gerontology and older adult
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| chronologic age | number of years a person has lived.
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| physiologic age | refers to the determination of age by body function.
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| functional age | refers to a person's ability to contribute to society and benefits other and themselves.
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| gerontology | is the scientific study of the effects of time on human development.
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| geriatrics | is the medical care of the aged involved special considerations.
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| forms of long term care | sub acute careassisted living facilityadult day carehome carehospice
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| Sub care | for people who require ongoing care or recovery for an acuted condition but do not need to receive the services on an acute hospital unit.
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| assisted living facility | a from of housing that provides 24 hr staffing, meals, supervision of meds, and personal care assistance.
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| adult day care | a daytime program for people who typically have the same level of impairments as nursing home residents but who recieve care in the community usually by family memebers.
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| home care | for community-based people who are homebound and who need care giving or special treatments.
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| hospice | for people who are terminally ill, can be provided in the home or a day hospital setting. Hospice benefit is highly underused to make people comfortable and pain free at the end of life.
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| quality and quantity of caregiver support | it is a change in status of the caregiver that precipitates the dependent person's admission to a long term care facility.
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| assess and assist | it is improtant to assess the family and assist these caregivers in using interventions and resources that promote an maintain their health and well-beingmaking pt comfortable and decreasing suffering.
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| functional status | is the result of the combined effect of disease and disability on the person's ability to carry out the tasks of daily living.
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| functional assessment | is a systemic measure of objective performance in areas of daily living.
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| ADL | activities of daily living
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| IADL | independent activities of daily living
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| factors that influence functional status | sleep, sensory, impairments, mobility and balance
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| sleep and older adults | fall asleep with more difficulty, awaken more readily, and more frequently.spend more time in drowsiness stage, and less in deep sleep-use of hypnotics, antidepressants, diuretics, and hypertensives.
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| sensory impairments | normal aging results in some sensory impairments, vision problems will increase risk of falling.
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| mobility and balance | mobility is essential for maintaining independence,mobility depends on the ability to maintain balance an strength.
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| psychosocial factors that influence functional status | ageismmultiple lossesrelocationneglect and abuse
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| ageism | refers to the prejudices and stereotypes applied to older people purely because of their age.
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| ngeativism | can cause older people to adopt modes of dependency, helplessness, and negative self-image, leading to increase vulnerability to biopsychosocial stressors.
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| multiple losses | aging persons experience person, social, and economic losses, these lead to mental confusion, withdrawl, helplessness and depression
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| relocation | one type of loss that can produce psychological changes in mortality and morbidity.
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| quality of life | normal pshysiologic aging changes and chronic health conditions have a large impact on a person's percieved quality of life.
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| subgroups of elderly | 65-74 years old=young old74-84 years old= middle old85-99 years old= old old(fastes growing)100-above= elite old(centenarians)
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| frequently occuring conditions | hypertensionarthritisheart diseasecancersinusitisdiabeteshearing impairment
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| aging | is a gradual process of change over the course of time.
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| psyhological aspects of aging | refers to the age-related adaptive capacity of the individual to experience an interpret events
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| ego integrilty versus despair | view life with a sense of wholeness and derive satisfaction from past accomplishments. and see death as an acceptable completion of life.
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| epidemiology | study of health among populations
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| chronic conditions | develop over time and can start about age 20
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| 3 levels of prevention | primary-health promotionsecondary-early diagnosis and prompt txteriary-restoration and rehabilitation
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| modifiable risk factors | things you can change:smoking, poor nutrition, physical inactivity, failur to use preventative screening services
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| common myths of aging | old means sick, cannot learn new things, promotion is wasted on older people, they do not pull their own weight, too late to change bad habits, and no interest in sex.
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| what is the role of the gerontological nurse | to educate colleagues and peers
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| what is the # os individuals impacted by chronic illness | 1 in 10 people in the united states(30 million) have a related activity limitation.
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| oppertunities to improve older adults health and quality of life | healthy lifestyles, early disease detection, immunization, injury prevention, self-management techniques
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| types of aging changes | benign and superficial(gray hair & wrinkles)senescence-progressive body system seteriorationplastic-modifiable changes that can be slowed
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| organ reserve changes | homeostatis, homeostenosis(inability of body to restory hoemostasis after environmental changes.
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| aging theories | programmed theories-genetic codes contain instructions for regulaiton of cellular reproduction and death.
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| biological theories | error theories-toxic by products caused by body's need to make energy and fuel metabolic activites-free radical theory
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| Jungs theory of individualism | as a person ages, the shift of focus is away from the external world toward the inner experience-search for answers to life's riddles and try to find true-self.
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| erickson's theory | ego integrilty versus despire-older person becomes preoccupied with acceptance of eventual death without becoming morbid or obsessed.
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| sociological aging theories | focus on roles and realtionships that occur later in life.
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| disengagement theory | negative concept by older person-they take themsevles out of society.
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| activity theory | as a younger person you will be as an older person
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| continuity theory | you will be the same perosn at 40 as you are at 80
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| past focus on gerontology | study, diagnose, and treat disease
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| current focus on gerontology | imrpovement of health holistically:physicalmentalemotionalspiritual well-being
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