SlideShare a Scribd company logo
1 of 32
LIFE-SPAN DEVELOPMENT
Sixteenth Edition
Chapter 18
Cognitive
Development
in Late
Adulthood
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the
prior written consent of McGraw-Hill Education.
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Chapter Outline
• Cognitive functioning in older adults
• Language development
• Work and retirement
• Mental health
• Religion and spirituality
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Theorized Age Changes in Cognitive
Mechanics and Cognitive Pragmatics
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(1 of 12)
• Multidimensionality and multi-directionality
• Education, work, and health
• Use it or lose it
• Training cognitive skills
• Cognitive neuroscience and aging
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(2 of 12)
• Multidimensionality and multi-directionality
– Cognitive mechanics: Hardware of the mind,
reflecting the neurophysiological architecture of
the brain
 Involve speed and accuracy of the processes
– Cognitive pragmatics: Culture-based software
programs of the mind
 Include reading and writing skills, language
comprehension, educational qualifications,
professional skills, and types of knowledge that
help to master or cope with life
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(3 of 12)
– Speed of processing
 Considerable individual variation in this ability due
to a decline in functioning of the brain and central
nervous system
– Attention
 Selective attention: Focusing on a specific aspect
of experience that is relevant while ignoring others
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(4 of 12)
 Divided attention: Concentrating on more
than one activity at the same time
 Sustained attention: Focused and extended
engagement with an aspect of the
environment
 Executive attention: Aspects of thinking that
include planning actions, allocating attention
to goals, detecting and compensating for
errors, monitoring progress on tasks, and
dealing with novel or difficult circumstances
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(5 of 12)
– Memory
 Explicit memory: Facts and experiences that
individuals consciously know and can state
o Declines as the person ages
o Episodic memory: Retention of information about
the where and when of life’s happenings
o Semantic memory: Person’s knowledge about the
world
 Implicit memory: Memory without conscious
recollection that involves skills and routine
procedures that are automatically performed
o Less likely to be adversely affected by aging
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(6 of 12)
– Working memory and perceptual speed -
Cognitive resource mechanisms that decline as
the person ages
– Source memory: Ability to remember where one
learned something
– Prospective memory: Remembering to do
something in the future
– Noncognitive factors - Health, education, and
socioeconomic status influence an older adult’s
performance on memory tasks
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(7 of 12)
– Executive functioning - Aspects of working
memory that decline in older adults involve:
 Updating memory representations that are
relevant for the task at hand
 Replacing old, no longer relevant information
– Decision making - Preserved rather well in older
adults
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(8 of 12)
– Wisdom: Expert knowledge about the practical
aspects of life that permits excellent judgment
about important matters
 High levels of wisdom are rare
 Late adolescence to early adulthood is the main
age window for wisdom to emerge
 Factors other than age are critical for wisdom to
develop to a high level
 Personality-related factors are better predictors of
wisdom than cognitive factors
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(9 of 12)
• Education, work, and health
– Education
 Successive generations in America’s 20th century
were better educated
– Work
 Successive generations have placed a stronger
emphasis on cognitively oriented labor
– Health
 Successive generations have been healthier in late
adulthood
 Terminal decline - Best described as slow and
steady
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(10 of 12)
• Use it or lose it
– Mental activities can benefit the maintenance of
cognitive skills
 Reading books, doing crossword puzzles, going to
lectures and concerts
– Research suggests that mental exercise may:
 Reduce cognitive decline
 Lower the likelihood of developing Alzheimer’s
disease
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(11 of 12)
• Training cognitive skills
– Improve the cognitive skills of older adults
– Some loss in plasticity in late adulthood,
especially in the oldest-old
– Cognitive vitality of older adults can be improved
through cognitive and physical fitness training
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Cognitive Functioning in Older Adults
(12 of 12)
• Cognitive neuroscience and aging
– Cognitive neuroscience - Discipline that studies
links between the brain and cognitive functioning
