Podcast
Questions and Answers
What percentage of the Canadian population is now over the age of 65?
What percentage of the Canadian population is now over the age of 65?
Which of the following conditions are major health problems among older adults?
Which of the following conditions are major health problems among older adults?
What is Medicare 1965 primarily known for?
What is Medicare 1965 primarily known for?
Which population group is characterized as highly diverse, educated, and greater users of technology?
Which population group is characterized as highly diverse, educated, and greater users of technology?
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What do stochastic theories relate to in the context of aging?
What do stochastic theories relate to in the context of aging?
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What does the term 'comorbidity' refer to?
What does the term 'comorbidity' refer to?
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When was the formal creation of the specialty of gerontological nursing?
When was the formal creation of the specialty of gerontological nursing?
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What is life expectancy defined as?
What is life expectancy defined as?
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What is one effect of aging on the heart's contractile strength?
What is one effect of aging on the heart's contractile strength?
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Which of the following changes occurs in the GI system as a person ages?
Which of the following changes occurs in the GI system as a person ages?
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What is a common misconception about tooth loss in the elderly?
What is a common misconception about tooth loss in the elderly?
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What percentage does renal blood flow and filtration decline by age 90?
What percentage does renal blood flow and filtration decline by age 90?
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Which of the following is NOT a change associated with the urinary system in aging?
Which of the following is NOT a change associated with the urinary system in aging?
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What condition involves a reduction in muscle mass and strength due to aging?
What condition involves a reduction in muscle mass and strength due to aging?
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How does aging affect the nervous system's response time?
How does aging affect the nervous system's response time?
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Which of the following factors does NOT contribute to increased blood pressure in aging individuals?
Which of the following factors does NOT contribute to increased blood pressure in aging individuals?
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What aspect is NOT considered in successful aging?
What aspect is NOT considered in successful aging?
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Which age-related change occurs first after the fourth decade of life?
Which age-related change occurs first after the fourth decade of life?
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What is a significant impact of retirement on an individual's aging process?
What is a significant impact of retirement on an individual's aging process?
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What commonly contributes to increased disability among older adults?
What commonly contributes to increased disability among older adults?
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Which of the following is NOT an indicator of changes in respiratory health with aging?
Which of the following is NOT an indicator of changes in respiratory health with aging?
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What happens to height as individuals age, particularly by 80 years old?
What happens to height as individuals age, particularly by 80 years old?
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What characterizes partial/intermittent care services?
What characterizes partial/intermittent care services?
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What system contributes to a higher prevalence of infections and hypertension in older adults?
What system contributes to a higher prevalence of infections and hypertension in older adults?
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Which of the following best describes the term 'functional status' in relation to rehabilitative care for older adults?
Which of the following best describes the term 'functional status' in relation to rehabilitative care for older adults?
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What is the primary goal of the holistic health model of care?
What is the primary goal of the holistic health model of care?
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How should nurses proceed when an older adult is successful in meeting their health-related needs?
How should nurses proceed when an older adult is successful in meeting their health-related needs?
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What are iatrogenic complications?
What are iatrogenic complications?
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Which option correctly defines nosocomial infections?
Which option correctly defines nosocomial infections?
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What is presbycusis?
What is presbycusis?
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How does aging affect the taste and smell senses by age 80?
How does aging affect the taste and smell senses by age 80?
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What is the main physiological change causing presbyopia?
What is the main physiological change causing presbyopia?
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What is orthostatic hypotension?
What is orthostatic hypotension?
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What typical cognitive changes occur with aging?
What typical cognitive changes occur with aging?
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Which factors can contribute to memory deficits in older adults?
Which factors can contribute to memory deficits in older adults?
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How is the tactile sensation affected in older adults?
How is the tactile sensation affected in older adults?
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What happens to crystallized intelligence with age?
What happens to crystallized intelligence with age?
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What defines chronological age?
What defines chronological age?
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What does ageism refer to?
What does ageism refer to?
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Who proposed the concept of Compression of Morbidity?
Who proposed the concept of Compression of Morbidity?
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Which of the following factors has NOT been associated with increased life expectancy?
Which of the following factors has NOT been associated with increased life expectancy?
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What is primarily addressed by the Federal Old Age Insurance Law enacted in 1935?
What is primarily addressed by the Federal Old Age Insurance Law enacted in 1935?
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Which of the following is NOT one of the leading causes of death in the aging population?
Which of the following is NOT one of the leading causes of death in the aging population?
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What does the 'wear and tear' theory of aging emphasize?
What does the 'wear and tear' theory of aging emphasize?
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Which of the following terms describes how individuals feel or perceive their own age?
Which of the following terms describes how individuals feel or perceive their own age?
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Study Notes
Aging in Canada
- Life expectancy has increased, with those aged 65+ now comprising over 18% of the Canadian population.
- Racial disparities exist in life expectancy.
- Medicare is the primary health insurance for older adults, especially low-income individuals.
- Acute conditions, while less frequent, can have longer recovery periods in older adults.
- Chronic conditions are a major contributor to mortality.
- Baby boomers represent a diverse older population with higher education, income and higher tech usage than previous generations.
Aging Theories
- Stochastic theories attribute aging to random assaults from the internal and external environments (e.g., cross-linking, free radicals).
- Non-Stochastic theories consider aging a predetermined process (e.g., apoptosis, genetic programming).
