Chapters 11 & 12 Flashcards

(43 cards)

1
Q

What is the ages involved in middle to late adulthood?

A

Middle: 45-65
Older: 65+

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2
Q

What is the lifespan x gender?

A

Women: 85.68
 Men: 82.32
 Why?
 Social factors
 Health attitudes, habits, lifestyles, and occupations
-what you are putting in your body
 Men > women: cancer (respiratory system), motor
vehicle accidents, cirrhosis of liver-linked to alcoholism, emphysema,
heart disease
 Men > women: smoking

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3
Q

Who are centenarians?

A

 Century = 100
 2021 Canada: 33.5 per 100,000
 Japan: 53/100,000
 Few centenarians are obese,
habitual smoking is rare, < 15%
had significant changes in their
thinking skills (e.g., Alzheimer)

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4
Q

What is the evolutionary theory?

A

 Process of natural selection – physical traits and
behaviours that enhance reproductive fitness
increase in a population
 Those that decrease reproductive fitness are
eliminated
-weak link
-when you get older the fitness aspect if eliminated
 Grandmother hypothesis: help with childcare,
household tasks and sharing knowledge – activities
that influence probability of their children
reproducing, increasing grandchildren’s well-being

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5
Q

What are the cellular process theories?

A

-cells stop reproducing as we get older
- Cellular Clock Theory
-Get older, cells less capable of dividing
-time limit
 Free-Radical Theory
 Cells metabolize energy
 By-products include unstable oxygen molecules
known as free radicals
 Free radicals ricochet around cells, damaging
DNA
 Damage – cancer, arthritis
-cells start to die

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6
Q

What is apperance?

A

 Hair: thin, grey
 Skin: wrinkles, age spots (face, hands)
-due to exposure
 Finger/toenails: develop ridges, thicker, more
brittle
-break easier
 Getting shorter
 Strength deteriorates

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7
Q

What is height and weight?

A

 Men
 30 – 50: .5”
 50 – 70: 3/4”
 Women- more issues with calcium and bone density
 25 – 75: 2”Women’s
 Bone loss in vertebrae
 Increase in overweight, obesity-not as active
 Walkable neighbourhoods? (SES)
-how to maintain this

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8
Q

What is mobility and strength?

A

-Max strength-20,s, the strongest you can get
 Sacropenia: age-related loss of muscle, strength
 Muscle loss: 1-2%/year from 50 yrs
 Lifestyle: ↑ smoking, diabetes, obesity
 Bodies look “sagging”
 Bones: mid-late 30’s
-most dense and strong
 Accelerate during 50’s
 ↑ fruits, vegetables!
 Arthritis: inflammation of joints, pain, stiffness,
movement problems
-break things easier
 Hips, knees, ankles, fingers, vertebrae
Affect daily activities
 Osteoporosis: loss of bone tissue
 Leading cause of broken bones in women
 Women > men
 Body weight, hormonal factors….loss of estrogen
during menopause ↑ bone density loss

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9
Q

What is mobility?

A

 Falls – leading cause for hospitalization
 1/3 hip fracture
 Falls lead to mental health outcomes
 Fear of falling
 Loss of autonomy
-your independance
 Greater isolation
-worry about being safe
 Confusion
 Immobilization
-they don’t go to physio depends on how much the fall impacted them
 Depression

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10
Q

What is sensory development?

A

 Vision: ↓ sharply 40-59 yrs
 Difficulty viewing close
 Tolerance for glare ↓
-eyes become more sensitive
 Field vision smaller, peripheral ↓
-what you are able to see
 Cataracts: thickening of lens: cloudy, distorted
 By 70, 1/3 cataracts
 Glaucoma: damage of optic nerve – pressure
buildup of fluid in eye
 Eyedrops, untreated – destroy vision
 Macular degeneration: deterioration of macula
of retina – focal center of visual field
 66 – 74: 1/25-common
 75+: 1/6-issuses with the eyes

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11
Q

What is sensory development part 2?