– Changes in the brain can influence cognitive
functioning, and changes in cognitive functioning
can influence the brain
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
The Relation of Age to Reaction Time
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Language Development
• Decrements in language may appear in late
adulthood
– Tip-of-the-tongue phenomenon
– Difficulty understanding speech
• Speech of older adults is lower in volume,
slower, less precisely articulated, and less fluent
• Reason for decline in language
– Slower information processing speed
– Decline in working memory
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Work and Retirement (1 of 5)
• Work
• Retirement in the United States and in Other
Countries
• Adjustment to Retirement
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Work and Retirement (2 of 5)
• Work
– Cognitive ability is one of the best predictors of
job performance in older adults
– Older workers have lower rates of absenteeism,
fewer accidents, and higher job satisfaction than
their younger counterparts
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Work and Retirement (3 of 5)
• Retirement in the U.S.
– On average, workers will spend 10 to 15 percent
of their lives in retirement
– Life paths for individuals in their sixties are less
clear
– Seven million retired Americans return to work
after they retire
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Work and Retirement (4 of 5)
• Work and retirement in other countries
– 33 percent of those in their sixties and 11
percent in their seventies are still working
– Increasing number of adults are beginning to
reject the early retirement option
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Work and Retirement (5 of 5)
• Adjustment to retirement
– Older adults who adjust best to retirement are:
 Healthy
 Active and have adequate income
 Better educated
 Have extended social networks and family
 Satisfied with their lives before retiring
 Flexible and plan key factors
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (1 of 8)
• Depression
• Dementia, Alzheimer disease, and other
afflictions
• Fear of victimization, crime, and elder
maltreatment
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (2 of 8)
• Major depression: Mood disorder in which the
individual is deeply unhappy, demoralized, self-
derogatory, and bored
– Less common among older adults than younger
adults
– Common predictors
 Earlier depressive symptoms
 Poor health or disability
 Loss events
 Low social support
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (3 of 8)
• Dementia: Neurological disorder in which
primary symptoms involve a deterioration of
mental functioning
– 23 percent of women and 17 percent of men 85
years and older are at risk for developing
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (4 of 8)
• Alzheimer’s disease: Gradual deterioration of
memory, reasoning, language, and eventually,
physical function
– Women are more likely to develop Alzheimer’s
disease because they live longer than men
– Alzheimer’s involves a deficiency in the brain of
messenger chemical acetylcholine
– Formation of amyloid plaques and neurofibrillary
tangles
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (5 of 8)
– Early detection and drug treatment
 Mild Cognitive Impairment (MCI) represents a
transitional state between the cognitive changes of
normal aging and very early disease
 fMRI shows smaller brain regions involved in
memory for individuals with MCI
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (6 of 8)
– Drug treatment of Alzheimer’s disease
 Cholinerase inhibitors and other drugs slow the
downward progression of the disease
– Caring for individuals with Alzheimer’s disease
 Support is often emotionally and physically
draining for the family
 Respite care - Services that provide temporary
relief for those who are caring for individuals with
disabilities, illnesses, or the elderly
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (7 of 8)
– Parkinson’s disease: Chronic, progressive disease
characterized by muscle tremors, slowing of
movement, and partial facial paralysis
 Triggered by the degeneration of dopamine-
producing neurons in the brain
 Several treatments are available
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Mental Health (8 of 8)
• Fear of victimization, crime, and elder
maltreatment
– Older adults receive disproportionately fewer
mental health services
– Psychologists prefer to work with YAVISes rather
than QUOIDs
– Mental health care needs to be more available
and affordable for older adults
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Two Brains: Normal Aging and
Alzheimer Disease
Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without
the prior written consent of McGraw-Hill Education.
Religion and Spirituality
• Older adults are spiritual leaders in many
societies around the world
• Older adults have higher levels of life
satisfaction, self-esteem, and optimism
• Religion can provide some important
psychological needs in older adults

