Canadian seniors rated their

health as:

A

good or excellent

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5
Q

seniors whose physical and/or mental impairments are so extensive they cannot care for themselves.

A

Frail elderly

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6
Q

a measure of an individual’s ability to perform certain roles and tasks, particularly self help tasks and other chores of daily living.

A

Functional status

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7
Q

self help tasks such as bathing, dressing, and using the toilet

A

Basic Activities of Daily Living (BADLs)

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8
Q

more complex daily living tasks such as doing housework, cooking, and managing money

A

Instrumental Activities of Daily Living (IADLs):

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9
Q

The physical problems or diseases that are most likely to contribute to some functional disability in late adulthood are:

A

Arthritis and hypertension

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10
Q

As much as half of the decline in physical (and perhaps cognitive) function can be prevented through:

A

improved lifestyle, especially exercise

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11
Q

Physical exercise is even more important in ____ than in ____

A

later years than in youth

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12
Q

Benefits of exercise in later years include:

A

▪ Improves strength and motor skills after only 12 weeks of exercise

▪ Those who exercise lose less height over a 30- year period than did those who do not exercise

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13
Q

Gerontologists increasingly recommend _____ ____ in addition to aerobic activity and stretching.

A

strength training

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14
Q

Exercise can contribute to:

A

people living independent lives with dignity in late adulthood.

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15
Q

Physical exercise is linked to greater longevity and lower rates of diseases such as:

A
_ heart disease
– cancer
– osteoporosis
– diabetes
– gastrointestinal problems
– arthritis
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16
Q

Research has revealed that exercise:

A
  • Is linked to increased longevity.
  • Is related to prevention of common chronic diseases.
  • Is associated with increased effectiveness of treatment for many diseases.
  • Improves older adults’ cellular functioning.
  • Improves immune system functioning in older adults.
  • Can optimize body composition and reduce the decline in motor skills as aging occurs.
  • Reduces the likelihood that older adults will develop mental health problems, and can be effective in their treatment.
  • Is linked to improved brain, cognitive, and affective functioning.
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17
Q

Canada’s Physical Activity Guide recommends:

A

30 to 60 minutes of exercise daily, which can be accumulated in segments of 10 minutes or longer

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18
Q

Obesity in late age is rising (__% for men, __% for women)

A

19% for men and 27% for women

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19
Q

Four aspects of nutrition are especially important in older adults:

A
  • Getting adequate nutrition.
  • Avoiding overweight and obesity.
  • Deciding whether to restrict calorie intake.
  • Determining whether to take vitamin supplements
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20
Q

Over __% of older adults in the U.S. are obese

A

40%

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21
Q

Theorized to slow the aging process by neutralizing free-radical activity

A

antioxidants such as vitamin C, vitamin E, and beta-carotene

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22
Q

Positive correlations of good health:

A
– not smoking
– sleeping well
– frequent walking
– frequent socializing
– healthy body mass index
– eating fruits and vegetables
– good oral health
– low daily stress
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23
Q

__ ____ are strongly related to health problems.

A

Low incomes

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24
Q

Chronic diseases and conditions with slow onset and long duration are common in late adulthood. These include:

A
  • Heart conditions.
  • Diabetes.
  • Asthma.
  • Arthritis.
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25
Q

Nearly 60% of 65- to 74-year-olds die of:

A

cancer or cardiovascular disease.

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26
Q

____ is now the leading cause of death in middle-aged adults.

For those in the 75-to 84 and 85-and-over age groups, however, ____ is the leading cause.

A

cancer for middle-aged adults; cardiovascular disease for 75-85+ year olds.

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27
Q

___ _____ have high death rates for most diseases, including stroke, heart disease, lung cancer; and female breast cancer.

A

African Americans

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28
Q

inflammation of the joints accompanied by pain, stiffness, and movement problems, is especially common in older adults.

A

Arthritis

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29
Q

the most common form of arthritis. Some people call it degenerative joint disease or “wear and tear” arthritis. It occurs most frequently in the hands, hips, and knees.

A

Osteoarthritis

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30
Q

Bone loss begins at about age __ for both men and women.

In women, the process is accelerated by:

A

30; decreasing estrogen and progesterone levels in menopause

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31
Q

loss of bone mass with age, resulting in more brittle and porous bones

A

Osteoporosis

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32
Q

a disease characterized by low bone mass and deterioration of bone tissue, which can lead to increased risk of fracture. Known as the “silent thief”, bone deterioration can occur over a number of years without any symptoms.

A

Osteoporosis

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33
Q

The most common fractures associated with osteoporosis are:

A

in the hip, wrist, spine, and shoulder

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34
Q

Today, no single cause for _____ has been defined.

A

Osteoporosis

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35
Q

Osteoporosis can be prevented by:

A

– getting enough calcium during early adulthood, so the
peak level of bone mass is as robust as possible
– getting a bone mineral density test which can identify
osteoporosis long before it causes serious damage to
bones

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36
Q

Risk factors for osteoporosis include:

A
  • Race: whites are at higher risk than other races
  • Gender: women are at considerably a higher risk than men
  • Weight: those who are underweight are at higher risk
  • Timing of climacteric: Women who experience early menopause or have their ovaries removed are at higher risk because their estrogen levels decline earlier
  • Family history
  • Diet: low calcium, high levels of caffeine, alcohol
  • Lack of exercise/mobility
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37
Q

Osteoporosis causes many people to walk:

A

with a stoop

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38
Q

The frequency of binge drinking is highest among:

A

older adults.