A

 Hearing: start declining by 40
 Men > women: lose high pitch sounds sooner
Construction, mining, factory work
-men work in more immense places
 Experience ↑ falls, reduction of cognitive
functioning, loneliness
-brain does not work properly
 Smell, Taste: ~ age 60
-serious-increases self intake, hypertension
- Touch, pain: impaired touch, some persistent
pain
-don’t have the full feeling in hands
 Back, joint
 High levels of pain, more likely to develop major
memory impairments
-linked to cognition

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12
Q

What is menopause?

A

- Average: 51 last period
 Hot flashes, nausea, fatigue, decreased libido,
brain fog (temporary changes in cognition)
 Hormonal changes x ethnic group
 Hormonal replacement therapy: under 60, within
10 years of menopause
 Some linked to breast cancer

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13
Q

What is male menopause?

A

 Not like women
 ↓ testosterone – sexual hormone level, activity
 40 – 70 yrs: 50% erectile dysfunction
 Smoking, obesity, hypertension, elevated
cholesterol, depression, lack of exercise
-things to cut down on

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14
Q

What is cognitive development?

A

 Crystallized intelligence: accumulated
knowledge, verbal skills
 Fluid intelligence: ability to reason abstractly, solve problems
-once you have it you have i
 Fluid declines during middle adulthood
 Crystallized (solidified) improves until middle/late then
plateaus
-accumilating, solidified knowledge

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15
Q

What are technology and memory?

A

-increased cognition
 Autobiographical memory – more likely to
remember first-time experiences from first 2
decades than last 2 decades
-very detailed experiences
 ↓ episodic (events) memory – impact sense of
identity, maintaining social relationships
-forget things that happen because memory is failing
 HippoCamara: smartphone tech – record 24-sec
videos (e.g., grandchild’s event), replay at 3x
speed; record 8-sec voice….
-ways to improve memory
-video themselves and replay to keep your memory there
-could be on anything important for them to remember

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16
Q

What are cognitive processes?

A

-things are slowing down
- Speed of processing….decline
 Driving?
 More likely to decline if don’t use memory
strategies – organization, imagery
 Using imagery, aerobic exercise
 Selective attention….declines
 Sustained attention: Middle = older

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17
Q

What is the aging of the brain?

A

 20-90 yrs: 5-10% brain shrinkage
 ↓ Brain volume
 BUT! Brain is adaptive, brain has remarkable
repair capability
 ↑ aerobic fitness linked to hippocampus – better
memory

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18
Q

What is dementia?

A

 Umbrella term for brain disorders
affecting memory and/or other
cognitive abilities
 Canada: over 500,000
 Not just memory loss – can get lost
in familiar places, difficulty
remembering to do tasks like
groceries, laundry

19
Q

What are dementia characteristics?

A

 At least 2 parts of brain are dying
 Chronic-long lasting- consistent
 Progressive- gets worse everytime
 Terminal- how do you slow it?
-can not be cured

20
Q

What is Alzheimer’s disease?

A

-difficult to experience and maintain
 Most common type (65%); ~ 50% nursing homes
 Beta-amyloid (BA) buildup, replacing healthy
brain cells with amyloid plaques, cumulating in the
blood vessels
-plaque build-up
 Neurofibrillary tangles (NT): tau is a protein, helps
to stabilize internal skeleton of neurons, allowing
nutrients reach different parts of neuron
 Abnormal tau buildup, internal skeleton of neuron
falls apart, tau proteins form tau tangles
 BA + NT = cells die

21
Q

What are the risk factors?

A

 Young-onset dementia often runs in family
-genetic
 Sex: Women > men
-women live longer than men hence why more likely
 Age
 Vascular health – what’s good for the heart is good
for the brain
-what is the heart doing
 Smoking, obesity, physical inactivity
 Gene x environment!
 Higher cognitive functioning (e.g., cognitive tests)
in childhood, higher education, higher SES..
-when younger less likely to have this

22
Q

What is Parkinson’s Disease?

