Aging Demographics

Baby boomers will make up ___% of the population by 2030

20%

slow growth, long plateau, and long decline is the definition of what

aging

telomere theory

states that there are random repeats of DNA located at the ends of chromosomes called telomeres. the length of these telomeres shorten with each replication throughout aging until apoptosis

free radical theory

cellular damage due to the presence of free radicals which are highly charged ions that are highly reactive and damage the cell membrane, mitochondria, and lysosomes

this is the nest indicator of true physiological age independent of chronological age

caloric restriction theory

high nutrient, low calorie diet is optimal for decreasing effects of aging

smoking and obesity accelerate aging on a cellular level by ____ years

5-9

__________ accelerates aging on a cellular level by 5-9 years

smoking and obesity

4 factors that influence aging (think general)

lifestyle, genetics, nutrition, medical care

elderly stage of personality and ego development according to Erikson

integrity vs despair

what do end of life decisions include

living will, healthcare power of attorney, advanced directives, DNR, DNI, artificial hydration/nutrition

who is the most common perpetrator of elder abuse

the child of the elderly adult

what is are the top 3 most common types of elder abuse from most common to least

1. psychological

2. financial

3. physical

polypharmacy is when an older adult is taking more than __ prescribed or over the counter medications

5

ageism

simple discrimination based on age

social theory

disengagement theory in preparation for death and disability; retire from work, shun responsibility, withdrawal from society

no longer accepted as best interests of the elderly

___________ is a root cause of altered mental status (AMS)

adverse drug reaction (ADR)

geriatric syndrome

multifactorial health conditions that occur when accumulated effects of impairments in multiple systems render and older adult vulnerable to situational challenges

components of frailty

• unintentional weight loss (10 lbs in a year)

• self reported exhaustion

• weakness in grip strength

• slow walking speed (less than 1m/s)

• low PA

to be considered frail you must have __ components present

3 out of 5

theoretical basis of ageism

• fear of death

• death and old age being viewed as synonymous

• emphasis on youth culture (like beauty and sexuality)

• emphasis on productivity and economic potential (being “useful”)

aging is to be _______, ________, and ________

valued, venerated, respected

often conflict arises between medical professionals __________ vs the patient’s _________

legal fiduciary responsibility; autonomous choice of what is acceptable

aspects of “paying the mortgage on the body habitus”

• adequate nutrition

• adequate hydration

• appropriate medication management

• appropriate rest and sleep

• partaking from the “fountain of youth” aka exercise

what is considered the “common cold of the elderly”

depression

aging is defined as a…

multiple and complex process that occurs in an organism throughout the lifespan

negative bias or stereotypic attitude towards the aged

ageism

_________ is the newest vital sign defined as the ability to understand and use health information

health literacy

_______ is a vital sign proposed by the APTA come health and geriatric sections

gait speed

fear of death; emphasis on youth, emphasis on productivity in American culture; and the manner in which elderly adults were originally researched are all considered factors contributing to what

ageism

___________ is the common mode of aging with significant physiological losses and substantial loss of reserve capacity

usual aging

________ is defined as aging well, elite aging, effective/successful/robust aging

optimal aging

examples of aging stereotypes

“past their sell by date”, helpless, senile, don’t deserve healthcare, older women are less valuable than younger women