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life transitions older adults


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definition of older adult
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Definition: persons over the age of 65 yrs However many people, today, at age 65 yrs are very productive in society; they are very active, very healthy, & lead a constructive life in the community

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Definition of older adult
Definition: persons over the age of 65 yrs However many people, today, at age 65 yrs are very productive in society; they are very active, very healthy, & lead a constructive life in the community
What contributes to aging
Genetics play a role – some people look ‘very old’ at 60yrs, others look youthful at 80yrs Disease / disability – as we age disability increases. But contributing to disease/disability is a person’s lifestyle –includes things like smoking, a person’s diet, lack of exercise, etc..
Examples of physiological ageing for normal age related changes
Alterations in hormonal levels brings changes to the reproductive system but increases the risk of age related diseases Loss of elasticity in the lungs results in an increase in respiratory rate Decreased peristalsis in the gastrointestinal tract increases the incidence of constipation Decrease in muscle & bone mass increases disability. But exercise can reduce the incidence of this An inability of the eye to adjust to dim lights thurst mechanism hearing loss
Examples of physiological ageing for disease releated changes
Loss of thought processes, language, inability to calculate,& poor judgment Loss of bladder control causing a range of incontinence problems Poor diet & smoking increases the risk of cardiovascular changes & diabetes type 2 Age related diseases – osteoarthritis
Age related changes to the body
Increased risk to hypoglycaemia - beacuse liver becomes slower sleep quality decreases hearing loss skin elasticity
Erikson: Integrity versus Despair for older adults
As people age there is a need to evaluate, sum up and accept one’s life & to accept approaching death Integrity is to accept life without regrets Despair is to feel bitter, frustrated and a sense of hopelessness
What contributes to healthy aging
His is important because when illness strikes recovery is faster in ‘healthy’ older adults compared to ‘disabled’ older adults. Having had a good education helps to make decisions Having access to medical care Be financially ’successful’ – planned for retirement, Environmental factors – an adequate diet Accepting ‘self’ & maintaining quality of life
Correlating quality care with quality RNs
RN’s need to competent to undertake the necessary assessments N’s need to understand what constitutes normal aging & what constitutes disease. RN’s need to understand how these age related changes impact on normal functioning
Nursing assessment of the older person
Aged related changes (changes in joints slower Nervous system bones weaker) , negative functional consequences ( loss of muscle strength), using mobility aids mobility patterns safety of environment
Dementia definition
Dementia – this diagnosis describes a range of conditions affecting the brain What is it? A gradual, progressive disease whereby there is a disruption to neuronal messaging. It results in atrophy of the brain.