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Life-Span Development in Late Late Adulthood

Life-Span Development in Late Late Adulthood. dealing with end of life developmental tasks and issues . Caitlyn Andrews Vanessa Barriga Anna Clark Jennifer Jaber Beth Lee Alisa Meyer . Agenda. Relationships Vanessa Barriga Physical Health Caitlyn Andrews

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Life-Span Development in Late Late Adulthood

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  1. Life-Span Development in Late Late Adulthood dealing with end of life developmental tasks and issues Caitlyn Andrews Vanessa Barriga Anna Clark Jennifer Jaber Beth Lee Alisa Meyer

  2. Agenda • Relationships • Vanessa Barriga • Physical Health • Caitlyn Andrews • Brain Changes • Anna Clark • Mental Health / Behavioral Health • Alisa Meyer • Death and End of Life Preparation • Beth Lee • The Best Parts of Being at Late Late Age • Jennifer Jaber

  3. Relationships: Social & Community • Age Groups • Level two • Life Expectancy • Level two • Stereotypes • Level two • Work and Retirement • Level two • Theories • Level two • Religion • Level two • Political Issues • Level two • Social Support and Integration • Level two • Friendship • Level two Vanessa Barriga

  4. Relationships:Sexuality & Partners • Statistics • Level two • Level 3 • Romance and Sex • Level two • Level 3 Vanessa Barriga

  5. Relationships:Sexuality & Partners http://www.youtube.com/watch?v=fT4KovVUc78 Vanessa Barriga

  6. Relationships:Family System & Living Arrangements • Marriage Statistics • Level two • Level 3 • Divorce and Remarriage • Level two • Level 3 • Cohabitation • Level two • Level 3 • Grandparents, Parents • Level two Vanessa Barriga

  7. Physical Health • Problems and Prevention • Alzheimer’s Caitlyn Andrews

  8. Physical Health: Aging Brain • Brain Shrinks and Slows • Level two • Level 3 • Neurogenisis and Enriched Environment • Critical Thinking • Exercise • 30 mins, 3x a week • