Health, Illness, and Optimal Aging- Biological and Psychological Perspectives
Chapter 8: Functional Health, Health Promotion and Quality of Life
-A person’s state of health is more than the simple sum of physical illness and problems.
-Functional health refers to the ability to take care of personal needs such as bathing,
toileting, and dressing, as well as being able to engage in everyday tasks, including
shopping, paying bills, using the telephone, and navigating the physical and social
-There is an increased chance of developing a disability in later life, especially among
those over 85 years of age and older.
-In advanced stages, chronic diseases affect many of the everyday activities of the older
-Sensory problems- make it difficult to hear or see, impairing mobility and social
-Cognitive problems can limit people the ability to complete simple tasks [making a
change in a store]
-Congestive heart failure- can limit the person in making their beds or lifting heavy bags
-Arthritis and Osteoporosis- limit people when driving their cars
-Deterioration in balance and gait is a predictor of worsening health and decline of these
abilities has a major impact on the sensory, social, and mental functions of the older
-The loss of sense of balance is a major contributor to falls and fractured hips.
-Functional decline can also result from the cumulative effects of multiple organ
dysfunctions; even modest losses, if they occur in multiple sites, can add to the stress load
on the body.
Activities of Daily Living (ADLs)
First developed as a way to measures ability to complete 6 basic functions:
4. Going from bed to chair