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39
Q

Substance abuse among older adults is often seen as:

A

the “invisible epidemic” in the United States, because it so often goes undetected.

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40
Q

Used to describe the onset of alcoholism after the age of 65.

A

Late-onset alcoholism

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41
Q

Late-onset alcoholism is related to:

A

loneliness, loss of a spouse, or a disabling condition.

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42
Q

As older adults live longer, ____ ___ ____ will need to be expanded.

A

disease management programs

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43
Q

__% of women and __% of men over age 65 live in long-term care institutions

A

5.6% of women and 3% of men

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44
Q

Most married ___ will have a spouse until they die, but most married ___ will live alone for many years

A

men; women

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45
Q

In Canada, ___ ___ is the most common choice among unmarried elders

A

living alone

46
Q

Predictability factors that a single older adult in Canada will live with a child or with other relatives include:

A

– Health
– Income
– Adult children’s characteristics
– Public home care and social support services

47
Q

Factors related to health and survival in a nursing home are:

A

the patient’s feelings of control and self-determination.

48
Q

In a study by Rodin and Langer (1977), nursing home residents who were encouraged to feel more in control of their lives were:

A

more likely to be alive 18 months later than those who were treated as being more dependent on the nursing home staff.

49
Q

According to Bill Thomas (The Eden Alternative), the three plagues of nursing homes are:

A
  • Loneliness
  • Boredom
  • Helplessness
50
Q

The Eden Alternative (Bill Thomas) involves:

A
  • IDENTITY—being well-known; having personhood; individuality; having a history
  • GROWTH—development; enrichment; expanding; evolving
  • AUTONOMY—liberty; self determination; choice; freedom
  • SECURITY—freedom from doubt, anxiety, or fear; safety; privacy; dignity; respect
  • CONNECTEDNESS—belonging; engaged; involved; connected to time, place, and nature
  • MEANING—significance; heart; hope; value; purpose; sacredness
  • JOY—happiness; pleasure; delight; contentment; enjoyment
51
Q

For the old-old and oldest-old, the largest declines involve:

A

speed or unexercised abilities

52
Q

The hardware of the mind, reflecting the neurophysiological architecture of the brain. Involve speed and accuracy of the processes.

A

Cognitive mechanics

53
Q

The culture-based software programs of the mind. Include reading and writing skills, language comprehension, educational qualifications, professional skills, and types of knowledge that help to master or cope with life.

A

Cognitive pragmatics

54
Q

___ ____ may decline in old age, but ___ ____ may actually improve.

A

Cognitive mechanics; cognitive pragmatics

55
Q

Cognitive mechanics have a ____ foundation; cognitive pragmatics have an ____ foundation.

A

biological/genetic; experiential/cultural

56
Q

The speed of processing information in late adulthood:

A

• Correlated with physical aspects of aging.
• Accumulated knowledge may compensate.
• Impaired visual processing speed is linked to vehicle
accidents.

57
Q

Slow processing predicts an increase in ___ and is linked to the emergence of ____

A

falls; dementia

58
Q

Two of the best predictors of living longer include:

A

processing speed and health status

59
Q

focusing on a specific aspect of experience that is relevant while ignoring others that are irrelevant.

A

Selective attention

60
Q

Concentrating on more than one activity at the same time

A

Divided attention

61
Q

Focused and extended engagement

A

Sustained attention

62
Q

aspects of thinking that include planning, allocating attention, detecting and compensating for errors, monitoring progress, and dealing with novel or difficult circumstances.

A

Executive attention

63
Q

On virtually all “everyday” tasks, older adults recall less well than younger adults, But _______ gives the elderly some recall advantage

A

task-specific prior knowledge

64
Q

Age-related memory decline is associated with:

A

Changes in the ratio of grey to white matter in the brain

65
Q

This is now seen as a key factor in the declines of memory in late adulthood:

A

Loss of information-processing speed

66
Q

Memory without conscious recollections; skills and routine procedures. Less likely to be affected by aging.

A

Implicit memory

67
Q

The facts and experiences that individuals consciously know and can state. Declines as a person ages which impairs access to autobiographical events and the details involved.

A

Explicit memory

68
Q

Older adults remember more events from the second and third decades of their lives

A

Reminiscence bump

69
Q

Remembering something that has happened recently: Younger adults outperform older adults

A

Retrospective Memory

70
Q

Remembering an event in the future, like a doctor’s appointment: Older adults outperform younger adults in a natural setting, such as their home, but do not excel in a laboratory setting where there are no external memory cues such as a calendar or reminder note

A

Prospective Memory

71
Q

Factors that influence an older adult’s performance on memory tasks include:

A

health, education, and SES

72
Q

Skills that also decline in older adulthood include:

A

Engaging in goal-directed behaviour and exercising self-control

73
Q

Aspects that especially decline in later adulthood are:

A
  • Updating memory representations relevant for the task at hand.
  • Replacing old, no longer relevant information.
74
Q

When older adults engage in complex working tasks:

A

their cognitive functioning shows less age-related decrease

75
Q

Successive generations have been healthier in late adulthood as:

A

Better treatment for a variety of illnesses have been developed.