A

-difficult to experience and maintain
- Chronic, progressive disorder – muscle tremors,
slowing of movement, partial facial paralysis
-dropping skin
 Triggered by degeneration of dopamine-producing
neurons in brain
 Muscle movements impaired – more rigid,
contribute to loss of balance
 Other symptoms: depression, anxiety, emotional
change, cognitive impairment, difficulty
swallowing, chewing, speaking, masked facial
expressions, urinary problems, constipation,
fatigue, sleep problems

23
Q

What is Religion?

A

 Canada: 2/3 pop reported having
religious affiliation
 54% religious, spiritual beliefs
somewhat, very important
 ↑ religious feeling from 50+
 Women > men: stronger interest,
participate more in organized and
personal forms of religion, ↑ believe in
higher power or presence, ↑ greater sense
of importance in one’s life
-i.e volunteer

24
Q

What is spirituality?

A

-more general as opposed to religion
- Search for meaning in life through a connection to
something larger than ourselves
 Uniqueness of spirit, philosophy, and mind
 Indigenous spirituality: include presence of
creation stories, the role of tricksters or
supernatural beings in folklore, importance of
sacred organizations
-all inclusive
-how things were made
 Creator, Great Spirit, or Great Mystery – a power
or bring that has created the world and
everything in it

25
What are the links to health?
 Religious attendance = reduction in hypertension, increase in longevity  Lower rates of drug use (compared to non- religious)  Social networks, support, social connection -community -lots of immigrants are not religious
26
What is the erikson theory? -generativity vs stagnation
-generation vs age stages - Seeking to be productive in a caring way  Leaving legacies of themselves for next gen  Guiding the next generation, creating one’s lineage! vs  Stagnation (“self-absorption”): belief – done little or nothing for next gen -nothing to offer have not accomplished anything  Social capital like volunteering, social networks strongest link to well-being, health -who do you know? network
27
What are the generative outcomes?
 ↑ Memory, executive functioning, buffered against some adversity experiences  Promote, guide next generation by parenting, teaching, leading, engaging in activities that benefit community -ex: finances
28
What is the Erikson theory: intergrity vs. despair?
-last stage= very old - Life comes together – looking back; re-synthesis of all resilience and strength over time -highlight difficulties  Seeking integrating of personal experiences with their vision of community  Integrity: honesty, feeling of being a whole, comfortable with oneself, life well lived  Reminiscence therapy: discuss past activities, experiences (use photographs, familiar items, videos) which can improve mood (↓ despression) -trying to intergrate positivity into their lives
29
What is a midlife crisis?
 Have you seen your parents go through a midlife crisis? -turning point in movies  No evidence of one... -used as an excuses, issues , a culture
30
What are the life-events approach?
 How life events influence one’s development not only on the life event itself BUT mediating factors  Physical health, family supports -is not always positive  Adaptation to life events: appraisal of threat, coping strategies -ex: test of pandemic  Life-stage context -has an impact on development  Sociohistorical context
31
What are the life stresses?
-how do you view/define stress  No clear definition of “stressful life event” -different for each person  Stressful events (SE) impact most diseases (e.g., elevated anxiety, depression; exacerbate behaviours bad for health (drug use, alcohol), affect hormones, autonomic nervous system  Most who experience SE do NOT get sick -not cause and effect  SE are not random (except natural disasters, accidents) -not by chance  Healthy people may not experience disease from SE
32
What are the life stresses part 2?
 Not all SE events have same impact  Chronic SE are worse than acute (time-limited) SE -abusive relationship -dangerous neighbourhood  Multiple SE may or may not have cumulative effect -depends on how serious it is -if it is overwhelming will have this effect  Depending on one’s life course, SE will vary in frequency, potency -working support, finance, relationship  SE x gender due to gendered socialization, roles -women will ask for help more services for women -not men
33
What is outlook on positive events?
