Understanding Gerontologic Nursing & Aging
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Questions and Answers

Which of the following best describes the focus of Gerontologic Nursing?

  • Focusing solely on preventing disease in the older population through pharmaceutical interventions.
  • Primarily focusing on the social aspects of aging and related community support systems.
  • Managing the financial aspects of healthcare for elderly patients, irrespective of their medical needs.
  • Applying specialized knowledge of aging to address health and illness in older adults. (correct)

Which of the following is the most likely example of 'biologic aging'?

  • A senior citizen volunteering at a local community center three times a week.
  • An individual retiring from a lifelong career at the age of 65.
  • A person experiencing decreased lung capacity making breathing more difficult. (correct)
  • An elderly woman learning to use a new smartphone to communicate with her family.

If two individuals are the same chronological age, what factor would explain varying rates of physiological ageing?

  • Their level of engagement with societal expectations and aging stereotypes.
  • Their subjective perception of ageing and life experiences.
  • The differing social roles and relationships they maintain as they age.
  • Environmental factors, genetics, lifestyle choices, and overall health status. (correct)

What is the primary emphasis of 'social aging'?

<p>How society shapes the meanings and experiences of aging through expectations and assumptions. (B)</p> Signup and view all the answers

In the context of aging, what does 'functionally aging' mean?

<p>An individual's capabilities in performing daily activities and societal roles. (B)</p> Signup and view all the answers

What is the difference between subjective and objective aging?

<p>Subjective aging is defined by personal experiences and meanings, whereas objective aging is defined by chronological age. (D)</p> Signup and view all the answers

An 80-year-old who actively participates in community events, maintains a healthy lifestyle, and continues to learn new skills, despite some physical limitations, can be described as someone who is experiencing:

<p>Successful aging. (B)</p> Signup and view all the answers

How does society influence our perception of aging?

<p>By reinforcing stereotypes about older adults, such as frailty and dependence. (B)</p> Signup and view all the answers

Which intervention strategy primarily addresses the challenge of older adults lacking essential resources for a dignified life?

<p>Providing access to good-quality long-term care services. (A)</p> Signup and view all the answers

What is the most direct approach to address the negative impact of ageism on older adults' participation in society?

<p>Challenging negative stereotypes and attitudes. (A)</p> Signup and view all the answers

An elderly person is experiencing social isolation due to mobility issues. Which of the following strategies would be MOST effective in addressing their specific needs?

<p>Creating age-friendly environments with accessible transportation. (C)</p> Signup and view all the answers

A community aims to support its aging population by fostering 'healthy aging'. Which initiative would MOST directly contribute to this goal?

<p>Developing accessible public spaces and transportation options. (A)</p> Signup and view all the answers

If a family is struggling to provide adequate care for an elderly member with declining cognitive and physical abilities, which of the following interventions would be MOST appropriate?

<p>Securing access to good-quality long-term care. (C)</p> Signup and view all the answers

Which of these factors is LEAST likely to contribute to healthy aging, according to the information provided?

<p>Restricting resources available to older adults. (B)</p> Signup and view all the answers

How might local governments best demonstrate a commitment to creating age-friendly environments?

<p>By developing community programs that cater specifically to the needs and abilities of older adults. (B)</p> Signup and view all the answers

What action would be LEAST effective in mitigating the effects of Alzheimer’s disease and other forms of dementia on a community's aging population?

<p>Promoting negative stereotypes to encourage cognitive decline. (C)</p> Signup and view all the answers

What is the primary focus of 'integrated care' in the context of healthcare for older people?

<p>Ensuring older adults have fair access to essential, high-quality health services. (C)</p> Signup and view all the answers

How does the content characterize 'ageism'?

<p>Stereotyping, prejudice, and discrimination based on a person's age. (A)</p> Signup and view all the answers

Considering the global trends in longevity, what does the data suggest about the additional years people are living?

<p>People are living longer, but only a fraction of those extra years are spent in good health on average. (D)</p> Signup and view all the answers

If a public health initiative aims to combat ageism, which strategy would directly address the 'how we act' component of ageism?

<p>Implementing laws that prohibit discrimination based on age in employment and services. (B)</p> Signup and view all the answers

Given the disproportionate impact of Alzheimer’s and dementia on women, what research direction would be most effective in addressing this disparity?

<p>Investigating sex-specific risk factors and biological mechanisms underlying the diseases. (A)</p> Signup and view all the answers

During adolescence, according to the stages of social aging, what is the primary conflict individuals face?

<p>Identity vs. Confusion, involving the exploration and establishment of personal identity. (A)</p> Signup and view all the answers

A young adult consistently avoids forming close relationships due to a fear of rejection and disappointment. According to the framework of social aging, what is the likely consequence of this avoidance?