More Related Content

What's hot

Santrock lsd14e ppt_ch12
Santrock lsd14e ppt_ch12Santrock lsd14e ppt_ch12
Santrock lsd14e ppt_ch12TheSlaps
 
Santrock lsd14e ppt_ch6
Santrock lsd14e ppt_ch6Santrock lsd14e ppt_ch6
Santrock lsd14e ppt_ch6TheSlaps
 
Santrock lsd14e ppt_ch13
Santrock lsd14e ppt_ch13Santrock lsd14e ppt_ch13
Santrock lsd14e ppt_ch13TheSlaps
 
Santrock essentials4e ppt_ch09
Santrock essentials4e ppt_ch09Santrock essentials4e ppt_ch09
Santrock essentials4e ppt_ch09stanbridge
 
Santrock lsd14e ppt_ch15
Santrock lsd14e ppt_ch15Santrock lsd14e ppt_ch15
Santrock lsd14e ppt_ch15TheSlaps
 
Santrock lsd14e ppt_ch9
Santrock lsd14e ppt_ch9Santrock lsd14e ppt_ch9
Santrock lsd14e ppt_ch9TheSlaps
 
Santrock.dev psych.chpt 10.keynote
Santrock.dev psych.chpt 10.keynoteSantrock.dev psych.chpt 10.keynote
Santrock.dev psych.chpt 10.keynotejhoegh
 
Santrock lsd14e ppt_ch14
Santrock lsd14e ppt_ch14Santrock lsd14e ppt_ch14
Santrock lsd14e ppt_ch14TheSlaps
 
Santrock lsd14e ppt_ch7
Santrock lsd14e ppt_ch7Santrock lsd14e ppt_ch7
Santrock lsd14e ppt_ch7TheSlaps
 
Bee & Boyd, Lifespan Development, Chapter 8
Bee & Boyd, Lifespan Development, Chapter 8Bee & Boyd, Lifespan Development, Chapter 8
Bee & Boyd, Lifespan Development, Chapter 8cjosek
 
Santrock essentials5e ppt_ch03
Santrock essentials5e ppt_ch03Santrock essentials5e ppt_ch03
Santrock essentials5e ppt_ch03watsonh
 
Santrock lsd14e ppt_ch11
Santrock lsd14e ppt_ch11Santrock lsd14e ppt_ch11
Santrock lsd14e ppt_ch11TheSlaps
 
Santrock lsd14e ppt_ch20
Santrock lsd14e ppt_ch20Santrock lsd14e ppt_ch20
Santrock lsd14e ppt_ch20TheSlaps
 
Santrock essentials5e ppt_ch10
Santrock essentials5e ppt_ch10Santrock essentials5e ppt_ch10
Santrock essentials5e ppt_ch10watsonh
 
Santrock essentials5e ppt_ch04
Santrock essentials5e ppt_ch04Santrock essentials5e ppt_ch04
Santrock essentials5e ppt_ch04watsonh
 
Santrock lsd14e ppt_ch4
Santrock lsd14e ppt_ch4Santrock lsd14e ppt_ch4
Santrock lsd14e ppt_ch4TheSlaps
 
Santrock essentials5e ppt_ch07
Santrock essentials5e ppt_ch07Santrock essentials5e ppt_ch07
Santrock essentials5e ppt_ch07watsonh
 
Bee & Boyd, Lifespan Development, Chapter 17
Bee & Boyd, Lifespan Development, Chapter 17Bee & Boyd, Lifespan Development, Chapter 17
Bee & Boyd, Lifespan Development, Chapter 17cjosek
 
Lifespan Psychology Module 6 Middle Childhood Powerpoint
Lifespan Psychology Module 6 Middle Childhood PowerpointLifespan Psychology Module 6 Middle Childhood Powerpoint
Lifespan Psychology Module 6 Middle Childhood PowerpointLumen Learning
 
Santrock lsd14e ppt_ch5
Santrock lsd14e ppt_ch5Santrock lsd14e ppt_ch5
Santrock lsd14e ppt_ch5TheSlaps
 

What's hot (20)

Santrock lsd14e ppt_ch12
Santrock lsd14e ppt_ch12Santrock lsd14e ppt_ch12
Santrock lsd14e ppt_ch12
 
Santrock lsd14e ppt_ch6
Santrock lsd14e ppt_ch6Santrock lsd14e ppt_ch6
Santrock lsd14e ppt_ch6
 
Santrock lsd14e ppt_ch13
Santrock lsd14e ppt_ch13Santrock lsd14e ppt_ch13
Santrock lsd14e ppt_ch13
 
Santrock essentials4e ppt_ch09
Santrock essentials4e ppt_ch09Santrock essentials4e ppt_ch09
Santrock essentials4e ppt_ch09
 
Santrock lsd14e ppt_ch15
Santrock lsd14e ppt_ch15Santrock lsd14e ppt_ch15
Santrock lsd14e ppt_ch15
 
