Slide 1Summary of Last Week’s WorkStudent Learning OutcomesConsidering our readings…Health & Older AdultsWellness …What do you think of these statements? [Van Leuven, 2010]Successful aging …Healthy People 2020Health Behaviors …Promoting Healthy AgingHealth Risks for Older AdultsHealth Risks for Older AdultsMaximizing Health & Wellness in Older AdultsMaximizing Health ---Older Inmates’ Pursuit of Good HealthOlder Inmates’ Pursuit of Good HealthOlder Inmates’ Pursuit of Good HealthQuestion for each of you …Key Concepts …Key Concepts …Physiological Changes …Physiological Changes …A Review ---A Review ---A Review ---A Review ---Key Concepts …“Granny Pods”Elder Friendly CommunitiesElder Friendly Communities“Niche Aging”Culture-Gender-AgingThe Gerontological ExplosionHealth Disparities & Older AdultsGenderLEARN Model for Ethnic EldersLearning in Late LifeDesire to Learn RemainsBarriers to Lifelong LearningKey Concepts …Module 3Promoting Healthy AgingPhysiological ChangesCultural Diversity in Aging PopulationSummary of Last Week’s Work•85 y/o fastest growing group of OA•Negative stereotyping of OA – ageism, even by own family members•Senescence – deterioration with age – biological theories!•Theories of Aging: Disengagement (cultural issues); Immunity theory (increase in auto-immune diseases for OAs); Psychosocial (retirement plans, role changes)•Communication Issues: youngsters not exposed to OA may have distorted view; always talk with OA first; use technology – show & tell; hearing loss issues; takes time to answer questions; enjoy OA story-telling/sharing life experiences.Student Learning Outcomes •Describe the health status of older adults.•Discuss the multidimensional nature of wellness.•Identify recommended health promotion & disease prevention strategies for older adults.•Describe the role of the nurse in enhancing the health of older adults.•Identify and discuss the normal age-related changes to the human physiological systems.•Discuss the implications of the normal age-related changes on the promotion of healthy aging.•Recognize the current knowledge related to health disparities & their potential impact on older adults of color and women.•Discuss approaches that facilitate an appreciation of diverse cultural and ethnic experiences.Considering our readings…Do most older adults believe there is a state of wellness in spite of physical illness?What do older adults believe about the concept of “wellness”?Health & Older Adults•How do we currently measure this?•What do tables & figures about illness typically tell us?•How does physical function fit into this???•Why does this holistic concept of “health” matter for nurses?Wellness …•Involves whole being – physical, emotional, spiritual, intellectual, environmental, occupational, and social.•Health is just one aspect in the achievement of wellness.•Do you agree that wellness is the best achievable balance between one’s environment, internal and external, and one’s emotional, spiritual, cultural, and physical processes?What do you think of these statements? [Van Leuven, 2010]•Older adults who view themselves as healthy have a similar profile of diagnoses, medications, and functional capacity as those who do not self–rate as healthy.•Self-rated healthy older adults are more engaged with their family and community than older adults who self-evaluate as being in fair or poor health.•Self-rated healthy older adults exhibit more resilience when coping with change.Successful aging …•Three components according to researchers [Rowe & Kahn, 1997]•Low probability of disease & disease-related disability•High cognitive & physiological functional capacity•Active engagement with lifeHealthy People 2020•Older adults have been added as a new topic area in HP 2020!•Goal is to improve health, function, & QoL while eliminating health disparities.•See your textbook for the description of overarching goals & summary of objectives [p.24]Health Behaviors …•Think about health behaviors of older adults … promote health & prevent disability•Minimize loss of independence associated with illness•Hold off functional decline•“Self-Management” – physical activity, nutrition, tobacco & alcohol use, safety measures related to falls and driving•Immunizations•Mental health – “GDS” •What are primary versus secondary disease prevention measures?Promoting Healthy AgingHow do the following impact an older adult’s health? Quality of life?•“Home” – housing options•Self-care abilities – IADLs & ADLs•Role transitions or reversals – driving? grandparenting?•Spiritual influencesHealth Risks for Older Adults•Medicare Prevention screenings•What do you think about these?•Do they work? •Do older adults take advantage? •Do primary care providers actually ensure they are done?•https://mymedicare.gov/Health Risks for Older Adults•What are the barriers? •What are the facilitators? •To accessing health promotion and disease prevention – that is “risk reduction” – services among older adults?Maximizing Health & Wellness in Older Adults•Why do nurses need to care about this?•What are the implications for the community, state, & nation – healthcare system - of maximizing an older adult’s health & wellness?•http://www.ocf.berkeley.edu/~fncchen/blog/?p=397Maximizing Health ---“Beautiful young people are accidents of nature, but beautiful old people are works of art.” Eleanor Roosevelt, 1884-1962Older Inmates’ Pursuit of Good Health•At end of 2008, 158,600 inmates ≥ 50 years ~ 10% of prison population•Expected to grow to30% in 2030•Vulnerable group•DevaluedOlder Inmates’ Pursuit of Good Health•Chronic disease management•Health care prior to incarceration•Impoverished lives; drug/alcohol abuse•Stress of prison life; protecting self•Nutrition issues; physical activity limitations•Costs•Lack of privacy to talk with PCPOlder Inmates’ Pursuit of Good Health•Challenges for prison system•Cost/money issues or both prisoners (co-pays) and prisons•Prison personnel/policies•Food concerns•Fellow inmates•Personal challenges – motivation, strength•Accessing resources and supportQuestion for each of you …•What is your perception about your potential for healthy aging?Key Concepts …•Wellness is a concept, not a condition. It is human