Gerontology Essays

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Treating Geriatrics With Despondency Issues Essay

Words: 635 Length: 2 Pages Document Type: Essay Paper #: 71764547

Mr. P is suffering cardiomyopathy, congestive heart failure, 4+ pitting edema, labored breathing, and an inability to stick to a restricted diet or manage his polypharmacy. He is 76-years-old and in a state of declining health. The medical bills are mounting (and indeed have become overwhelming for Mrs. P who has never had to deal with the couple's financial affairs, as they were always taken care of by Mr. P). The couple is depressed/despondent: Mr. P over his inability to understand why God allows him to linger in this condition rather than just take him immediately, Mrs. P over her inability to have a moment of rest outside the home, where she tends to her husband. Life is difficult for the two. This paper will consider the condition of Mr. P, how it affects Mrs. P, and how the situation can be approached so as to provide a high degree of care.

There are two concerns in this situation: first, there is Mr. P whose health is not good and who needs assistance; second, there is Mrs. P who is feeling overwhelmed by the new territory in which she finds herself (bills and treatment of her husband). The medical side of Mr. P can be managed but Mr. P clearly needs assistance with managing it and his wife is not up for the task. Mrs. P also suffers from dealing with the medical bills. So the first place to start is with the couple's living and financial situation. Are they are eligible for Medicare? Are they indigent? Are they open to the idea of assisted living or hospice, which can provide in-home care (Connor, 2009)?

A treatment plan can be devised after answering these questions. The plan should include family therapy so that the despondency that both are experiencing can be eased and a more hopeful and gracious attitude adopted. The treatment plan should include the continuation…… [Read More]

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Simulation of Growing Old Essay

Words: 674 Length: 2 Pages Document Type: Essay Paper #: 80702095

Gerontology Experiment

Simulation #1 -- Degenerative Arthritis and Macular Degeneration

In this simulation, I placed Band-aids around the middle joints of my fingers and I wore an athletic wrist support on one hand that severely limited my wrist motion. The Band-aids were tight enough to make it almost impossible to bend my fingers except with considerable discomfort. I also placed a smudge of Vaseline in the center of the lenses of clear protective construction goggles to simulate the loss of center vision associated with age-related macular degeneration. The purpose of this set up was to simulate the types of arthritic symptoms in my hands and wrist that elderly people deal with routinely. The plan was to go about my day at home and encounter some of the problems associated with aging.

Immediately, I encountered difficulty doing my normal morning chores. Brushing my teeth took much longer, made a mess of the sink, and I could tell that the brushing was considerably less effective than usual because I could not direct the right amount of pressure where I wanted to. After breakfast, I attempted to floss my teeth and actually had to give up because there was just no way to accomplish it without being able to bend my fingers. It occurred to me that there are probably numerous secondary effects of arthritic conditions such as poor dental hygiene that are related to the loss of hand function. Frankly, I needed to use the restroom as well but based on my other experiences, I realized that it would be better to just wait until the simulation was over. It occurred to me that individuals who suffer with these types of ailments do not have that option at all. Before the 30 minutes was over, I also dropped a glass accidentally and broke it when the center-blocked goggles caused me to put it down without realizing there was already a spoon on the counter and the glass toppled over and off the counter. Again, I decide to wait until…… [Read More]

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Elder Abuse and Neglect the Essay

Words: 1542 Length: 4 Pages Document Type: Essay Paper #: 12528826

"… [Read More]

Cooney, C., & Mortimer, a. (1995). Elder Abuse and Dementia - a Pilot Study . International Journal of Social Psychiatry, 41, 276-283.

Dong, X., Simon, M., de Leon, C.M., Fulmer, T., Beck, T., Hebert, L., et al. (2009). Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population . Journal of the American Medical Association, 302(5), 517-526.
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Successful Aging What Do You Essay

Words: 3063 Length: 10 Pages Document Type: Essay Paper #: 99893583

If anything, such a person may have regrets over having wasted too much of life on impersonal achievements and selfish pursuits.

6. Do you agree that in later life men become more nurturing and women more assertive? What do you think are the findings that could support or challenge that observation?

