The Older Adult-Student 1

8/12/2019 The Older Adult-Student 1

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GROWTH & DEVELOPMENT GROWTH: Physical changes and increase in size,

EXAMPLES: Ht., Wt., bone size.

DEVELOPMENT: Increase in the complexity offunctions and skill progression.


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Biophysical Theory Gesell (1880-1961)

Physical Body


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PsychosocialFreud

Erikson

Peck & Gould


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Piaget


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Three Primary Abilities1.Assimilation

2. Accommodation

3. Adaptation or coping behavior


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Phases Sensorimotor

Preoperational

Concrete Operations

Formal Operations


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MoralKohlberg

Gilligan


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SpiritualFowler

Westerhoffs


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Chapter 23

By : Jondea Orr, RN, MSN


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Aging Population Young old

65 to 75 years Old

75 to 85 years Old old

85 to 100 years Elite old

Over 100 years


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Characteristics of Elders Demographic

Longer life spans

Fastest growing age group

is 65 years and over

Ethnicity Number of minority elders

increasing

Elder Hispanic fastestgrowing subpopulation

Socioeconomic Women have longer life

expectancy

Men more likely to remarry

Educational level graduallyincreasing

Lower incomes

Most live in communitysettings

Poverty level more likelywhen living alone


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Characteristics of Elders Health

Chronic health problems and disabilities increase

73% rate their health as good, very good, or excellent 20% report disability and most have chronic disease


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Ageism

Discrimination based solely onage

Exists among someprofessionals

Negative stereotypes based onmyths and incorrect

information
http://socrates.berkeley.edu/~aging/ModuleAgeism.htmlhttp://socrates.berkeley.edu/~aging/ModuleAgeism.html


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Care Settings for Older

Adults

Acute care facilities Intensive care units

Emergency department

Rehabilitation

Long-term care facilities Assisted living

Intermediate care

Skilled care Alzheimers units

Hospice

Rehabilitation

Community Hospice

Home health care

Nurse-run clinics

Adult day care


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Physiological AgingBiological Theories


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Biological TheoriesWear & Tear

Endocrine Theory

Free Radicals Genetic Factors

Cross-linking

Immune Theories


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Physical Changes Integument

Skin

Nails Hair

Sensory/Perceptual

Vision

Hearing

Mouth

Cardiovascular


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Physical Changes Continue

Pulmonary/Respiratory

Breast

Gastrointestinal

Genitourinary


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Psychosocial Retirement E-Health

Economic

Grandparenting

Relocation

Independence

Death & Grief


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Cognitive Ability Perception

Cognitive Ability

Memory Short Term

Long Term

Learning


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Spiritually and Aging Many take there faith and religious practices very

serious

This age group grew up in a time where religion wasviewed differently

May not be able attend their church services


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Health ProblemsAccidents/Injury

Chronic Disabling Illness

Drug Use/ Misuse/ Alcoholism


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Concerns Continue

Dementia

Mistreatment

Depression

Suicide


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Elder AbuseEthical & Legal Issues

Residents Bill of Rights


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Client Bill of Rights Privacy

Respect

Confidentiality Informed Consent

Right to Refuse any and all treatment includingfeeding


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Health Promotion


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Health Promotion Health Test & Screening

Safety

Nutrition and Exercise Elimination

Social Interaction


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Nursing Diagnosis for the OlderAdult Self care deficit

Impaired skin integrity Immobility

Impaired urinaryelimination

Imbalanced nutrition Impaired

communication

Risk for falls

Risk for injury

Risk for loneliness

Risk for sleep patternalteration

Risk for body imagedisturbance

Risk for knowledgedeficit

The Older Adult-Student 1

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