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2011-05-17 22:13:53

Aging PPTs
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    study of the aging process and its consequences
    medical specialty dealing with diagnosis and treatment of diseases affecting the elderly
    nursing process for older adults to achieve level of wellness consistent with the limitations imposed by aging
  4. ERIKSON developmental
    Age of Integrity vs despair
  5. MASLOW developmental
  6. Myths about the elderly
    senile, psychotic, in poor health, handicapped, deaf, HOH, blind, less perception of pain
  7. pain misconceptions among elderly
    • pain is unavoidable
    • pain is punishment
    • meds are addictive
    • asking for pain meds is demanding
  8. pain misconceptions among nurses
    • pts have decreased pain sensations
    • cognitive impairment = less pain
    • sleeping pt has no pain
    • elderly cannot tolerate pain meds or use PCA's
  9. African American attitudes
    • older adults treated with respect, care for grandchildren
    • religion major source of strength
  10. American Indian
    • family goals are priority
    • spirituality based on harmony with nature
    • spiritual rituals & homemade drugs are used
  11. Asian American
    • elderly live in extended family untis
    • prayer source of comfort
  12. Mexican American
    • elderly live with family
    • religion is important, many see health and illness as actions of god
  13. Jewish American
    • positive feelings for elders
    • religious traditions are important
    • leadership in developing institutional services for aged
  14. NONstochastic theories
    process of aging controlled by genetically programmed physiological mechanisms within the body
  15. Stochastic theories
    aging is viewed as the result of random cellular damage that occurs over time
  16. Some NONstochastic theories
    • Genetic (programmed aging or finite doubling theory)-control for aging found in nucleus of cells
    • Pacemaker/Neuroendocrine theory- endocrine gland secrete hormones that speed or slow the aging process
    • Autoimmune -i/c autoimmune response with aging. Atrophy of thymus gland
  17. some Stochastic theories
    • Cross-linkage theory- cross linking agents attach to DNA strands
    • Free radical theory- damage to protiens, enzymes and DNA
    • Mutation- exposure to radiation and chemicals
    • Stress- stressors i/c wear and tear
    • Nutrition/Lipofuscin- trim is healthier
  18. Psychosocial theories
    • Disengagement theory- social withdrawl; introspection
    • Activity- be active for quality of life
    • Continuity- preserve old ways; predicatable
  19. Situations that lead to dependancy
    • 1. difficulties with ADL
    • 2. chronic diseases not controlled
    • 3. support system lacking
  20. health promotion- musculoskeletal
    • i/c Ca, d/c Phosphate
    • regular weight bearing exercises, hormonal theraphy
  21. Health promotion- GI
    • small frequent meals, High fiber, low fat diet
    • limit laxatives and emema use
  22. Promoting wellness (exercise and nutrition)
    • C- ognitive changes
    • L- oss of bladder control
    • E- ating and nutritional changes
    • A- ctivity changes
    • R- ecurrent falls
  23. Drug Administration
    • Label all meds clearly
    • reduce doses by 1/3 to 1/2
    • watch resp depression with opiates
    • discourage antipsychotic drug use: tardive dyskinesia (ticks) & Parkinsonism (progressive loss of motor function)