Chapter 11: Health Care
of the Older Adult
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,activities of daily living personal care activities such as bathing, dressing, grooming, eating, toileting,
and transferring
ADLs activities of daily living
comorbidity having more than one illness at the same time
comorbidity example having diabetes and congestive heart failure at the same time
delirium an acute, confused state that begins with disorientation and if not recognized and
treated early can progress to changes in level of consciousness, irreversible
brain damage, and sometimes death
Dementia broad term for a syndrome characterized by a general decline in higher brain
functioning, such as reasoning, with a pattern of eventual decline in the ability to
perform even basic ADLs
depression the most common affective mood disorder of old age
depression results from... changes in reuptake of the neurochemical serotonin in response to chronic
illness and emotional stresses
durable power of attorney a formal, legally endorsed document that identifies a proxy decision maker who
can make decisions if the signer becomes incapacitated
elder abuse the physical, emotional, or financial harm to an older person by one or more of
the individual's children, caregivers, or others; includes neglect
geriatric syndromes common conditions found in older adults that tend to be multifactorial and do not
fall under discrete disease categories; these conditions include falls, delirium,
frailty, dizziness, and urinary incontinence
geriatrics a field of practice that focuses on the physiology, pathology, diagnosis, and
management of the disorders and diseases of older adults
gerontologic/geriatric nursing the field of nursing that relates to the care of older adults
gerontology the combined biologic, psychological, and sociologic study of older adults within
their environment
instrumental activities of daily living complex skills needed for independent living, such as shopping, cooking,
housework, using the telephone, managing medications and finances, and being
able to travel by car or public transportation
IADLs instrumental activities of daily living
, orientation a person's ability to recognize who and where he or she is in a time continuum;
used to evaluate one's basic cognitive status
polypharmacy the use of multiple meds
presbycusis age related hearing loss
presbyopia impairment of vision as a result of old age
urinary incontinence the unplanned loss of urine
Life expectancy in 1900 47 years old
Life expectancy in 2009 78.8 years old
uLife expectancy varies by what? gender and race
__________ generally live longer than _________. Women; men
____________ have the longest life expectancy. Caucasian women
_______ population is projected to have the highest rate Hispanic
of growth by 2030.
Improvements in ___________________has improved prevention, early detection, & treatment of disease
health and longevity.
The body is __________ as it used to when aging. not running as efficiently
_______ is harder to maintain as you age. Homeostasis
#1 Leading Cause of Death in Older Adults heart diseases
#2 Leading Cause of Death in Older Adults cancer/malignant neoplasms