1. Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 23 Care of Young, Middle and Older Adults

2. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Theories of Growth and Development Young Adult20 – 40 years Middle Adult40 – 65 years Older Adult65 years to death

3. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Levinson’s Developmental Stages of Adulthood Early adult transition Entrance into adult world Transition Settling down Pay-off years

4. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Erikson’s Stages of Psychosocial Development Intimacy vs. Isolation Generativity vs. Stagnation Integrity vs. Despair

5. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Young Adult Risk Factors Substance abuse Suicide Sexuality Sexually transmitted diseases Violence Accidents

6. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Middle Adult Characterized by stability Physical development Cognitive development Psychosocial development

7. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Middle Adult Risk Factors Midlife crisis Generation gap Sandwich generation Emergence of chronic health problems Financial concerns

8. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Older Adult Physical development Systemic changes Sexuality Sensory changes Cognitive development

9. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Older Adult Development Psychosocial development  Ego integrity vs. despair Retirement and life review Facing death

10. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Older Adult Risk Factors Depression Loss Social support Dementia

11. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Older Adult Risk Factors (cont.) Sensory impairment Cancer Ageism Bereavement

12. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Guidelines for Helping Persons Who Are Blind Use a normal tone of voice. Give explicit directions. Use a clock to describe food placement. Announce the presence of other guests. Communicate when you enter and leave the room.

13. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Guidelines for Communicating with Persons Who are Hearing Impaired Speak distinctly but naturally. Face the person as you speak to him. Speak to the “good” ear. Use facial expressions to convey meaning. Obtain the person’s attention before speaking.

14. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Safety Risk factors  Sensory impairment  Physical disability  Cognitive impairment

15. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Fall Prevention  Interventions to decrease fall risk Reduce environmental hazards Improve home supports Medication modification Caregiver education

16. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Implications for Community Nursing Practice Primary prevention Secondary prevention Tertiary prevention

17. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Tips for Aging Successfully Inner aspect of aging  Relationship to self Outer aspect of aging  Relationship to community

18. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 23 Fostering Health Relationships Caring family support system Intergenerational involvement Integration of multiple support systems