Santrock lsd14e ppt_ch9
Santrock lsd14e ppt_ch9Santrock lsd14e ppt_ch9
Santrock lsd14e ppt_ch9
 
Santrock.dev psych.chpt 10.keynote
Santrock.dev psych.chpt 10.keynoteSantrock.dev psych.chpt 10.keynote
Santrock.dev psych.chpt 10.keynote
 
Santrock lsd14e ppt_ch14
Santrock lsd14e ppt_ch14Santrock lsd14e ppt_ch14
Santrock lsd14e ppt_ch14
 
Santrock lsd14e ppt_ch7
Santrock lsd14e ppt_ch7Santrock lsd14e ppt_ch7
Santrock lsd14e ppt_ch7
 
Bee & Boyd, Lifespan Development, Chapter 8
Bee & Boyd, Lifespan Development, Chapter 8Bee & Boyd, Lifespan Development, Chapter 8
Bee & Boyd, Lifespan Development, Chapter 8
 
Santrock essentials5e ppt_ch03
Santrock essentials5e ppt_ch03Santrock essentials5e ppt_ch03
Santrock essentials5e ppt_ch03
 
Santrock lsd14e ppt_ch11
Santrock lsd14e ppt_ch11Santrock lsd14e ppt_ch11
Santrock lsd14e ppt_ch11
 
Santrock lsd14e ppt_ch20
Santrock lsd14e ppt_ch20Santrock lsd14e ppt_ch20
Santrock lsd14e ppt_ch20
 
Santrock essentials5e ppt_ch10
Santrock essentials5e ppt_ch10Santrock essentials5e ppt_ch10
Santrock essentials5e ppt_ch10
 
Santrock essentials5e ppt_ch04
Santrock essentials5e ppt_ch04Santrock essentials5e ppt_ch04
Santrock essentials5e ppt_ch04
 
Santrock lsd14e ppt_ch4
Santrock lsd14e ppt_ch4Santrock lsd14e ppt_ch4
Santrock lsd14e ppt_ch4
 
Santrock essentials5e ppt_ch07
Santrock essentials5e ppt_ch07Santrock essentials5e ppt_ch07
Santrock essentials5e ppt_ch07
 
Bee & Boyd, Lifespan Development, Chapter 17
Bee & Boyd, Lifespan Development, Chapter 17Bee & Boyd, Lifespan Development, Chapter 17
Bee & Boyd, Lifespan Development, Chapter 17
 
Lifespan Psychology Module 6 Middle Childhood Powerpoint
Lifespan Psychology Module 6 Middle Childhood PowerpointLifespan Psychology Module 6 Middle Childhood Powerpoint
Lifespan Psychology Module 6 Middle Childhood Powerpoint
 
Santrock lsd14e ppt_ch5
Santrock lsd14e ppt_ch5Santrock lsd14e ppt_ch5
Santrock lsd14e ppt_ch5
 

Similar to Santrock 16e ch18_accessible

Santrock 16e ch09_accessible
Santrock 16e ch09_accessibleSantrock 16e ch09_accessible
Santrock 16e ch09_accessiblelightdark13
 
Santrock 16e ch15_accessible
Santrock 16e ch15_accessibleSantrock 16e ch15_accessible
Santrock 16e ch15_accessiblelightdark13
 
Santrock 16e ch07_accessible
Santrock 16e ch07_accessibleSantrock 16e ch07_accessible
Santrock 16e ch07_accessiblelightdark13
 
Santrock 16e ch11_accessible
Santrock 16e ch11_accessibleSantrock 16e ch11_accessible
Santrock 16e ch11_accessiblelightdark13
 
Santrock 16e ch16_accessible
Santrock 16e ch16_accessibleSantrock 16e ch16_accessible
Santrock 16e ch16_accessiblelightdark13
 
Santrock 16e ch10_accessible
Santrock 16e ch10_accessibleSantrock 16e ch10_accessible
Santrock 16e ch10_accessiblelightdark13
 
Santrock 16e ch04_accessible
Santrock 16e ch04_accessibleSantrock 16e ch04_accessible
Santrock 16e ch04_accessiblelightdark13
 
