Middle - Age Adulthood

Question 1

Physical changes

Answer 1

• thinning grey hair
• skin decreased moisture, turgor
• skin increased wrinkles / sun damage
• Decreased metabolism
• Change in fat deposition
• Decreased Bone density
• Women with decreased Estrogen
• Men with decreased testosterone

Question 2

Physiological changes

Answer 2

• Visual acuity decreases
• presbyopia - reading glasses and magnifiers
• Hearing loss
• Taste decrease
• Macular degeneration
• Decreased GFR
• Decreased blood vessel elasticity and thicker

Question 3

Social and psychological

Answer 3

• Sandwich generation sandwiched between children and aging parents
• Marriage / divorce
• Children
• Aging parents / care giver role strain
• Death
• Alcohol Abuse / substance abuse
• Domestic violence
• Stress of work, life, family, finances, environment and how to balance

Question 4

Health Concerns

Answer 4

• changes in sleep patterns
• Adults aged 30 and older 14.4 at risk for CKD by 2020
• Risk of CKD in lifetime is >50%
• Risk of diabetes in lifetime is 38%
• In 2013, people aged 50 and over accounted for 21% of an estimated 47,352 HIV diagnoses in the US. Of these, the larges number were among those aged 50-54

Question 5

Comorbitites

Answer 5

• obesity >1/3 of all adults in US
• Increases risk for diabetes, cardiovascular disease, hypertension, cancers
• DJD (degenerative joint disease)
• Arthritis
• Heart Disease
• Risk for diabetes increases with age

Question 6

Mortality

Answer 6

• Life expectancy has increased for all ages
• US women 80.4
• US men 75.2
• Leading cause of death middle adult - heart disease, cancer and accidents

Question 7

Dev Concerns

Answer 7

• Concerns about providing for others equal to providing for self
• Achieve financial security
• Achieve emotional security
• Preparing for retirement (if able)
• Actively working
• Hobbies / interests

Question 8

Social Determinants of Health

Answer 8

• Education, income
• Conditions where people live, work and play
• Racial and ethnic disparities in cancer outcomes, heart disease and other comorbidities
• Health insurance
• Access to health care
• access to healthy food
• Mental health assistance

Question 9

Risk Factors

Answer 9

• Genetics
• Habits
• Gender
• Preventative health screening
• Chronic Conditions
• Obesity
• Lifestyle
• Nutrition (Adults in US consume fruit 1.1/day and veggies 1.6/day)
• environmental

Question 10

Chronic Conditions

Answer 10

• 20% of adults age 45-64 report limitations cause by chronic conditions
• Heart conditions, arthritis, back / spine, impairments, dental disease, COPD, diabetes, mental conditions, nervous system, conditions

Question 11

Health Promotion

Answer 11

• Increase activity and flexibility
• Increase fruits and veggies
• Social involvement
• Purpose (work or volunteer)
• Spirituality
• Mindfulness/taking time
• Recognize barriers to wellness with individual
• Identify health promotion ideas
• Sunblock, hats, protective clothing
• TSE, BSE (testicular and breast self exams)
• Safe sex
• Seatbelts, helmets, smoke detectors
• Smoking cessation
• Alcohol and substance abuse cessation

Question 12

Prevention

Answer 12

• Screening tests - clarify information (changes)
• Mammograms
• Pap
• Bone density
• PSA
• Colonoscopy
• Flu shot, pneumonia vaccine, tetanus booster
• Physicals - dental, medical, visual, hearing

Question 13

Patient Education

Answer 13

• Healthy people 2020
• Model Healthy behavior
• Improve awareness
• Lifestyle changes
• Smoking cessation programs
• Alcohol awareness education
• Activity increase programs
• Firearm safety
• Medication safety
• Choosemyplate.org
• Cultural differences