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TRANSCRIPT
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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