Santrock 16e ch05_accessible
Santrock 16e ch05_accessibleSantrock 16e ch05_accessible
Santrock 16e ch05_accessiblelightdark13
 
Santrock 16e ch01_accessible
Santrock 16e ch01_accessibleSantrock 16e ch01_accessible
Santrock 16e ch01_accessiblelightdark13
 
An early years curriculum that provides opportunities for children to thrive
An early years curriculum that provides opportunities for children to thriveAn early years curriculum that provides opportunities for children to thrive
An early years curriculum that provides opportunities for children to thriveDr Julian Grenier
 
Santrock 16e ch14_accessible
Santrock 16e ch14_accessibleSantrock 16e ch14_accessible
Santrock 16e ch14_accessiblelightdark13
 
Santrock 16e ch12_accessible
Santrock 16e ch12_accessibleSantrock 16e ch12_accessible
Santrock 16e ch12_accessiblelightdark13
 
Santrock 16e ch08_accessible
Santrock 16e ch08_accessibleSantrock 16e ch08_accessible
Santrock 16e ch08_accessiblelightdark13
 
CHAPTER 9 –AUTONOMYADOLESCENCE, 11E
CHAPTER 9 –AUTONOMYADOLESCENCE, 11ECHAPTER 9 –AUTONOMYADOLESCENCE, 11E
CHAPTER 9 –AUTONOMYADOLESCENCE, 11EJinElias52
 
9 10 middle late childhood
9 10 middle late childhood9 10 middle late childhood
9 10 middle late childhoodjessicayanes
 
Santrock 16e ch13_accessible
Santrock 16e ch13_accessibleSantrock 16e ch13_accessible
Santrock 16e ch13_accessiblelightdark13
 
PD2012 LD
PD2012 LDPD2012 LD
PD2012 LDejve22
 

Similar to Santrock 16e ch18_accessible (20)

Santrock 16e ch09_accessible
Santrock 16e ch09_accessibleSantrock 16e ch09_accessible
Santrock 16e ch09_accessible
 
Santrock 16e ch15_accessible
Santrock 16e ch15_accessibleSantrock 16e ch15_accessible
Santrock 16e ch15_accessible
 
Santrock 16e ch07_accessible
Santrock 16e ch07_accessibleSantrock 16e ch07_accessible
Santrock 16e ch07_accessible
 
Santrock 16e ch11_accessible
Santrock 16e ch11_accessibleSantrock 16e ch11_accessible
Santrock 16e ch11_accessible
 
Santrock 16e ch16_accessible
Santrock 16e ch16_accessibleSantrock 16e ch16_accessible
Santrock 16e ch16_accessible
 
Santrock 16e ch10_accessible
Santrock 16e ch10_accessibleSantrock 16e ch10_accessible
Santrock 16e ch10_accessible
 
Santrock 16e ch04_accessible
Santrock 16e ch04_accessibleSantrock 16e ch04_accessible
Santrock 16e ch04_accessible
 
Santrock 16e ch05_accessible
Santrock 16e ch05_accessibleSantrock 16e ch05_accessible
Santrock 16e ch05_accessible
 
Santrock 16e ch01_accessible
Santrock 16e ch01_accessibleSantrock 16e ch01_accessible
Santrock 16e ch01_accessible
 
Lifespan Development Ch 1
Lifespan Development Ch 1Lifespan Development Ch 1
Lifespan Development Ch 1
 
An early years curriculum that provides opportunities for children to thrive
An early years curriculum that provides opportunities for children to thriveAn early years curriculum that provides opportunities for children to thrive
An early years curriculum that provides opportunities for children to thrive
 
Santrock 16e ch14_accessible
Santrock 16e ch14_accessibleSantrock 16e ch14_accessible
Santrock 16e ch14_accessible
 
Santrock 16e ch12_accessible
Santrock 16e ch12_accessibleSantrock 16e ch12_accessible
Santrock 16e ch12_accessible
 
Santrock 16e ch08_accessible
Santrock 16e ch08_accessibleSantrock 16e ch08_accessible
Santrock 16e ch08_accessible
 
