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Chapters 20 21 aging


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Chapter 20-21 about aging and the later years in life

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Chapters 20 21 aging

  1. 1. Kathryn FantWorcester State University
  2. 2. Discussion Questions Why does our society put so much emphasis on our reproductive years, while information about our post reproductive years goes unheard and undiscovered Why is there such a negative outlook on the aging process?
  3. 3. General Definitions Perimenopause- one-to-ten year stretch which the ovaries function erratically and hormonal fluctuations effect many changes within the body. Menopause- marked by final period, ovaries settle down, estrogen and progesterone decline to low steady levels Postmenopause- the years after a women goes through menopause and can no longer reproduce. The average women spends one third of her life within the stage of postmenopause.
  4. 4. Perimenopause Happens between the ages of thirty and sixty The time which you go through menopause may be predicted by the time your mother went through “the change” Nine common changes; Heavy/longer flows, Shorter menstrual cycles, Sore/swollen breasts, New midsleep wakening, Increased cramps, Night sweats, Migraines, Increased mood swings, Weight gain without changes in exercise or eating Gaps or lower ability to concentrate
  5. 5. Myth Once your periods become irregular you cannot become pregnant. This is indeed false and this myth is responsible for many unplanned pregnancies. Women should use birth control up to a year after there last period, some experts say even two to three years after.
  6. 6. Postmenopause “No more bloating, sore breast, menstrual migraines, back pain, greasy hair, and zits. I now realize I felt like I had been pregnant for thirty-five years!” Many women feel a sense of relief and seek more self directed activities. Western cultures outlook on youth and beauty can lead to sexism and ageism. This can make the transition to postmenopause difficult. This may lead women to for more extreme solutions to resist the ageing process
  7. 7. Hormone Therapy Many hormone treatments have not been tested for long term effects and can have detrimental effects Some hormones treatments are not regulated by the FDA Menopause is not a disease and our society puts a negative spin on the ageing process If you are considering hormone therapy consult with your doctor and look at the latest research, but above all, you should do what works for you
  8. 8. Later Years Ageism is a negative outlook of older individuals and the U.S. actively engages in ageism Our society needs more older role models and needs to be educated about the aging process because all of us (“is we are lucky”), will get old. The new average life expectancy went from 48 to 80 within the time span of 1900 to 2007.
  9. 9. Relationships The family dynamic changes- our place in the generational hierarchy changes as we become grandparents. Social connections have a positive effect on our health In our later years we are more likely to experience the loss of a loved one. On average 42% of women over the age of 65 are widowed
  10. 10. Preventative Measures Many diseases are preventable by acquiring healthy habits such as; Eating healthful foods, Exercising, Regular check ups, Engaging your mind, Reducing or quitting smoking, and balanced meals. Some obstacles to some of these preventative measures include; Financial opportunity and years of exposure to occupational health hazards
  11. 11. Myth Sexual desire and activity fade as a natural, irreversible part of ageing. This is false, our society views older women as “dried up”. Sexuality can continue through the lifespan. “Sexual feelings often depend more on how we feel about out bodies and our relationships than our age.”
  12. 12. Health Care Overtreatment and under treatment continue to be problems within the U.S. health care system Rates of longevity are inconsistent across racial and ethnic groups, and income level. Health care providers may prescribe wrong treatments for misdiagnosed health problems Many medications can have adverse effects such as; increased confusion, and depression Medicare only covers short term at-home or nursing home care, long term care is paid out of pocket
  13. 13. Planning Ahead Many aspects of our lives need to be planned for especially living arrangements and health care so that you may age according to your values. Other things to plan for; retirement, meaningful relationships, finances, and community Caregiver and long term care planning, Medicare covers only short term after hospital visits.
  14. 14. Legal Decisions A durable power of attorney-gives someone you trust power to make legal and financial matters is you are unable to yourself A health care proxy- gives someone you trust power to make medical testing and treatment for you. Speak to this person about your values and wishes A living will- describes healthcare treatment you wish to refuse of receive. May also include advance directive and DNR documents
  15. 15. End of Life Care Medical science can shape how we feel about death and dying, rather that quality of life DNR’s can be ignored and patients given life prolonging treatments Palliative or comfort care, reduce and soothe symptoms of disease while keeping your dignity Many women assume the job of caregiving for aging parents or spouse.