Young Adulthood
The major psychosocial task for this age group
Intimacy vs. isolation
Buying a fancy sports car, sudden interest in divorcing, engaging in risky new hobbies
Signs and symptoms of a midlife crisis
The use of many medications prescribed for different chronic illnesses
Polypharmacy
The study of the biological, psychological, physiological, and sociological aspects of aging.
Geriatrics
First stage of grief related to terminal diagnosis
Denial
This is the ideal time for women who menstruate to perform a breast self-exam.
1 week after the beginning of a period
Definition of the sandwich generation
Unique challenge of middle adulthood where adults are caring for both children and their aging parents
A prejudice attitude toward older adults which makes them feel worthless and useless
Period in older adult's life in which the body begins to age and weaken
Senescence
Give an example of a therapeutic statement when communicating with a dying patient
Answers will vary
The goal of wellness in the young adult population
Prevention of comorbidities
Accepting that dreams look different from reality
Identity accomodation
Definition of disengagement
Removing emotional attachment to people, places, objects
Name and define one theory of the aging process
Wear and tear theory: body wears out and breaks down like a machine
Immune theory: impaired immune system so more vulnerable to illness/infection
Biological clock theory: dictates body changes that ultimately result in death
Name one of the two behaviors family members display around a loved one dying and name an intervention
Helplessness or guilt
Allow family to be involved with care and remain present with patient
Name one fact about intimate partner violence
Three phases: 1) tension building 2) explosion 3) honeymoon
Cycles will continue and escalate
Name a screening that all middle-aged men should have
Colorectal
Provide one example of HRT and one example of CAM to ease menopausal symptoms
HRT = estrogen
CAM = black cohosh, acupuncture
Name a difference between normal age-related memory loss and concerning cognitive impairment
Abnormal: difficulty remembering steps in familiar tasks, lack of awareness of time, place, date, disorientation
Name 3 types of advanced directives
Living will, durable power of attorney, POLST, DNR
Name an effective strategy to provide healthcare information and educational outreach in the young adult population
Hold an easily accessible healthcare fair
Name 3 physical changes that occur in middle adulthood
Decreased metabolism, increased adipose tissue, bone loss, vision changes occur, hair grays/thins, loss of muscle tone, decreased skin elasticity
Name 3 benefits of physical activity specific to late adulthood
Prevention of osteoporosis, neuroprotective properties, maintains caloric balance, fall prevention
Give an example of each:
1) a patient who needs assisted living
2) a patient who needs long-term care or a nursing home
1) needs help with ADLs such as cooking, dressing, bathing, toileting, shopping medications
2) need around-the-clock care, safety risk
Name 5 symptoms of impending death
Cheyne-Stokes respirations, pupils fixed and dilated, hypotension, bradycardia, diaphoresis, death rattle, cool and clammy skin, decreased or unresponsiveness