CHAPTER 9 –AUTONOMYADOLESCENCE, 11E
CHAPTER 9 –AUTONOMYADOLESCENCE, 11ECHAPTER 9 –AUTONOMYADOLESCENCE, 11E
CHAPTER 9 –AUTONOMYADOLESCENCE, 11E
 
9 10 middle late childhood
9 10 middle late childhood9 10 middle late childhood
9 10 middle late childhood
 
Santrock 16e ch13_accessible
Santrock 16e ch13_accessibleSantrock 16e ch13_accessible
Santrock 16e ch13_accessible
 
PD2012 LD
PD2012 LDPD2012 LD
PD2012 LD
 
Bateman12eChapter13ADAkp.pptx
Bateman12eChapter13ADAkp.pptxBateman12eChapter13ADAkp.pptx
Bateman12eChapter13ADAkp.pptx
 
DEP2004 Chapter 6
DEP2004 Chapter 6DEP2004 Chapter 6
DEP2004 Chapter 6
 

Recently uploaded

Difference Between Search & Browse Methods in Odoo 17
Difference Between Search & Browse Methods in Odoo 17Difference Between Search & Browse Methods in Odoo 17
Difference Between Search & Browse Methods in Odoo 17Celine George
 
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptxMULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptxAnupkumar Sharma
 
Employee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptxEmployee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptxNirmalaLoungPoorunde1
 
Earth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice greatEarth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice greatYousafMalik24
 
How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17Celine George
 
Keynote by Prof. Wurzer at Nordex about IP-design
Keynote by Prof. Wurzer at Nordex about IP-designKeynote by Prof. Wurzer at Nordex about IP-design
Keynote by Prof. Wurzer at Nordex about IP-designMIPLM
 
How to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERPHow to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERPCeline George
 
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdfLike-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdfMr Bounab Samir
 
DATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginnersDATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginnersSabitha Banu
 
Atmosphere science 7 quarter 4 .........
Atmosphere science 7 quarter 4 .........Atmosphere science 7 quarter 4 .........
Atmosphere science 7 quarter 4 .........LeaCamillePacle
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...Nguyen Thanh Tu Collection
 
Types of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptxTypes of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptxEyham Joco
 
Judging the Relevance and worth of ideas part 2.pptx
Judging the Relevance  and worth of ideas part 2.pptxJudging the Relevance  and worth of ideas part 2.pptx
Judging the Relevance and worth of ideas part 2.pptxSherlyMaeNeri
 
Introduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher EducationIntroduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher Educationpboyjonauth
 
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdfAMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdfphamnguyenenglishnb
 
Framing an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdf
Framing an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdfFraming an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdf
Framing an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdfUjwalaBharambe
 
Romantic Opera MUSIC FOR GRADE NINE pptx
Romantic Opera MUSIC FOR GRADE NINE pptxRomantic Opera MUSIC FOR GRADE NINE pptx
Romantic Opera MUSIC FOR GRADE NINE pptxsqpmdrvczh
 
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...JhezDiaz1
 
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptxECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptxiammrhaywood
 

Recently uploaded (20)

Difference Between Search & Browse Methods in Odoo 17
Difference Between Search & Browse Methods in Odoo 17Difference Between Search & Browse Methods in Odoo 17
Difference Between Search & Browse Methods in Odoo 17
 
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptxMULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
 
Employee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptxEmployee wellbeing at the workplace.pptx
Employee wellbeing at the workplace.pptx
 
Earth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice greatEarth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice great
 
How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17
 
Keynote by Prof. Wurzer at Nordex about IP-design
Keynote by Prof. Wurzer at Nordex about IP-designKeynote by Prof. Wurzer at Nordex about IP-design
Keynote by Prof. Wurzer at Nordex about IP-design
 
How to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERPHow to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERP
 
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdfLike-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
 
DATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginnersDATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginners
 
Atmosphere science 7 quarter 4 .........
Atmosphere science 7 quarter 4 .........Atmosphere science 7 quarter 4 .........
Atmosphere science 7 quarter 4 .........
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
 
OS-operating systems- ch04 (Threads) ...
OS-operating systems- ch04 (Threads) ...OS-operating systems- ch04 (Threads) ...
OS-operating systems- ch04 (Threads) ...
 
