Class Notes (836,581)
Canada (509,857)
Nursing (23)
NURS 1260 (3)

Unit 8 Middle Adulthood

5 Pages
Unlock Document

NURS 1260

Unit 8: Middle Adulthood Physical Changes:  Declines in functions through 40s and 50s Brain & Nervous System:  MRI gives knowledge of brain function  White matter crests  Grey matter declines  Volume of CSF increases  Areas that develop last decline first (frontal and parietal lobes)  Cognitive tasks activate large area of brain in middle aged adults  Middle aged adults have more intense concentration for rapid judgements like driving a car  Hard to find direct relationship between age-related brain differences and cross variation in behaviour Reproductive Changes Climacteric:  Reproductive capacity declines or is lost Male Climacteric:  Gradual Menopause:  Cessation of period due to decline in sex hormones  Age 50 1. Premenopausal Phase:  Estrogen levels fall  Anovulatory cycles begin (no ovum released)  Periods irregular due to progesterone loss 2. Perimenopausal Phase  Estrogen and other hormones change and decrease  Periods irregular  Hot flashes  Less sleep  Light headedness 3. Postmenopausal Phase  Estrogen and progesterone levels drop  No period for a year  Estrogen loss effects genitals and other tissue (breasts less firm, genitals and uterus shrink, vagina wall thinner) Psychological Effects:  Sex declines but most still sexually active Hormone Replacement Therapy (HRT):  Use for treatment of menopausal symptoms  Alternative lifestyle encouraged (exercise, diet, stop smoking)  Discuss with doctor Osteoporosis Unit 8: Middle Adulthood  Loss bone density  Prevent by calcium intake, weight bearing exercise and tests Vision + Hearing Presbyopia  Cannot focus on near objects without bifocals Presbycusis  Loss of hearing with high frequency or low frequency without hearing aid Health Promotion and Wellness  Cancer + heart disease Cancer  Leading cause = lung cancer for men, has decreased for women  Colorectal and prostate cancer for men  Breast cancer then colorectal cancer for women  Diet is important for cancer and heart disease Cardiovascular Disease  Declined but still leading cause  In heart and cardiovascular system  Fat/plaque in arteries = atherosclerosis  Epidemiological studies (Framingham Heart Study + Nurses health study)  Risk factors: smoking, blood pressure, weight, cholesterol, type A (hostility) personality  Type D personality high risk of death after heart attack (hide negative emotions) Gender + Health  Men likely to die of CVD and heart disease Mental Health  Improves with age, self esteem peeks at 35-54 years  Addictive disorders begin in adolescence/adulthood undiagnosed until middle adulthood  Men more likely to be drinkers risk is liver cirrhosis Health Promotion Strategies Cancer:  Breast screening and mammography  PSA screening for men Cardiovascular Disease  Low fat diet and exercise Cognitive Functioning  Middle adulthood improves and others decline  Denny claims at some point optimum activity will not maintain these abilities  Schaie says those with CVD show early declines on intellectual tests  Exercise most important for reasoning, reaction time, short term memory Unit 8: Middle Adulthood Selective Optimization with compensation  Baltes say balancing gains+ loss with aging important Changes in Memory and
More Less

Related notes for NURS 1260

Log In


Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.