Roles of Gerontological Nurses
- Gerontological nurses act as healers, caregivers, educators, advocates, and innovators.
- The specialty of gerontological nursing emerged in the 1970s.
Aging Population Demographics
- Comorbidity: The presence of multiple chronic conditions.
- Compression of Mortality: Postponing serious illness and decline to extend healthy life expectancy.
- Life Expectancy: The predicted length of a person's life.
Human Life Expectancy
- Current human life expectancy is 78.7 years (compared to 59.7 years in 1930).
- The aging baby boomer population has influenced and impacted healthcare. Older adults are viewed more positively and with greater understanding and concern regarding their knowledge and lived experience.
Ageism
- Ageism is prejudice and stereotyping based solely on a person's age.
Federal Old Age Insurance Law
- The Social Security Act (1935) significantly improved the lives of older Americans.
Age Categories
- Chronological age: Years lived.
- Functional age: Physical, psychological, and social function.
- Perceived age: How others estimate a person's age.
- Age identity: How a person perceives their own age.
Factors Affecting Life Expectancy
- Advancements in disease control and technology.
- Lower infant/child mortality.
- Improved sanitation.
- Better living conditions.
Compression of Morbidity Hypothesis
- Proposed by James Fries, it suggests delaying the onset of serious illness/decline to extend healthy years of life.
Leading Causes of Death in Aging Population
- Diseases of the heart
- Malignant neoplasms
- Chronic lower respiratory diseases
- Cerebral vascular disease
- Alzheimer's disease
- Diabetes
Gerontological Nursing Complexity
- The diversity of chronic conditions, risks of complications, and resource issues pose challenges.
Theories of Aging
- Cross-linking: Cellular division is threatened by radiation or chemical reactions.
- Free radicals/Lipofuscin: Oxidative metabolism damages cells.
- Wear and tear: Repetitive use, injury or stress damages body parts.
- Mutation accumulation: Declining force of natural selection with age.
- Antagonistic pleiotropy: Effects of mutants in late life could have benefits in early life.
- Disposable soma: Aging considered to be determined by efficient use of energy rather than genes.
- Bio-gerontology: Pathogens may influence physiological changes.
- Autoimmune reactions: Changes in immune function.
- Neuroendocrine/chemical: Brain and endocrine gland changes.
- Radiation: Radiation induces mutations impacting aging.
- Apoptosis: Programmed cell death.
- Programmed genes: Genes dictating lifespan.
- Error: Genetic mutations causing organ failure.
- Environmental: Factors including noise, pollution, and living conditions.
Sociological Theories of Aging
- Disengagement theory: Gradual disengagement between the older person and society.
- Activity theory: Older adults should continue middle-aged lifestyles.
- Continuity theory: Personality and behaviours remain relatively unchanged.
- Subculture theory: Older adults form a distinct group with unique norms.
- Age stratification theory: Sharing common experiences within age group.
Psychological Theories of Aging
- Developmental task theory: Meeting challenges and adapting to life situations.
- Functional consequences theory: Holistically promoting wellness by addressing interlinked body, mind, and spirit.
- Theory of thriving: Encouraging continuous growth, managing life transitions.
- Successful aging: Considering physical, mental, and self-assessment for life satisfaction.
Age-Related Changes (Physical/Psychological)
- Physical appearance: Grey hair, wrinkles, height loss, cartilage weakening, reduced lung capacity.
- Respiratory: Lower respiratory capacity, reduces cough efficiency.
- Cardiovascular: Reduced heart efficiency.
- Gastrointestinal (GI): Impaired taste, less saliva production, digestion issues.
- Urinary tract: Reduced kidney function, bladder capacity.
- Musculoskeletal: Muscle mass and strength loss, bones become more brittle.
- Nervous system: Brain volume reduction, slower reflexes, less effective temperature control.
- Sensory Organs: Visual, smell, and taste reductions, ability to sense touch changes.
- Immune system: Decline in T-cell activities.
Assessing the Geriatric Client
- Client interview
- Physical assessment.
- Functional assessment focusing on activities of daily living (ADLs) and Instrumental activities of daily living (IADLs).
Nursing Actions and Interventions
- Preventing dehydration (fluid management)
- Ensuring appropriate clothing and temperature.
- Encouraging physical activity and maintaining hygiene.
- Monitoring intake of prescribed medications.
- Preventing falls.
Holistic Health Care Model
- Treating the patient holistically, considering the physical, emotional, social, and spiritual aspects of the patient.
- Recognising the person as part of their environment.
- Understanding patient values and beliefs.
Nursing Process (ADPIE)
- Assessment (A): Collecting, validating, and documenting patient data using reliable methods.
- Diagnosis (D): Identifing patient problems.
- Planning (P): Setting goals and interventions that are SMART.
- Implementation (I): Executing planned interventions.
- Evaluation (E): Assessing the effectiveness of the interventions.
PIECES Model
- A framework for understanding complex client issues.
- P=physical, I=intellectual, E=emotional, C=capabilities, E=environment, S=social.
Other Important Considerations
- Age related changes: Increased risk of complications in older adults, often have a smaller margin of physiological reserve.
- Latrogenic Complications: Complications inadvertently caused by medical procedures.
- Nosocomial Infections: Hospital-acquired infections.
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Description
Test your knowledge on various aspects of aging and gerontology. This quiz covers health issues, population statistics, and physiological changes associated with aging. Gain insights into the challenges faced by older adults and the field of gerontological nursing.