Types of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptxTypes of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptx
 
Judging the Relevance and worth of ideas part 2.pptx
Judging the Relevance  and worth of ideas part 2.pptxJudging the Relevance  and worth of ideas part 2.pptx
Judging the Relevance and worth of ideas part 2.pptx
 
Introduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher EducationIntroduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher Education
 
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdfAMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
 
Framing an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdf
Framing an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdfFraming an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdf
Framing an Appropriate Research Question 6b9b26d93da94caf993c038d9efcdedb.pdf
 
Romantic Opera MUSIC FOR GRADE NINE pptx
Romantic Opera MUSIC FOR GRADE NINE pptxRomantic Opera MUSIC FOR GRADE NINE pptx
Romantic Opera MUSIC FOR GRADE NINE pptx
 
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
ENGLISH 7_Q4_LESSON 2_ Employing a Variety of Strategies for Effective Interp...
 
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptxECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
 

Santrock 16e ch18_accessible

  • 1. LIFE-SPAN DEVELOPMENT Sixteenth Edition Chapter 18 Cognitive Development in Late Adulthood Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
  • 2. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Chapter Outline • Cognitive functioning in older adults • Language development • Work and retirement • Mental health • Religion and spirituality
  • 3. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Theorized Age Changes in Cognitive Mechanics and Cognitive Pragmatics
  • 4. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (1 of 12) • Multidimensionality and multi-directionality • Education, work, and health • Use it or lose it • Training cognitive skills • Cognitive neuroscience and aging
  • 5. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (2 of 12) • Multidimensionality and multi-directionality – Cognitive mechanics: Hardware of the mind, reflecting the neurophysiological architecture of the brain  Involve speed and accuracy of the processes – Cognitive pragmatics: Culture-based software programs of the mind  Include reading and writing skills, language comprehension, educational qualifications, professional skills, and types of knowledge that help to master or cope with life
  • 6. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (3 of 12) – Speed of processing  Considerable individual variation in this ability due to a decline in functioning of the brain and central nervous system – Attention  Selective attention: Focusing on a specific aspect of experience that is relevant while ignoring others
  • 7. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (4 of 12)  Divided attention: Concentrating on more than one activity at the same time  Sustained attention: Focused and extended engagement with an aspect of the environment  Executive attention: Aspects of thinking that include planning actions, allocating attention to goals, detecting and compensating for errors, monitoring progress on tasks, and dealing with novel or difficult circumstances
  • 8. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (5 of 12) – Memory  Explicit memory: Facts and experiences that individuals consciously know and can state o Declines as the person ages o Episodic memory: Retention of information about the where and when of life’s happenings o Semantic memory: Person’s knowledge about the world  Implicit memory: Memory without conscious recollection that involves skills and routine procedures that are automatically performed o Less likely to be adversely affected by aging
  • 9. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (6 of 12) – Working memory and perceptual speed - Cognitive resource mechanisms that decline as the person ages – Source memory: Ability to remember where one learned something – Prospective memory: Remembering to do something in the future – Noncognitive factors - Health, education, and socioeconomic status influence an older adult’s performance on memory tasks
  • 10. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (7 of 12) – Executive functioning - Aspects of working memory that decline in older adults involve:  Updating memory representations that are relevant for the task at hand  Replacing old, no longer relevant information – Decision making - Preserved rather well in older adults
  • 11. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (8 of 12) – Wisdom: Expert knowledge about the practical aspects of life that permits excellent judgment about important matters  High levels of wisdom are rare  Late adolescence to early adulthood is the main age window for wisdom to emerge  Factors other than age are critical for wisdom to develop to a high level  Personality-related factors are better predictors of wisdom than cognitive factors
  • 12. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (9 of 12) • Education, work, and health – Education  Successive generations in America’s 20th century were better educated – Work  Successive generations have placed a stronger emphasis on cognitively oriented labor – Health  Successive generations have been healthier in late adulthood  Terminal decline - Best described as slow and steady
  • 13. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (10 of 12) • Use it or lose it – Mental activities can benefit the maintenance of cognitive skills  Reading books, doing crossword puzzles, going to lectures and concerts – Research suggests that mental exercise may:  Reduce cognitive decline  Lower the likelihood of developing Alzheimer’s disease
