© 2010 mcgraw-hill companies. all rights reserved. aging: a vital process chapter 22

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© 2010 McGraw-Hill Companies. All Rights Reserved. Aging: A Vital Process Chapter 22

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© 2010 McGraw-Hill Companies. All Rights Reserved.

Aging: A Vital ProcessChapter 22

© 2010 McGraw-Hill Companies. All Rights Reserved.

Aging

•The process of becoming older, a process that is genetically determined by t profoundly affected by one’s environment.

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© 2010 McGraw-Hill Companies. All Rights Reserved.

Generating Vitality As You Age

•Physical and mental change occur gradually, over a lifetime.

•What Happens as you age?▫Characteristics associated with aging are

not due to aging at all. Result of neglect and abuse of our bodies and

minds

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Table 22.1 Americans Who Rate Their Health as Fair or Poor, 2007

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Life-Enhancing measures: Age-Proofing• Challenge your mind

▫Older adults who stay mentally active have a lower risk of developing dementia Reading Doing puzzles Learning language Studying music

• Develop Physical Fitness▫Enhances both psychological and physical health

• Eat Wisely▫Eating a varied diet full of nutrient-rich foods▫Follow the recommendations in the 2005 Dietary

Guidelines for Americans5

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Life-Enhancing measures: Age-Proofing•Maintain a Healthy Weight

A program that expends more calories through exercise, cutting calorie intake, or a combination of both.

•Control Drinking and Overdependence on Medications

•Don’t Smoke•Schedule Physical Examinations to Detect

Treatable Diseases•Recognize and Reduce Stress

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Dealing With The Changes Of Aging•Planning for Social Changes

▫Retirement▫Important relationships▫Developing satisfying interests outside

work▫Saving for an adequate retirement income

•Changing Roles and Relationships•Increased Leisure Time•The Economics of Retirement

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Adapting to Physical Changes• Hearing Loss• Vision Changes

▫ Age-related macular degeneration (AMD) Slow disintegration of the macula (tissue at the center of

the retina)▫ Presbyopia▫ Cataracts

• Arthritis▫ 100 different types of arthritis

Osteoarthritis is the most common• Menopause

▫ Usually occurs during a woman’s forties or fifties▫ Hormone Replacement Therapy (HRT)

• Osteoporosis8

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Handling Psychological and Mental Changes•Dementia

▫Brain deterioration in elderly individuals▫Affects 7% of people under the age of 80▫Two types of dementia

1. Alzheimer’s diseasea. By changed in brain nerve cells

2. Multi-infarct dementiaa. Series of small strokes or changes in the

brain’s blood supply that destroy brain tissue

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Handling Psychological and Mental Changes•Grief

▫Dealing with grief and morning▫Aging is associated with loss

•Depression▫Unresolved grief can lead to depression, a

common problem in older adults

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Aging And Life Expectancy

•Life expectancy▫Average length of time we can expect to

live.▫2006 – Life expectancy for the total

population was 78.1 years Average life expectancy of white Americans is

78.5 years Average life expectancy of black Americans is

73.6 years▫Maximum Life span – 100-120 years

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Life In An Aging America

•America’s Aging Minority▫People 65 and over are a large minority

Over 37.3 million people About 12% of the total population in 2006 Expected to double by 2030

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Figure 22.2 A Statistical Look At Older Americans

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Table 22.3 Percentage of Older Americans with Chronic Conditions, 2005

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Family and Community Resources for Older Adults

•66% of noninstitutionalized older Americans live with a spouse or family member.

•30% live alone•Only 4% live in institutional setting•Over the age of 85, about 15% live in a

nursing home.

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Family and Community Resources for Older Adults• Family Involvement in Caregiving

▫ Medical power of attorney• Other Living and Care Options• Community Resources

▫ Senior citizens’ centers or adult day-care centers▫ Homemaker services▫ Visiting nurses▫ Household services▫ Friendly visitor or daily telephone reassurance services▫ Home food delivery▫ Adult day hospital care▫ Low-cost legal aid▫ Transportation services▫ Case management

• Transportation

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Family and Community Resources for Older Adults• Governmental Aid and Policies

▫Food stamps▫Housing subsides▫Social Security▫Medicare

Two parts of funding Payroll deduction by FICA tax Monthly premiums paid by people who choose to

enroll Pays about 30% of the medical costs of older

Americans▫Medicaid▫Changing the Public’s Idea of Aging 17

© 2010 McGraw-Hill Companies. All Rights Reserved.

Chapter 22

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