76
Q

Changes in cognitive activity patterns might result in:

A

Disuse and consequent atrophy of cognitive skills.

The engagement model of cognitive optimization emphasizes how intellectual and social engagement can buffer age-related declines in intellectual development.

77
Q

An increasing number of studies indicate that cognitive retraining is possible to some degree:

A

• Training can improve the cognitive skills of may older
adults, but
• There is some loss in plasticity in late adulthood

78
Q

Older adults who challenge themselves with complex mental activities can:

A

delay or even reverse the normal decline in brain mass that is part of primary aging

79
Q

Mental activities that likely benefit the maintenance of

cognitive skills include:

A
  • Reading books
  • Crossword puzzles, and
  • Going to lectures and concerts
80
Q

Sustained engagement in cognitively demanding, novel activities:

A

improves episodic memory

81
Q

The effectiveness of brain games have often been:

A

exaggerated

82
Q

a discipline that studies links between the brain and cognitive functioning.

A

Cognitive neuroscience

83
Q

Aging and changes in the brain can influence ___ ___, and changes in ___ ___can influence the brain.

A

cognitive functioning; cognitive functioning

84
Q

Neural circuits in the brain’s ____ ____decline,

linked to poor complex reasoning, cognitive inhibition etc.

A

prefrontal cortex

85
Q

Older adults are more likely to use ___ ____ to

compensate for declines.

A

both hemispheres

86
Q

Functioning of the _____ declines to a lesser

degree than functioning of the _____

A

hippocampus; frontal lobes

87
Q

Patterns of neural decline are more dramatic for:

A

retrieval than for encoding

88
Q

As attentional demands increase, functioning in areas
of the ____ and ____ lobes involved in cognitive
control becomes less effective

A

frontal and parietal

89
Q

Cortical thickness in the frontoparietal network:

A

predicts executive function in older adults

90
Q

Older adults have less effective:

A

connectivity between brain regions

91
Q

Denise Park and Patricia Reuter-Lorenz propose a neurocognitive scaffolding view:

A

• Increased activation in the prefrontal cortex reflects an adaptive brain that is compensating for declining neural structures and function and declines in various aspects
of cognition.

• Scaffolding involves the use of complementary neural circuits.

92
Q

Exercise—walking one hour a day three days a week:

A

appears linked to increased volume in the frontal and temporal lobes.

93
Q

unable to retrieve information despite feeling that they should be able to. Difficulty understanding speech in certain contexts

A

Tip-of-the-tongue (T O T) phenomenon

94
Q

Unable to retrieve information despite feeling that they should be able to.

A

Tip-of-the-tongue (TOT) phenomenon

95
Q

Older adults speech is:

A

Lower in volume, slower, less precisely articulated, and less fluent. Non language factors may be involved, such as slower information-processing speed and a decline in working memory

96
Q

Bilingualism may:

A

delay the onset of Alzheimer’s disease

97
Q

An increasing amount of older people continue to work. This is seen in ___ more than ___

A

women more than men.

98
Q

Older adults who work beyond retirement age are motivated by factors involving:

A

financial status, health, knowledge, and purpose in life.

99
Q

One of the best predictors of job performance in older adults is:

A

cognitive ability

100
Q

Older workers:

A

have lower rates of absenteeism, fewer accidents, and higher job satisfaction

101
Q

One study of older workers found that adaptive competence in older workers on the job was linked to:

A
  • Accurately self-evaluating one’s skills and values;
  • Being positive about change; and
  • Participating in a supportive work environment
102
Q

In the United States in 2017, the average retirement age for men was __ and for women was __

A

64 for men; 62 for women

103
Q

Approximately ___ retired Americans return to work after they have retired.

A

7 million

104
Q

____ has the earliest average retirement age—60 years old for men, 61 years old for women

A

France

105
Q

____ has the oldest retirement age—72 for men, 73 for women.

A

Korea

106
Q

Antecedents for early retirement:

A
  • Workplace organizational pressures;
  • Financial security; and
  • Poor physical and mental health.
107
Q

Older adults who adjust best to retirement are:

A
  • Healthy, active, and have adequate income.
  • Better educated.
  • Connected with extended social networks and family.
  • Satisfied with their lives before retiring.
108
Q

Two main worries of individuals as they approach retirement are:

A
  • Having to draw retirement income from savings.

* Paying for health-care expenses.

109
Q

The average retirement age dropped from age __
in 1982 to __ years of age by the year 2000.

That rose to over __ years of age in 2015, and
continues to increase

A

64.9 to 61; 63

110
Q

Reasons for retirement:

A
  1. Age
  2. Health
  3. Family Considerations
  4. Financial support
  5. Work characteristics