<p>Feelings of Isolation, leading to a sense of loneliness and disconnection. (A)</p> Signup and view all the answers

What is the virtue associated with successfully navigating the stage of adolescence?

<p>Fidelity, signifying loyalty and the ability to form lasting relationships despite differences. (D)</p> Signup and view all the answers

A toddler is consistently criticized and ridiculed for their attempts to explore their environment. According to the stages of social aging, which of the following is the MOST likely outcome?

<p>Feelings of shame, self-doubt, and guilt, hindering their sense of autonomy. (C)</p> Signup and view all the answers

How do healthy support networks primarily benefit teenagers as they navigate the 'Identity vs. Confusion' stage of development?

<p>By providing a stable foundation for forming relationships despite potential differences. (D)</p> Signup and view all the answers

What potential crisis might a young adult experience as they navigate the 'Intimacy vs. Isolation' stage?

<p>A quarter-life crisis involving uncertainty about career, relationships, and future direction. (B)</p> Signup and view all the answers

A preschool-aged child is consistently criticized for trying new things. According to Erikson's stages of psychosocial development, which of the following is most likely to develop as a result?

<p>Feelings of guilt and a reluctance to take initiative. (A)</p> Signup and view all the answers

An individual in late adulthood reflects on their life and feels a sense of regret over missed opportunities and mistakes made. According to Erikson, which outcome are they most likely experiencing?

<p>Despair (C)</p> Signup and view all the answers

According to social aging theory, the opportunities available to individuals as they age are MOST influenced by:

<p>The ways in which societal expectations shape what is considered appropriate or possible at different ages. (C)</p> Signup and view all the answers

What developmental milestone defines the Infancy stage (birth to 18 months) according to the information provided?

<p>Achieving Object Permanence (B)</p> Signup and view all the answers

Which of the following is the MOST accurate explanation of demography?

<p>The statistical study of human populations, examining size, structure, and movement. (D)</p> Signup and view all the answers

A growing global population of older adults is expected to have the LEAST impact on which of the following?

<p>The basic principles of statistical analysis. (C)</p> Signup and view all the answers

An elementary school student excels in completing tasks and receives positive feedback for their efforts. According to Erikson's stages, what virtue is the child most likely to develop?

<p>Competence (C)</p> Signup and view all the answers

A middle-aged adult feels disconnected from their community and shows little interest in contributing to the next generation. According to Erikson's theory, which challenge are they primarily struggling with?

<p>Generativity vs. Stagnation (C)</p> Signup and view all the answers

If current trends continue, what percentage of the world's population is projected to be 65 years or older by 2050?

<p>16% (A)</p> Signup and view all the answers

Which of the following actions by an adult in middle adulthood BEST exemplifies 'generativity', as described by Erikson?

<p>Mentoring young professionals in their field and sharing their expertise. (A)</p> Signup and view all the answers

Which of the following is the MOST direct way nurses can address the increasing population of older Filipinos to ensure equitable healthcare?

<p>Developing culturally sensitive care plans that respect individual values, beliefs, and practices. (D)</p> Signup and view all the answers

A 70-year-old Filipino man, recently retired, is struggling with feelings of isolation and loss of purpose. Based on the developmental tasks of older adults, which nursing intervention is MOST appropriate?

<p>Assisting him in finding meaningful activities and social connections to foster a sense of purpose. (C)</p> Signup and view all the answers

A nurse is caring for an elderly Filipino patient who consistently refuses pain medication, citing cultural beliefs about enduring suffering. What is the MOST appropriateInitial nursing action?

<p>Educate the patient about the benefits of pain medication while respecting their beliefs and exploring alternative pain management strategies. (D)</p> Signup and view all the answers

Considering the increasing life expectancy in the Philippines, which of the following healthcare priorities should be emphasized to support the aging population MOST effectively?

<p>Expanding access to rehabilitative, palliative, and end-of-life care services. (A)</p> Signup and view all the answers

How might ignoring the cultural needs of elderly Filipino patients MOST likely affect their health outcomes?

<p>It may result in unequal nursing care and adverse physiological symptoms. (B)</p> Signup and view all the answers

What key consideration should guide nurses in providing care to older adults regarding their living arrangements?

<p>Respecting their autonomy and involving them in decisions about their living situation. (B)</p> Signup and view all the answers

An 80-year-old Filipino woman is admitted to a hospital. She speaks limited English and appears anxious and confused. What action should the nurse take FIRST to provide culturally competent care?

<p>Obtain a professional interpreter to facilitate communication and assess her needs. (A)</p> Signup and view all the answers

Which action demonstrates a nurse's understanding of the developmental tasks specific to adults aged 75 and older?

<p>Encouraging the older adult to maintain connections with family members. (B)</p> Signup and view all the answers

Flashcards

Geriatrics

Preventing, diagnosing, and treating health conditions of older adults.