The observation that men tend to become more nurturing, less competitive, less aggressive, and "gentler" in later life and that women tend to become less emotional and more confident or assertive would seem to be substantially true. That is largely attributable to hormonal changes; specifically, aging males tend to produce much less testosterone and post-menopausal females secrete less estrogen in their later years (Pinker, 2002). Naturally, those hormonal changes would be expected to result in various behavioral changes in areas where human behavior (and gender-specific behavior in particular) are products of the secondary sex hormones (Gerrig & Zimbardo, 2008; Pinker, 2002).

Findings capable of supporting those observations in relation to males would include anecdotal information from families as well as from aging male subjects themselves. Empirical data consistent with support for that hypothesis in its application to males includes declining arrest rates, aggression-related driving violations, and both verbal arguments and physical altercations among males in the age range associated with substantially declining testosterone levels. Findings capable of supporting those observations in relation to females would include anecdotal information from families as well as from aging female subjects themselves. Empirical data consistent with support for that hypothesis in its application to females would include increased pursuit of activities and goals typically considered intimidating by many females. Additionally, increased measures of female independence (such as initiating divorce, pursuing sexual interests, and opening businesses) would also seem to support the hypothesis in relation to females.

7. Generate a situation of your own creation in which an elder would face a stressor and demonstrate coping. Identify the stressor, the person's primary and…… [Read More]

Bearon LB. "Successful Aging: What does the 'good life' look like?" Concepts in Gerontology Vol. 1, No. 3, (Summer 1996).

Birren JE. And Schaie KW. (2006). Handbook of the Psychology of Aging. Burlington,
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Vitamin D Supplementation Increases Voluntary Physical Activity Essay

Words: 1572 Length: 4 Pages Document Type: Essay Paper #: 50924869

Vitamin D Supplementation increases Voluntary Physical Activity Levels in Nursing Home Patients

Over the course of a semester does vitamin D3 supplementation, and the resultant increase in muscle strength and bone density, lead to increased physical activity in nursing home residents in the absence of added encouragement?

The elderly often suffer from low serum levels of vitamin D, reduced muscle strength, and decreased bone density (reviewed in: Hamilton, 2010). Muscle biopsies have revealed that the muscle fibers most affected in the elderly are type II, the 'fast twitch' fibers. When a person begins to fall they instinctively attempt to prevent or break their fall and this reaction depends heavily on fast twitch muscle fibers. The elderly therefore suffer from an increased risk of falling down and bone fractures. Although conclusive evidence has yet to be found that low serum levels of vitamin D cause this condition, there is a large body of evidence that diet supplementation with vitamin D and calcium can increase muscle strength and bone density, thereby reducing the number of falls and fractures. Dietary supplementation with vitamin D could therefore substantially improve the quality of life of the elderly.

The sources of vitamin D are diet and skin exposure to ultraviolet-B radiation (sunlight). Natural dietary sources include most fatty fish like cod, mackerel, and salmon, beef liver, and egg yolks. A number of foods are also fortified with vitamin D, like commercial cereals and milk. When exposed to sunlight cholesterol (7-dehidrocholesterol) in our skin is converted to pre-vitamin D3 (reviewed in: Hamilton, 2010). Pre-vitamin D3 is then rapidly converted to vitamin D3. Vitamin D3 is then converted to 25-hydroxy vitamin D in the liver, and then converted to its active form 1, 25 hydroxy vitamin D in the kidney. The active form of vitamin D is then transported in the blood by virtue of binding to vitamin D binding protein, where it can gain access to tissues and organs throughout the body to influence metabolic process.

Unfortunately, the elderly, especially those confined to nursing homes, are rarely exposed to sunlight and their diets typically lack sufficient vitamin D supplementation to make up for the loss of sunlight exposure. A large number of studies have shown supplementing…… [Read More]

Hamilton, B. (2010). Vitamin D and human skeletal muscle. Scandinavian Journal of Medicine & Science in Sports, 20, 182-190.

Williamson, J.D., Espeland, M., Kritchevsky, S.B., Newman, A.B., King, A.C., Pahor, M., et al. (2009). Changes in cognitive function in a randomized trial of physical activity: Results of the Lifestyle Interventions and Independence for Elders pilot study. Journal of Gerontology, 64A, 688-694.