The Graying of America

What percentage of the population does the Oldest Old represent?

- 10%

__ million Americas are between the ages of __ and __

- 17 million - 75-85

Social Security cost is _-_ times more than elderly paid into the fund

- 2-5 times

When did the first wave of baby boomers reach full retirement age?

- 2011

By 2050 there will be __million, or ___ _____ of the population

- 30 million - one fifth

What percentage of the Federal Government Budget comprises retirement benefits?

- 33%

Pts undergoing open heart surgery who recieved strength and compfort from their faith were....

- 3x more likely to survive than those who had no religious ties

The cost of Medicare is _-__ times more than elderly paid into the fund

- 5-10

Projections for 2050:

- 50% of U.S. population will be Caucasian - 25% will be Hispanic - 15% will be African American - 8% will be Asian - 2% other

Today, people age __ and over comprise __% of the U.S population

- 50, 24

On average, American women live ___ years longer than men

- 6 years

Payroll taxes support the system: 1946: 1 senior supported by __ young people 1960: 1 senior supported by _ young people 2013: 1 senior supported by _ young people 2030: 1 senior supported by _ young people

- 62 - 9 - 3 - 2

Classification of those age 65 and older: - Young Old

- 65-74

Over the next 20 years __ million baby boomers will retire

- 74 million

Classification of those age 65 and older: - Middle Old

- 75-84

Classification of those age 65 and older: - Oldest Old

- 85 and older

What is the ratio of men per 100 women, according to the U.S. Census? This number ________ with age

- 92 men per 100 women (age 55-64) - 46 men per 100 women (age 85+) - declines

What have provide people with a sense of purpose and guidelines for living?

- Faith

Aging is affected by:

- Intrinsic (internal) factors such as hereditary - Extrinsic (external) factors such as environment and lifestyle

Despite high prevalence of chronic illness, the ______ ___ population report good to excellent health

- Middle Old (75-84)

In the next decade, increased life expectancy will steadily increase the total number of people in what sub-population?

- Middle Old (75-84)

What is the fastest-growing segment of the total population?

- Oldest Old (85 +)

Anti-aging movement in the U.S. views aging as...

- a process that can be stopped rather than embraces as a natural process (many people buy antiaging products and ptions instead of focusing on a healthy diet and exercise

What are keys to maintaining independence?

- ability to perform ADLs, - communicate effectively - understand, remember, and actively participate in those things that are important to them

An _____ lifestyle is the key to successful aging

- active

Because women have longer life expectancies than men, older women are likely to be living _____

- alone

When developing cultural competence one must...

- assess one's attitudes and learning - need to be linguistically competent and to use resources to address the needs of pts who are not proficient in English - need to develop cultural competence by education about the cultural traditions of other groups

Who are considered part of the first wave of baby boomers?

- babies born between 1946-1964

_____________ age is only a piece of the puzzle

- chronological

Why is there an aging population world wide?

- declines in fertility rates - improvements in health and life expectancy

Culturally competent nursing care of the older adult includes consideration of such things as:

- diet - hygiene - modesty/privacy - blood transfusions - dress/jewelry - care of the dying - family role

Today's older adult population will differ from those of past decades because they will...

- enjoy longer lives, better health and more active lifestyles than previous generations - strive to maintain their social lives and independence

Social relationships for older adults...

- family relationships and social relationships are important - allow for the sharing of common interests and concerns and allow many older adults to find status among their peers

What is the goal of successful aging?

- fo rthe older adult to fx at their highest capacity despite the presence of age-related changes and risk factors

The capacity for ______ and _______ are lost over time leading to the final stage of life

- growth - function

According to a recent survey ____ of adults reaching retirement age expect to work at least ____-____ once they retire

- half - part time

What questions should you ask yourself to do a cultural self assessment?

- has my background influenced me? - does the pt have a cultural background different from my own? - is the pt an immigrant? - does the pt have difficulty with the English language?

What makes people feel old?

- health and fx rather than chronological age

Ealderly who regularly attended religious services had ...

- healthier immune systems than those who did not - more likely to have consistenly lower bp -

What is ageism?

- ideas, attitudes, beliefs, and practives that are biased against persons or groups based on their age

There is a dramatic ________ in the number of people reaching age __

- increase - 65

The U.S. in __________ in diversity

- increasing

Most older adults live _____________, have high levels of ____-_______ ______, and are aging ___________

- independently - self reported health - successfully

Where is ageism more common?

- industrialized societies

Many are active users of the _________ and stay involved in current events

- internet

When caring for an older patient...

- it is important for the nurse to understand what is important to the individual and his or her family in order to provide holistic and effective nursing care

Religious involvement is associated with...

- less physical disability and less depression

Wellness-focused nursing is important to...

- maintaining the quality of life of an individual as they grow older

The focus of nursing care of this population should be to....

- minimize the negative effects of age related changes and risk factors and to promote wellness and equality of life

Today's older adults are more likely to .....

- move to the mtns, beaches, or college towns where the physical and intellectual action is

What percentage of women 85 and over are widowed?

- nearly 80%

What are the barriers to promoting wellness?

- negative attitudes by caregivers or the older adult themselves - existence of serious of pressing health concerns - focus on disease tx rather than prevention or health promotion - belief that older adults are not capable of learning and implementing health promoting behaviors

Aging is a ______ ______ of gradual maturation

- normal process

There is no single point at which a person becomes "___"

- old

The Nurses Role: Rather than having a narrow focus on physical health and fx, it is important for nurses to consider the older adult's...

- physical, mental, social, and spiritual well being

What does wellness-focused nursing consider?

- physical, mental, social, and spiritual well-being of the individual

_________ and ________ beliefs are and important par of how many people deal with life's hardhsips

- religious - spiritual

Many older adults wait unil ________ to travel the wold, take foreign language classes, volunteer, or learn a new skill

- retirement

What is ageism influenced by?

- stereotypes and cultural values

What is senescence?

- the aging process

What is the conclusion of the payroll taxes support the system?

- the system is not sustainable as it exists!

The Oldest Old population growth rate is _____ that of those 65 and over and almost _-_____ that for the total population

- twice - 4-times

Americans aged 65-70 have the highest ______ ____. (followed by those over 70)

- voting rate (very active in political issues)

What are the positive aspects of aging?

- wisdom - experience - expertise

What gender are the majority of the older Americans?

- women/female

There is a slide on average lifespan.....do we need to know those? It's like prehistoric, greece, rome, 1800, etc

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