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How long are men and women living to? |
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50% of those 70 and older have... |
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osteoarthritis hypertension |
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20% of those 70 and older have... |
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when were the baby boomers born? and when will they enter their senior years? |
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born 1946 - 1964 senior years - 2008 - 2030 |
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What is gerontological nursing? |
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-fosters independence of elders - best when indisiplinary and holistic ROLES -provider of care - manager - teacher - reasearch consumer |
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It is a way of life consisting of beliefs and values that give individuals a sense of identity, self worth, and belonging, and rules of behavior which enable the group to survive and provide for the welfare and support of its members
- this is what shapes us |
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biological or physical groups of people |
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describes numerical and power disadvanatage |
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what is ethnic or ethnicity? |
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used to refer to groups identigied by racial or religious differences |
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Does death occur from chronic or acute illness? |
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what are examples of chronic illness? |
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heart diesease cancer stroke diabetes |
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What are the three factors in racial and ethnic disparities? |
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1) patient level factors -clinical appropriatness of care - mistrust - treatment refusal
2)system level factors -insurance coverage -limited english profeciency -adhoc interpretation -access to service 3) care - process factors -phycisian biases -sterotyping -uncertainty factors |
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What is sociolgical theory? |
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-changing roles -generational cohort impact the older adult's ability to adapt |
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what is the activity theory? |
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remaining occupied and involved is necessary to a satisfying late-life |
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gradual withdrawal from society and relationships serves to maintain social equilibrium and promote internal reflection |
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What is gerotranscendence? |
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Elderly transform form a materialistic/rational persepective toward oneness with the universe -successful transformation includes outward focus, accepting impending death, substantive relationships, intergenerational connectedness and unity with the universe |
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What is Psychological Theories? |
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Explain aging in terms of mental processes, emotions, attitudes, motication, and personality development that is characterized by life stage transition |
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What is the 8th phase of stages of personality development? |
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"intergrity vs despair" evaluating life accomplishments
- struggles include letting go, accepting care, accepting care, detachment, and physical and mental decline |
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what is the stocastic theoryy? |
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based on RANDOM EVENTS that cause cellular damage that accumulates as organism ages => wrinkles |
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based on genetically programmed events caused by cellular damage that accelerates aging of the organism |
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cells ear our and cannot function with aging |
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what is the free radical theory? |
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membranes, nucleic acids, and proteins are damaged by free radicals which cause cellular injury and aging |
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What is the programmed theory? |
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cells divide until they are no longer able to, this triggers apoptosis or cell death |
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What is the Gene/Biological theory? |
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cells have genetic programmed aging code ex: 19yrs old with gray hair |
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What is an Immunological theoru? |
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aging is due to the caulty immnological function which is linked to general well being
immune system decline = well being declined |
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What is the functional consequences theory? |
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enviromental and biosycholsocial consequences impact functioning. Nursing's role is to minimize ageassociated disability in order to enhance safety and quality of living |
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What is theory of thriving? |
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failure to thrive results from discord between the individual and his or her enviroment or relationships. Nurses identigy and modify factors that contribute to disharmony among these elements
- people can deteriorate based on bad relationships |
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What does sensory losses lead to? |
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reduced ability and desire to communicate isolation frustration leads to aggression or withdrawal |
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decreased ability to hear high frquency tones |
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what are some causes of hearing loss? |
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-nerve deterioration presbycusis (age related) -disease tinnitus (pathological) -enviromental situations-noise pollition -medications - otoxicity -cerumen - earwax |
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decreased pupil size and accomidation |
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What are some causes of speech loss? |
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-stroke -dental diffuculties - lack of teeth; ill fitting dentures -xerostomia (dry mouth) -pathological changes = dysarthria (mumble) aphasia (inability to express or understand meaning of words) verbal apraxia (decrease in ability to move your mouth) |
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what is the cause of the loss of touch? |
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-neurons die and are not replaced -stroke -fear -discomfort -stereotypes -sense of one's own vulnerability -isolation |
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what the was the cause of movement loss? |
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causes - osteoporosis arthritis lack of excercise stroke weight gain |
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What are causes of taste and smell loss? |
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-normal aging -certain disease states -medication -surgical interventions -enviromental exposure |
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a REVERSIBLE CONFUSIONAL STATE ex: medications, anestesia, sleep disturbance, electrolyte imbalance etc. |
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an IRREVERSIBLE CONFUSIONAL STATE acquired of mental function months to YEARS easily distracted inappropriate anxiety liable to apathy |
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