 8 Consecutive days: report on positive events, socializing activities, and affect (positive, negative)  Major depressive disorder: fewer positive events, spent less time with others, fewer positive interactions  Predicted well-being 10 years later! -how do you see things  1 week, daily experiences: older women, fewer stressors, less negative emotions -not seen as stressful  Greater emotional reactivity to daily stressors - ↑ chronic physical health condition, anxiety/mood disordered 10 years later
34
What is the activity theory?
 More active and involved, more likely to be satisfied with life  More energetic, active, productive, age more successfully and more happier than disengaged individuals -all issues in the body
35
What is the socioemotional Selectivty Theory?
 Older adults place more value on emotional satisfaction, thus more selective about their social networks -know their time is short  Fundamental ability to monitor their time left in life -understanding  Older – time is limited = more valuable  Lonely??? -thinking of all the bad things  Loneliness highest among 20’s, then mid-40’s, lowest in 60’s  Positivity effect: tendency to focus, remember positive information -good for mental health
36
What is marriage and happiness?
 Marital satisfaction fairly stable over time -how happy they are  Middle-aged partners more likely view marriage as positive if engage in mutual activities  Positive marital quality – linked to better health for both partners -mental issues affect health  Marriage/relationship in late adulthood = happier, feel less distressed, live longer > single  “Very happy”: Experience better health, longevity  Middle adulthood: majority – marriage was excellent, very good -are happy
37
What is divorce, upcoming?
 “Grey divorce” – 55+ yrs of age  Much lower than 15-34, and 35-59 age group  Slight rise - people living longer, women less economically reliant, shift in culture, adult children -more acceptance of divorcing
38
Empty nest or not?
 Parents living through their children may experience empty nest syndrome – feelings of great loss, grief when adult children move away  Other emotions – lack of emotional expression, depression, loneliness, distress, guilt, then acceptance  But, many still living at home - $$$, divorce, unsuccessful career -housing market increases  Tensions.... -adult children- parents  Parents – sandwich generation – taking care of aging parents, and adult children -double generations
39
What are sibling relationships & friendships
 Siblings  May be longest-lasting relationship in lifetime  Most relationships are positive -could be negative  Usually close in childhood – similar when older -maintains relationship  Friends  Early adulthood – expand network -through work/activities  Late – new friendships less likely, more selective, friend circle smaller -time is limited
40
Grandparenting?
 Grandparents taking care of grandchildren -no in between especially at risk for depression  Tend to be low-income, minority status, parents not married -issues going on  Divorce and remarriage, estranged grandparents is on the rise! -were actively involved and do have the right to talk in court -prove that they have been involved  Grandparents have legal rights to have access  Grandparents taking care of grandchildren especially at risk for depression  Tend to be low-income, minority status, parents not married  Divorce and remarriage, estranged grandparents is on the rise!  Grandparents have legal rights to have access
41
What is altruism and volunteering?
 Retirement! -what are they going to do with their time?  Now can devote time to causes and interests that were “backseat” to careers, family obligations  Volunteers aged 55+ = 39% of Canadian volunteer hours (2013) -especialily in religion  Population = 28%
42
Why Volunteer?
 Sense of accomplishment  Feeling a sense of purpose in life  Making positive difference in others’ lives  Looking forward to each new day  Gaining more pleasure from and appreciation of daily activities -of what they have  Sense of self-worth -self-esteem  Feeling better physically, psychologically -physical health  Overall sense of well-being  Feeling overall improvement in quality of life
43
Why Volunteer?
 Make better social networks-meet new people  Reduce stress- helping others  Reduces chronic conditions – heart disease, depression, body immune system, protecting against infection and illness -physical health- body more healthy  Builds self-identity, self-confidence -alternative- finding yourself  Able to provide social support to others