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Health Disparities
• Race discrimination
• Ethnocultural
• Sociocultural
• Age
• Disabilities
Major Adult Health Concerns
Chronic illness
—Heart disease
—DM
—AD
Cancer and Mental illness (especially depression)
Reproductive Health
• Pregnancy concerns
• Cancers (breast, cervical, ovarian)
• Concerns related to health and role
• Mothers, wives, workers
• Health disruptions affect roles
Reproductive Health Male
• Cancers (prostate, testicular)
• Erectile dysfunction
• Benign prostatic hyperplasia (BPH)
LGBTQIA+ Health Disparities
• Often linked to discrimination
• Higher incidence of
• Cancers
• Depression
• HIV/AIDS
• STIs
Patient Self-Determination Act (PDSA)
• Allows patient to make health care decisions for self
Hospice care
• Terminal illness or expectancy less than 6 months
• Focus on symptom management
Palliative care
Focus on improving quality of life
Advanced Directives
Directs care at end of life
Durable power of attorney (DPOA)
• Elects someone to make decisions for patient if they cannot
Caregivers
• Caregiver role strain common in adulthood
• “Sandwich generation”
—People taking care of aging parents as well as children or grandchildren