Gerontology Notes-2.pdf

9 million older men women currently outlive men by

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There are 21 million older women and 14.9 million older men Women currently outlive men by approximately 7 years, but projections to the year 2025 show this gap increasing to 15 years Today’s old er adult population is more technologically sophisticated ECONOMICS OF AGING Some of the poorest people in the country are old, but so are some of the richest As of 2003, 10% of older adult households had an income of less than $15,000, whereas 17% had an income of more than $75,000 The median income of households headed by a person 65 years of age or older was approximately $32,700 IMPACT OF AGING MEMBERS ON THE FAMILY It is estimated that 80% of older adults who need care will receive assistance from their families Middle-aged family members often become the caregivers Typically, sons contribute financially, but the brunt of the emotional and physical care burden falls to daughters Children often take older parents into their homes when the older parents can no longer maintain their own houses or apartments Loss of independence is probably the most significant issue that aging parents and their children must face The Nurse and Family Interactions The older adults we care for are often very ill or infirm and, as nurses, we tend to focus on their physical needs, cares, and treatments
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In our preoccupation with our duties, we can easily lose our perspective of the older patient as both a person and a member of a family Some families show a great deal of interest and concern for their aging members, visiting regularly and interacting with the patient and the staff Other older individuals may never have family members visit them Self-Neglect Defined as failure to provide for the self because of a lack of ability or lack of awareness More likely to be seen when an older person has few or no close family or friends, but it can occur despite their presence Most likely to be recognized by neighbors and reported to the police, public health nurse, or social worker Often connected with some form of mental illness or dementia Abuse or Neglect by the Family Physical abuse Older adults with chronic disabilities are more likely to be the victim of abuse. Any action that causes physical pain or injury Neglect A passive form of abuse in which caregivers fail to provide for the needs of the older person under their care Emotional abuse Includes behaviors such as isolating, ignoring, or depersonalizing older adults Abuse or Neglect by the Family Financial abuse The resources of an older person are stolen or misused by a person whom the older adult trusts
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Abandonment Occurs when dependent older persons are deserted by the person(s) responsible for their custody or care under circumstances in which a reasonable person would continue to provide care Responses to abuse Fear of being treated even worse or fear of being institutionalized or abandoned may prevent the victim from seeking help Abuse by Unrelated Caregivers People who are hired to provide for the safety and well-being of older adults can
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