student notes-chapter 9. older adults

8/19/2019 Student Notes-Chapter 9. Older Adults

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HK 365

Older Adults



Number of elders and proportion to total

population increasedsignificantly in 20 th centuryand early 21 st centuryRepresent 13.1% of

population“Old” is a relative term



AgedAging

GerontologyGeriatricsGeriatrician

Terms seniors! older adults! mature adults!elderly! aged! etc.



Ageism"ommon myths not accurate

representation of elders#.g. $ ma ority of elders today are acti&e and'ell



(ertility rates)ortality rates

)igration



*ependency ratio+ economicallyunproducti&e to economically producti&e

,abor force ratio+ number of peopleactually 'or-ing and those 'ho are not!independent of their ages



Affect community health programs for olderAmericans+

)arital status,i&ing arrangementsRacial and ethnic compositionGeographic distribution#conomic status

ousing



/ of elder men are married ust o&er half of elder 'omen are married

#lder 'omen 3 times more li-ely to be 'ido'ed

hy Number of di&orced elders continues to rise



4lder population gro'ing more di&erse2010 elders+

60% 'hite! 7% blac-! 8% ispanic! 3% Asian"oming decades+9ercentage of elder 'hites 'ill decline andolder Americans of ispanic origin 'ill

become largest minority group in the :.;.



2 5 li&e in southern states< = in 10 states+

"A! (,! >,! )>! N?! N@! N"! 4 ! 9A! TReasons some states BageC



1780+ 25% of elders li&ed in po&erty2010+ 7% in po&erty>ncome

;ocial ;ecurity Dreported by 68% of eldersE>ncome from assets Dreported by 53%E9ri&ate pensions Dreported by 26%EGo&Ft employee pensions Dreported by 1 %E#arnings Dreported by 2H%E



9ercentage of elders 'ho completed highschool rose from 26% in 1780 to 87.5% in2010?ust o&er 22% of elders had a bachelorFsdegree or higher in 2010*ifferences by race and ethnicity

Iaby boomers most educated cohort in :.;.history



)ost li&e in adeJuate! affordable housing60% o'n! 20% rent

#lder homes more li-ely to be older K ha&elo'er &alue30% of elders pay more for housing thanthey can afford



ealth status of elders has impro&ed o&erthe years"hronically disabled has been decreasing

ealth status usually not as good as youngercounterparts



Top causes of death for elderseart disease

"ancer ;tro-e"hronic lo'er respiratory disease D",R*EAl heimerFs *isease



Acti&ity limitations increase 'ith age"hronic conditions>mpairments

Lery pre&alent in older adults)ay be sensory! physical! memory



Generally ha&e more fa&orable health beha&iors than younger counterparts

,ess li-ely to consume large amounts of alcohol!smo-e cigarettes! or be o&er'eightAreas for impro&ement

What do you think



Reports ha&e increased greatly in recentyearsAll states ha&e reporting systems;pecial problem for elders



;iM instrumental needs that determine lifestylefor people of all ages

>ncomeousing

9ersonal careealth care

Transportation"ommunity facilities and ser&ices



"hange in types of eMpenses in elder years;ocial ;ecurity ma or source of income forO2 3 of recipients

70% of income for 1 3 Non$married 'omen and minorities ha&ehighest rates of po&erty



)a or needs+ appropriateness!accessibility! adeJuacy! affordability"hanging residence can ha&e negati&eeffect on elder and family membersGroup housing

http://www.youtube.com/watch?v=p5NGq7ugM1c







(our le&els of tas-s that may needassistance+>nstrumental tas-s! eMpressi&e tas-s! cogniti&e tas-s!tas-s of daily li&ingActi&ities of daily li&ing DA*,sE tomeasure functional limitations>nstrumental acti&ities of daily li&ingD>A*,sE to measure more compleM tas-s



#lders hea&iest users of health careser&ices

:se of health care ser&ices increases 'ith age)edicare primary source of payment forhealth care ser&ices of elders

ill see ma or changes in future years



Transportation critical for independence4n a&erage! elders li&e 10 year after they stopdri&ing>ncome and health status greatest influence ontransportation needs+

)any public transportation challenges

;olutions for transportation needs of elders



4lder Americans Act of 17H5 D4AAE toincrease ser&ices and protect rights of elders

National nutrition programs for elders;tate and Area Agencies on Aging4ther programs

;er&ices can &ary greatly across the country

student notes-chapter 9. older adults

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