Gerontologic Nursing

Nursing care combined with specialized knowledge of aging in both health and illness.

Aging

A universal process starting at birth, defined by chronological age, personal experience, and societal role.

Biologic Aging

Gradual deterioration of function with age.

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Physiologic Aging

Physiological, mental, and personality changes that occur as we age.

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Social Aging

Changes in roles and relationships as a person ages, influenced by societal expectations.

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Healthy Aging

Maintaining health and well-being in older age by making suitable and conscious decisions.

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Virtue of Competence

A sense of competence in life, developed through accomplishment and praise.

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Alzheimer's & Gender

The disproportionate impact on women, who account for 65% of deaths from Alzheimer's and dementia.

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Ageism

Negative stereotypes, prejudice, and discrimination based on age, impacting people of all ages.

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Integrated Care

Non-discriminatory access to comprehensive health services, including prevention and curative care, for older people.

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Increased longevity

The world average increased by 6 years from the year 2000.

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Healthy Life Expectancy

The average number of years lived in good health out of the increased longevity in 2019.

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Adolescence

Age range of 12 to 18 years; marked by identity formation.

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Identity vs. Confusion

Erikson's stage during adolescence, focusing on establishing a sense of self.

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Fidelity (in adolescence)

Virtue gained in adolescence: the ability to form lasting relationships.

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Infancy

Age range from birth to 18 months; infants learn to rely on caregivers.

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Trust vs. Mistrust

Erikson's stage during infancy; developing trust based on caregiver reliability.

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Toddlerhood

Age range of 18 months to 3 years; toddlers learn independence.

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Autonomy vs. Shame and Doubt

Erikson's stage during toddlerhood; asserting independence and self-confidence.

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Young Adulthood

Age range of 18 to 40 years, focusing on forming intimate relationships.

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Age-Friendly Environments

Environments that support healthy aging through physical, social, and economic factors.

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Remediation for Cognitive Decline

Strategies to compensate for cognitive decline, such as using notes or schedules.

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Long-Term Care

Support and assistance for individuals who can no longer care for themselves.

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Importance of Long-Term Care

Maintaining functional ability and dignity in old age through access to quality care.

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Impact of Declining Capacity

Decline in physical and mental abilities that limits self-care and social participation.

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Increased Disability with Longevity

Living longer with increased rates of disability.

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Alzheimer's and Dementia

Neurodegenerative diseases that are a leading cause of death worldwide.

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Initiative vs. Guilt

Erikson's stage for ages 3-5, focusing on independence and trying new things.

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Industry vs. Inferiority

Erikson's stage for ages 5-12, focusing on competence and skill development.

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Integrity vs. Despair

Erikson's stage in late adulthood involving deep reflection and introspection.

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Global Aging

The population increase of older people around the world.

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Demography

Statistical study of human populations, including size, structure, and movement.

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Generativity vs. Stagnation

Erikson's stage where adults contribute positively to society or stagnate in discontent.

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Stagnation

Result when an adult avoids contributing to society and dwells in discontent.

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Care (in Generativity)

Virtue developed when an adult is a positive and productive member of the community.

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Palliative Care

Care focused on comfort and quality of life for individuals and their families facing serious illness.

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End-of-Life Care

Healthcare services provided to individuals nearing the end of their life, focusing on comfort and dignity.

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Culturally Specific Care

Providing care that respects and integrates a patient's cultural values, beliefs, and practices.

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Cultural Competence

The ability of healthcare providers to understand, appreciate, and interact effectively with people from different cultures.

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Cultural Awareness

Consciousness of cultural similarities and differences.

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Challenges During Ages 60-75

Decreasing physical abilities, retirement, loss of loved ones, and changing relationships.

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Challenges During Ages 75+

Living alone, maintaining health, potential nursing home transition, and finding meaning.

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Life Expectancy

The average number of years a person is expected to live. (approx 71 years in Phillipines)

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Study Notes

  • Gerontology is derived from the Greek word "gerōn," meaning "old man".
  • Ailments can hinder a person's capacity to adjust and sustain functional health, affecting daily activities.
  • Decline in older adults might stem from lack of support, rather than just aging.

Geriatrics

  • Geriatrics studies aging's effects and age-related diseases.
  • Focus is on care for the elderly, involving prevention, diagnosis, and treatment.

Gerontologic Nursing

  • Combines nursing skills with knowledge of aging in illness and health.

Aging

  • Aging subjectively involves personal experiences.
  • Objectively, aging is a universal process from birth, defined by chronological age.
  • Functionally, aging is based on an individual's ability to function.

Healthy Aging

  • Healthy aging maintains functional ability for well-being in older age.
  • Functional ability means having capabilities to do valued activities: meeting needs, learning, making decisions, being mobile, building relationships, contributing to society.

