NURS103 Study Guide - Final Guide: Nephron, Vascular Dementia, Diabetes Mellitus Type 2

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25 Aug 2016
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Older Adults
Major Theories in Gerontology
Biomedicine= changes of physiology and health
Psychosocial= changes in individuals and groups
Socioeconomic-environment= effects of aging on social structures
No 1 theory describes aging
Gerontology= social and physiological studying of aging
Biologic Theories of Aging
Focus on primary biological processes mechanisms of aging
oRate of living (wear and tear)-> ex. Oxidative stress
oProgrammed aging (till 120)
oEvolutionary senescence-> accumulation genes w/ deleterious effects
Protein mol form bonds over time, resulting in decreased elasticity and function
oEx: aging skin
Social Science Theories of Aging
Aging as a process
You start aging as soon as your born
Focus on social structure-> aid or impede
Each society might have a different perspective towards aging
oRespect vs disrespect
Inequality and disadvantage
Life course and social forces
oDisengagement theory-> alive and well but sort of disproved
oActive aging theory-> alive and well
oGerotranscendance theory-> used a lot in nursing
oContinuity theory
oHarmonious aging theory
Active aging: research suggests that physical activity can have positive effects on the immune system, CV health, cognition, and
bone strength through all ages
oPreventing decrepitude
oNever to old to take up weight training
oPrevalent in the anti-aging industry (prevent aging)
Be happy that we are aging because the other option is death
Disengagement: social beliefs that older adults have "served their purpose" and should "move on"
oPeople are to make an appropriate adjustment
oNot immune to it-> own it and acknowledge it's existence
Older people have sometimes been blamed for their health problems
oBaby boomers vs millennials and centennials
oHear apocalyptic thinking their whole life
oOther context are at play: economy and higher costs of health care-> related to health technology and meds
oOften best care for older adults is touch and not tech
Complexity of Aging
Physiology
Atypical presentation of illness
Vulnerability of aging
oDementia
oDepression
oDelirium
Behaviour… what does it mean-> major key to working w/ old people
oAs we're born we're more similar-> more aging-> more different-> not just personality but also physically
Age Related Changes
REM sleep need is needed more
Skin= related to genetic and environment-> decreases at 50-> looses thickness-> hypodermis thin as well
oAdipose-> protection from falls-> loose it-> less tolerance for acute changes in temp
MSK= decrease in muscle mass and increase in adipose tissue
oVitamin D, calcium, and regular weight bearing exercise
oRegular flexibility and balance exercises
o*Be active!!!!!!!!!!!!!
CV= BV stiffen
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