  • 14. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (11 of 12) • Training cognitive skills – Improve the cognitive skills of older adults – Some loss in plasticity in late adulthood, especially in the oldest-old – Cognitive vitality of older adults can be improved through cognitive and physical fitness training
  • 15. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Cognitive Functioning in Older Adults (12 of 12) • Cognitive neuroscience and aging – Cognitive neuroscience - Discipline that studies links between the brain and cognitive functioning – Changes in the brain can influence cognitive functioning, and changes in cognitive functioning can influence the brain
  • 16. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. The Relation of Age to Reaction Time
  • 17. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Language Development • Decrements in language may appear in late adulthood – Tip-of-the-tongue phenomenon – Difficulty understanding speech • Speech of older adults is lower in volume, slower, less precisely articulated, and less fluent • Reason for decline in language – Slower information processing speed – Decline in working memory
  • 18. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Work and Retirement (1 of 5) • Work • Retirement in the United States and in Other Countries • Adjustment to Retirement
  • 19. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Work and Retirement (2 of 5) • Work – Cognitive ability is one of the best predictors of job performance in older adults – Older workers have lower rates of absenteeism, fewer accidents, and higher job satisfaction than their younger counterparts
  • 20. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Work and Retirement (3 of 5) • Retirement in the U.S. – On average, workers will spend 10 to 15 percent of their lives in retirement – Life paths for individuals in their sixties are less clear – Seven million retired Americans return to work after they retire
  • 21. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Work and Retirement (4 of 5) • Work and retirement in other countries – 33 percent of those in their sixties and 11 percent in their seventies are still working – Increasing number of adults are beginning to reject the early retirement option
  • 22. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Work and Retirement (5 of 5) • Adjustment to retirement – Older adults who adjust best to retirement are:  Healthy  Active and have adequate income  Better educated  Have extended social networks and family  Satisfied with their lives before retiring  Flexible and plan key factors
  • 23. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (1 of 8) • Depression • Dementia, Alzheimer disease, and other afflictions • Fear of victimization, crime, and elder maltreatment
  • 24. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (2 of 8) • Major depression: Mood disorder in which the individual is deeply unhappy, demoralized, self- derogatory, and bored – Less common among older adults than younger adults – Common predictors  Earlier depressive symptoms  Poor health or disability  Loss events  Low social support
  • 25. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (3 of 8) • Dementia: Neurological disorder in which primary symptoms involve a deterioration of mental functioning – 23 percent of women and 17 percent of men 85 years and older are at risk for developing
  • 26. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (4 of 8) • Alzheimer’s disease: Gradual deterioration of memory, reasoning, language, and eventually, physical function – Women are more likely to develop Alzheimer’s disease because they live longer than men – Alzheimer’s involves a deficiency in the brain of messenger chemical acetylcholine – Formation of amyloid plaques and neurofibrillary tangles
  • 27. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (5 of 8) – Early detection and drug treatment  Mild Cognitive Impairment (MCI) represents a transitional state between the cognitive changes of normal aging and very early disease  fMRI shows smaller brain regions involved in memory for individuals with MCI
  • 28. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (6 of 8) – Drug treatment of Alzheimer’s disease  Cholinerase inhibitors and other drugs slow the downward progression of the disease – Caring for individuals with Alzheimer’s disease  Support is often emotionally and physically draining for the family  Respite care - Services that provide temporary relief for those who are caring for individuals with disabilities, illnesses, or the elderly
  • 29. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (7 of 8) – Parkinson’s disease: Chronic, progressive disease characterized by muscle tremors, slowing of movement, and partial facial paralysis  Triggered by the degeneration of dopamine- producing neurons in the brain  Several treatments are available
  • 30. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Mental Health (8 of 8) • Fear of victimization, crime, and elder maltreatment – Older adults receive disproportionately fewer mental health services – Psychologists prefer to work with YAVISes rather than QUOIDs – Mental health care needs to be more available and affordable for older adults
  • 31. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Two Brains: Normal Aging and Alzheimer Disease
  • 32. Copyright © 2017 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Religion and Spirituality • Older adults are spiritual leaders in many societies around the world • Older adults have higher levels of life satisfaction, self-esteem, and optimism • Religion can provide some important psychological needs in older adults