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Slide 1: 

Nursing Across the Life Span Potter & Perry Chapters 13-14 Ms. Elisabeth May, RN, MSN/MHA

Developmental Theories : 

Developmental Theories Perspectives on Adult Development pg 142 Psychosocial Theories chap 11 Disengagement, activity, and continuity Erikson pg 140 Biophysical Developmental Theories Theories of Aging pg 194 Stochastic and nonstochastic theories

Developmental Theories : 

Developmental Theories Provide a framework for examining, describing, and appreciating human development. Help nurses assess and treat a client's response to illness. pg 178 & 137

Perspectives on Adult Development : 

Perspectives on Adult Development Human development is lifelong Lifespan perspective Changes are slower Roger Gould Four themes

Psychoanalytic/Psychosocial Theory : 

Psychoanalytic/Psychosocial Theory Describes development from personality, cognitive, and behavioral perspectives Erik Erikson Identified eight stages of development Stage 6-8 addresses young adult-> older adult

Theories of Aging : 

Theories of Aging Biological theories Stochastic or nonstochastic Psychosocial theories Disengagement Activity Continuity (developmental theory)

Young Adult : 

Young Adult Physical changes Growth completed by the age of 20 Cognitive changes Critical thinking habits increase

Psychosocial Changes : 

Psychosocial Changes

Health Risks : 

Health Risks

Health Concerns : 

Health Concerns

Acute Care : 

Acute Care Treatment for accidents, substance abuse, exposure to environment, stress-related illnesses, respiratory infections, influenza, urinary tract infections, and conditions requiring minor surgery Education is important

Restorative and Continuing Care : 

Restorative and Continuing Care Hypertension, coronary artery disease, accidents, rheumatoid arthritis, AIDS, and cancer Nursing interventions relate to sense of identify, establishment of independence, reorganization of relationships

Middle Adult : 

Middle Adult Begins in the mid 30s and lasts through the late 60s Physical changes May impact self-concept and body image Cognitive changes Rare, unless illness or trauma occurs

Psychosocial Changes : 

Psychosocial Changes Expected events Sandwich generation Career transition Family psychosocial events

Health Concern : 

Health Concern

Acute and Restorative Care : 

Acute and Restorative Care Recovering from an injury or illness may take longer. Chronic illnesses affect roles and responsibilities.

Variability Among Older Adults : 

Variability Among Older Adults Physiological, cognitive, and psychosocial health Levels of functional ability Dependence vs. independence Strengths and abilities

Myth and Stereotypes : 

Myth and Stereotypes Older adults are: Ill, disabled, and unattractive Forgetful, confused, rigid, boring, unfriendly Unable to learn and understand new information Not interested in sex or sexual activities

Nurses’ Attitudes Toward Older Adults : 

Nurses’ Attitudes Toward Older Adults Nurses need to recognize and address ageism by questioning prevailing negative attitudes and stereotypes and emphasizing what really happens during the aging process.

Developmental Tasks for Older Adults : 

Developmental Tasks for Older Adults Linked to the concept of developmental tasks appropriate for stages in life Loss of health, significant others, socialization, income, independence Physiological, structural, and functional changes Redefining relationships

Community-Based and Institutional Health Care Services : 

Community-Based and Institutional Health Care Services Older adults are cared for in: Private homes, apartments, retirement communities, adult day care centers, assisted living facilities, and nursing centers Older adults need to help with decisions regarding which type of health care service is appropriate for them.

Assessing the Needs of Older Adults : 

Assessing the Needs of Older Adults The interrelation between physical and psychosocial aspects of aging Effects of disease and disability on functional status Decreased efficiency of homeostatic mechanisms Lack of standards for defining health/illness norms Altered presentation and response to specific disease

Physiological Changes : 

Physiological Changes Older clients’ concept of health revolves around how the perceive their ability to function. Not all physiological changes are pathological. Nurses need to be cognizant of normal age-related changes.

Addressing the Health Concerns of Older Adults : 

Addressing the Health Concerns of Older Adults Three common causes of death: Heart disease Cancer Cerebrovascular disease Other causes include: Lung disease, accidents, diabetes, kidney and liver disease All of these conditions have preventive measures.

Health Promotion and Maintenance: Physiological : 

Health Promotion and Maintenance: Physiological

Health Promotion and Maintenance: Psychosocial Health Concerns : 

Health Promotion and Maintenance: Psychosocial Health Concerns

Older Adults and the Acute Care Setting : 

Older Adults and the Acute Care Setting Poses risks for adverse events: Delirium Dehydration Malnutrition Health care–acquired infections Urinary incontinence Falls

Older Adults and Restorative Care : 

Older Adults and Restorative Care Continues the recovery from acute illness Addresses chronic conditions that affect daily functioning Aim of care To regain or improve prior level of independence, ADLs