Showing posts with label Adult Nursing. Show all posts
Showing posts with label Adult Nursing. Show all posts

Thursday, June 23, 2016


Cancer
Risk for developing most types of cancer increases with age.

"As women age, the rate of cervical cancer decreases, and endometrial cancer increases," says Brangman. "Sometimes women slack off gynecological exams after their childbearing years, but I still think it's important for women to get regular exams."

The risk of prostate cancer increases with age, and black men have a higher rate than white men. Screening should start in your 40s, and at the very least should involve a digital rectal examination.
Lung cancer accounts for more deaths than breast cancer, prostate cancer, and colon cancer combined. Brangman's advice: "Stop smoking."


Cardiovascular Disease (CVD)
Younger baby boomers take heed: cardiovascular disease (CVD) affects more than one-third of men and women in the 45- to 54-year age group, and the incidence increases with age. Cardiovascular diseases, which are diseases of the heart or blood vessels, are the leading cause of death in the U.S. They include arteriosclerosis, coronary heart disease, arrhythmia, heart failure, hypertension, orthostatic hypotension, stroke, and congenital heart disease.

A healthy lifestyle can reduce the risk of heart disease by as much as 80%, according to data from the Nurses' Health Study, an extensive research effort that followed more than 120,000 women aged 30 to 55 starting in 1976. Looking at data over 14 years, the researchers showed that women who were not overweight, did not smoke, consumed about one alcoholic drink per day, exercised vigorously for 30 minutes or more per day, and ate a low-fat, high-fiber diet had the lowest risk for heart disease.

"If you have high blood pressure, get it under control," says Brangman. "It reduces the rate of stroke and heart attacks. People say the medicines have bad side effects, but there are enough medications to choose from that you and your physician should be able to find one that's right for you."

And limit salt intake to control high blood pressure. "Prepared foods are loaded with salt," says Brangman. "The minute food comes out of a can or frozen food package or from a fast-food environment, you lose control of the ingredients. This is another reason to eat foods as close to naturally prepared as possible."
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Sunday, June 19, 2016

Experts explain how to prepare for the health issues people face as they age.
By Leanna Skarnulis


"If I'd known I was going to live this long, I'd have taken better care of myself." So said Eubie Blake, the great ragtime composer and pianist who was still performing at the age of 99, the year before his death. Let's face it: old age is what lies ahead. If you're 40 or 50 or even 60, you might not give much thought to the health challenges of aging. But just as planning for future financial needs is important, so is planning for optimum health.

What should you prepare for, and how? WebMD talked to experts about the major health issues. While some diseases, such as Alzheimer's and certain cancers, continue to confound researchers, a great number can be prevented, forestalled, or minimized with a healthy lifestyle and regular health screenings.

Sharon Brangman, MD, AGSF, spokeswoman for the American Geriatrics Society, tells WebMD, "The more you do in middle age to prepare yourself for successful aging, the better."

Obesity and Metabolic Syndrome
About three-fourths of adults aged 60 and older are overweight or obese. Obesity is related to type 2 diabetes, cardiovascular disease, breast and coloncancer, gall bladder disease, and high blood pressure.


More than 40% of adults 60 and older have a combination of risk factors known as metabolic syndrome, which puts people at increased risk for developing diabetes, cardiovascular disease, and certain cancers. It is characterized by:

Waist measurement greater than 40 inches in men, 35 inches in women (apple-shaped body)
Triglyceride level of 150 mg/dL or higher
HDL "good" cholesterol level less than 40mg/dL in men, 50 mg/dL in women
Blood pressure of 130/85 or higher
Fasting glucose level of 110 mg/dL or higher
"Women in perimenopause and menopause tend to accumulate fat around the waist and hips, and men get the gut," says Brangman. "The best way to fight it is with increasing exercise, reducing alcohol intake -- because a lot of alcohol calories go right to the gut -- and reducing calorie intake. Also, increase your healthy fat intake -- omega-3 fatty acids and unsaturated fats. And eliminate trans fats completely because there's no safe amount of those."

She also advises avoiding foods sweetened with high-fructose corn syrup. The common sweetener is found in everything from sodas to breakfast cereal to low-fat yogurt. "In middle age, we should eat foods as close to naturally prepared as possible."

source: http://www.webmd.com
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Sunday, June 12, 2016


The aging process often results in a loss of memory, deteriorated intellectual function, decreased mobility, and higher rates of disease.

LEARNING OBJECTIVE[ edit ]

Review the physical and neurological changes characteristic of late adulthood

KEY POINTS[ edit ]

During late adulthood the skin continues to lose elasticity, reaction time slows further, muscle strength and mobility diminishes, hearing and vision decline, and the immune system weakens.
The aging process generally results in changes and lower functioning in the brain, leading to problems like decreased intellectual function and neurodegenerative diseases such as Alzheimer's.
Many of the changes in the bodies and minds of older adults are due in part to a reduction in the size of the brain as well as loss of brain plasticity.
Memory degenerates in old age, so older adults have a harder time remembering and attending to information. In general, an older person's procedural memory tends to remain stable, while working memory declines.
TERMS[ edit ]

cerebellum
Part of the hindbrain in vertebrates; in humans it lies between the brainstem and the cerebrum and plays an important role in sensory perception, motor output, balance, and posture.

