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1. Theories of Aging Vaunette Payton Fay, Ph.D.
3. Theories of Aging Biological Theories
address the anatomic and physiologic changes occurring with age.
Psycho-Social Theories
explain the thought processes and behaviors of aging persons.
4.
5. Biological Theories of Aging Genetic Theories
Gene
Error
Somatic mutation
Programmed
Nongenetic Theories
Immunologic / Autoimmune
Free Radical
Wear & Tear
Cross link or Collagen
http://prolongyouth.com/theories.html
6. Psycho-Social Theories of Aging Disengagement Theory
Activity Theory
Continuity Theory
7. Disengagement Theory developed by Cummings and Henry in late 1950s.
aging is an inevitable, mutual withdrawal or disengagement, resulting in decreased interaction between the aging person and others in the social system he/she belongs to.
8. Activity Theory
developed by Robert Havighurst in the 1960s.
supports the maintenance of regular activities, roles, and social pursuits.
persons who achieve optimal age are those who stay active.
as roles change, the individual finds substitute activities for these roles.
9. Continuity Theory proposed by Havighurst and co-workers in reaction to the disengagement theory
basic personality, attitudes, and behaviors remain constant throughout the life span
11. ?????????????????????????????? What is the relevance of the biological and psychosocial theories of aging to nursing?
12. Developmental Tasks of Aging
13. Developmental Task an activity or event that arises at a certain period in the life of an individual
successful achievement leads to happiness, growth, and success with later tasks
failure leads to unhappiness, disapproval by society, and difficulty with later tasks
(Havighurst, 1972)
14. ?????????????????????????????? What are some important roles that older individuals fulfill?
15. Ericksons Developmental Stages Young Adulthood (20-30)
- Intimacy vs. Isolation
Middle Adulthood (30-60)
- Generativity vs. Stagnation
Older Adulthood (60+)
- Integrity vs. Despair
Area of Resolution and Behavior:
Intimacy - capacity for relationships
vs.
Isolation - impersonal relations
16. Pecks Developmental Tasks of Aging Ego Differentiation vs. Work-Role Preoccupation
Body Transcendence vs. Body Preoccupation
Ego Transcendence vs. Ego Preoccupation
(Peck, 1968)
17. Havighursts Developmental Tasks of Aging Adjusting to decreasing physical strength and health
Adjusting to retirement and reduced income
Establishing an affilitation with ones age group
Meeting civic and social obligations
Establishing satisfactory living arrangements
Adjusting to death of spouse
19. ?????????????????????????????? What are factors which influences a persons success at achieving developmental tasks?
20. Nursing Interventions How can nurses assist elders accomplish developmental tasks?
encourage clients to maintain and establish roles and relationships
offer maximum opportunities for decision making
build on clients unique interests ands skills
listen to clients concerns
promote reminiscence (Eliopoulas,1995)
21. Common Psychosocial Changes Assume Grandparent Role
Adjust to Retirement
Increase Volunteer Activity
Maintain or Develop New Interests
Cope with Death of Spouse, or S.O.
Adjust to Change in Intimacy & Sexuality
Cope with Relocation
Cope with Losses
22. Coping with Psychosocial Changes & Developmental Crises
Support System
Community Resources
Counseling
Prayer/Religion
23. Spirituality and Religiosity These concepts are frequently confused.
Studies have found that nurses tend to avoid addressing spiritual needs of patients.
24. Spirituality is the: totality of mans inner resources,
the ultimate concerns around which all other values are focused,
the central philosophy of life that guides conduct,
and the meaning-giving center of human life which influences all individual and social behavior (Moberg, 1979)
trust & faith in a power greater than oneself
(levin & Taylor, 1997)
25. Religion is: only one aspect of spirituality;
an organized practice of beliefs;
may or may not fill an individuals spiritual needs eg. spiritual needs are much broader & more personal than any particular religious persuasion
26. Church and Synagogue Attendance is: Lowest among those in their 30s,
Peaks in the late 50s - early 60s,
Declines in late 60s and early 70s, however 65+ are the most likely to belong to church-affiliated groups
27. Research Findings: Black women tend to be significantly more religious than black men and whites of both genders (Levin & Taylor, 1993).
Involvement in church activities tended to increase self-esteem (Krause, 1995).
Religious preference & practice were inversely related to depressive symptomatology (Kennedy, 1996).
Persons who attended religious services had lower mortality (Oman & Reed, 1998).
28. Nursing Interventions that enhances the spirituality of clients: Presence and acceptance
Active Listening & Touch
Value clarification
Discuss pts. source of strength & instill hope
Conduct a spiritual assessment
Call/make referral to clergy
Pray, or obtain religious articles (Poncar,94; MacLennan & Tsai, 95)