Gerontology: Sexuality in Older Adults

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Questions and Answers

What are some barriers to sexual expression in older adults?

Discomfort, myths, ageism, lack of training in sexual health

What is the difference between glaucoma and cataract?

Glaucoma: too much optic pressure, damaging optic nerve, may lead to blindness; Cataract: protein build-up in the lens of the eye, causing blurred vision

What are some consequences of caregiving?

  • Increased frailty (correct)
  • Reduced income (correct)
  • Higher mortality (correct)
  • Early retirement (correct)

Social isolation and mental impairment are major factors that contribute to elder abuse. True or False?

<p>True (A)</p> Signup and view all the answers

One in __ Americans age 60 and above experience some form of elder abuse.

<p>ten</p> Signup and view all the answers

What are the three biggest challenges facing LGBT elders today?

<p>Poverty and reduced economic security, health disparities, social isolation</p> Signup and view all the answers

What are the eligibility criteria for Medicare in the U.S.?

<p>U.S. citizen or permanent legal resident who has lived in the U.S. for at least 5 consecutive years</p> Signup and view all the answers

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Study Notes

Demographics of Older Adults

  • Increasing number of older adults (65 and above and 85 and above)

Sexuality in Older Adults

  • Society regards sexuality in older adults as undignified and asexual
  • Barriers to sexual expression include discomfort, myths, ageism, and lack of training in sexual health
  • Nurses may share society's ageist beliefs, leading to discouragement of sexual activity

Eye Conditions

Glaucoma

  • Caused by too much optic pressure (measured like BP)
  • Damages the optic nerve, leading to blindness
  • Treated with timolol (β blocker)

Cataract

  • Caused by protein build-up in the lens of the eye
  • Causes blurred vision
  • Treated with laser therapy

Normal Intraocular Pressure

  • 10-20 mmHg

Severe Hypokalemia

  • Key symptoms: neuropathology prevalence ~50%

Delirium vs Dementia

  • (No specific details provided)

Caregiving

Caregivers Composition

  • Informal caregivers: persons who care for a relative/friend with no compensation
  • Characteristics: personal relationship with recipient, spend several hours/week performing ADLs (activities of daily living)

Consequences of Caregiving

  • Financial: early retirement, reduced income, insurance
  • Life Quality: high emotional stress (~60%), depression (~40%), physical health (74% concerned about maintaining physical health)

Predictors for Caregiver Health Outcomes

  • Stress exposure: general life events, micro-stressors/hassles, caregiver burdens
  • Vulnerabilities: age, gender, race, chronic illnesses, personality, lack of education
  • Resources: coping, social supports, income

Training Caregivers

  • Repetitive behaviors: scenario of Jane's father tapping hands
  • Aggressive behaviors: scenario of mom yelling at caregiver

Elder Abuse

  • Facts: 1/10 Americans age ≥ 60 experience some form of elder abuse
  • 60% of elder abusers: family members
  • Vulnerable factors: social isolation, mental impairment (e.g., dementia)

Minority & LGBTQ

  • 2020 Profile of Older Americans: challenges facing LGBT elders today include poverty and reduced economic security, health disparities, and social isolation
  • Best practice: don't assume all seniors are heterosexual, and recognize seniors have sex lives but may not have safe sex practice and education

Medicare Eligibility

  • A U.S. citizen or permanent legal resident who has lived in the U.S. for at least 5 years consecutively
  • Eligibility criteria: age, disability, or certain medical conditions

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