Alzheimer's disease
A disorder involving loss of mental functions resulting from brain-tissue changes; a form of senile dementia.

corpus callosum
In mammals, a broad band of nerve fibers that connects the left and right hemispheres of the brain.

neurodegenerative
Of, pertaining to, or resulting in the progressive loss of nerve cells and of neurologic function.


Physical Changes
Late adulthood is the stage of life from the 60s onward; it constitutes the last stage of physical change. Average life expectancy in the United States is around 80 years; however, this varies greatly based on factors such as socioeconomic status, region, and access to medical care. In general, women tend to live longer than men by an average of five years. During late adulthood the skin continues to lose elasticity, reaction time slows further, and muscle strength diminishes. Hearing and vision—so sharp in our twenties—decline significantly; cataracts, or cloudy areas of the eyes that result in vision loss, are frequent. The other senses, such as taste, touch, and smell, are also less sensitive than they were in earlier years. The immune system is weakened, and many older people are more susceptible to illness, cancer, diabetes, and other ailments. Cardiovascular and respiratory problems become more common in old age. Seniors also experience a decrease in physical mobility and a loss of balance, which can result in falls and injuries.

Changes in the Brain
The aging process generally results in changes and lower functioning in the brain, leading to problems like memory loss and decreased intellectual function. Age is a major risk factor for most common neurodegenerative diseases, including mild cognitive impairment, Alzheimer's disease, cerebrovascular disease, Parkinson's disease, and Lou Gehrig's disease.

While a great deal of research has focused on diseases of aging, there are only a few informative studies on the molecular biology of the aging brain. Many molecular changes are due in part to a reduction in the size of the brain, as well as loss of brain plasticity. Brain plasticity is the brain's ability to change structure and function. The brain's main function is to decide what information is worth keeping and what is not; if there is an action or a thought that a person is not using, the brain will eliminate space for it.




Alzheimer's disease (AD) is a neurodegenerative disease and is the most common form of dementia in older adults.
Brain size and composition change along with brain function. Computed tomography (CT) studies have found that the cerebral ventricles expand as a function of age in a process known as ventriculomegaly. More recent MRI studies have reported age-related regional decreases in cerebral volume. The brain begins to lose neurons in later adult years; the loss of neurons within the cerebral cortex occurs at different rates, with some areas losing neurons more quickly than others. The frontal lobe (which is responsible for the integration of information, judgement, and reflective thought) and corpus callosum tend to lose neurons faster than other areas, such as the temporal and occipital lobes. The cerebellum, which is responsible for balance and coordination, eventually loses about 25 percent of its neurons as well.

Changes in Memory
Memory also degenerates with age, and older adults tend to have a harder time remembering and attending to information. In general, an older person's procedural memory stays the same, while working memory declines. Procedural memory is memory for the performance of particular types of action; it guides the processes we perform and most frequently resides below the level of conscious awareness. In contrast, working memory is the system that actively holds multiple pieces of transitory information in the mind where they can be manipulated. The reduced capacity of the working memory becomes evident when tasks are especially complex. Semantic memory is the memory of understanding things, of the meaning of things and events, and other concept-based knowledge. This type of memory underlies the conscious recollection of factual information and general knowledge about the world, and remains relatively stable throughout life.



Source: Boundless. “Physical Development in Late Adulthood.”
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Thursday, May 19, 2016


It is difficult to define when middle age ceases and  old age starts .Usually a man feels older when they are unable to do things they used to do .Old Age and the aging  mechanism are of course a     biological  occurrence which has its  own  dynamism, largely beyond our command. 

It is strange no   one expects to grow old  but everyone expects to live long.

Aging is a Reality - prepare to accept  Gracefully                                                                                                                                            Facts and Figure
  • The senior citizens Acts 2063, Nepal defines the senior citizen as "people who are 60 years and above ".
  • The total population of Nepal in 2010 is estimated to be about 28 million of which nearly 8% are aged 60 and over.
  • In a study done in old age home of Kathmandu  (2010) more than half of the residents were suffering from at least one chronic illness. Hypertension, gastritis and arthritis were the most common diseases.
  • In a study done in Bhaktapur district (2009) the common problems felt by elderly people were pain and swelling of joints (65.7%), indigestion (63.7%), excessive tiredness (38.2%) and hypertension (35.8%).
Theories of aging 
1.Biologic theories 
  • Cellular theory 
  • Programmed aging theory 
  • Somatic mutation theory
  • Wear and tear theory 
  • Auto immune theory
  • Error theory
  • Free-radical theory
  • Cross linkage theory
2. Psychological theories 
  • Disengagement theory 
  • Activity theory
  • Continuity theory
  • Social exchange theory
3.  Environmental theories 
  • Radiation theory
  • Stress theory
4. Development theory



                                                                                                                                                  
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