Concepts of Aging

  • Aging occurs through chronological, biological, and social constructs.

Chronological Aging

  • Indicates time elapsed since birth, like 19 years and 363 days.

Biologic Aging

  • Known as physiologic aging.
  • Senescence/biological aging is gradual functional decline.
  • Relates to physical changes as people age.
  • Arteries might clog or lung problems can occur.

Physiologic Aging

  • Physiological changes, like those affecting mental function/personality.
  • 65-year-olds can appear younger than some 50-year-olds.

Social Aging

  • Change in roles/relationships with age, shaped by society's views.
  • This includes assumptions about behavior at different ages, affecting opportunities.

Stages of Social Aging:

  • Social aging is categorized into different stages of life.
  • Infancy (birth to 18 months): trust vs mistrust in line with caregiver presence.
  • Toddlerhood (18 months to 3 years): autonomy vs shame/doubt where child begins to learn independently.
  • Preschool (3 to 5 years): initiative vs guilt enhanced by interactions with peers.
  • Early School Year (5 to 12 years): industry vs inferiority where accomplishments are key.
  • Adolescence (12 to 18 years): identity vs confusion where a health support system helps navigate identity.
  • Young Adult (18 to 40 years): intimacy vs isolation, with capacity for love developing.
  • Middle Adult (40 to 65 years): generativity vs stagnation, with virtue of care for community.
  • Late Adulthood (65+ years): integrity vs despair with deep introspection.

Cognitive Aging

  • Concerns decline in cognitive processing.
  • Impacts learning, memory, language, and intellectual competence.
  • Cognition involves ability to perceive and understand the world.
  • Intelligence can increase into the 60s, learning continue throughout life.
  • Older adults may take longer to respond, especially in new situations.
  • Nurses should allow extra time and slow the care pace for aging adults.
  • Short-term memory loss can be managed with notes/calendars.

Global Aging and Aging in the Philippines

  • Global aging is the population of older people worldwide.
  • In 2022 there were 771 million individuals aged 65+ years accounting for 10% of the world's population.
  • Expected figures are 16% by 2050 and 24% by 2100.
  • Demography examines populations' size, structure, and movement.
  • Demography analysis can be useful in predicting social, cultural, and economic trends related to the population.

Global Demography of Aging Population

  • By 2050, people aged 65+ will exceed those under 5.
  • Aging is a key demographic trend of the 21st century.

UN Decade of Healthy Aging

  • From 2021-2030, it's a global effort aligned with the Sustainable Development Goals.
  • It will unite governments, civil society, and professionals to enhance older people's lives.
  • Over 1 billion people aged 60+ live worldwide, majorly in low/middle-income countries.
  • Many lack basic resources or face barriers that limit their participation in society.

The Decade will address 4 areas

  • Addressing Age Friendly Environments, Combating Ageism, Integrated Care and Long-term Care.
  • Physical, social, and economic environments impact healthy aging.

Combating Ageism

  • Negative attitudes toward older individuals persist despite their societal contributions.
  • Stereotyping, prejudice, and discrimination based on age affects all ages, especially the older population.

Integrated Care

  • Older people still need reliable access to services.
  • Access should include prevention, promotion, care, medicines, procedures etc

Long term Care

  • Access to inclusive environments improves the situation.
  • Over time, many cannot care for themselves without assistance.
  • Decline of physical function can also prevent individuals from caring for themselves which is why long term care is essential.
  • People are living longer - but are also living longer with disabilities.
  • Alzheimer's and dementia are leading causes of death globally.
  • Women are significantly affected by dementia (65% of the cases).
  • There has been notable longevity of 6 extra years in 2019.
  • Only 5 of the 6 years lived are considered good health.

Implications

  • Further challenges healthcare system's efficiency.
  • Nurses are encouraged to provide customized care that fit a patient's values.
  • Nurses become culturally competent to provide individualized, person-centered care.
  • Disregarding diversity can lead to unequal care and negative outcomes.
  • Physical/emotional stress can cause adverse symptoms if cultural needs are unmet.
  • The Philipinnes will experience a growth in the aging demographics and this will require adequate support in terms of resources.

Developmental Tasks of Older Adults (60 to 75 years)

  • Adapt to less strength/health, retirement, deaths, new relationships, leisure time.
  • Adjust to reduced body and mind responses.
  • Keep active/involved and create good living environments.
  • Safeguard physical and mental health once older than 75 years.
  • Stay in touch while finding the meaning in life.

Life Expectancy in the Philippines

  • 2022: 71.53 years.
  • 2023: 71.66 years.
  • 2024: 71.79 years

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Explore the multifaceted aspects of aging, from biological and social dimensions to functional and subjective experiences. Understand the focus of Gerontologic Nursing and the impact of societal perceptions and ageism on older adults. Learn about interventions for dignified aging.

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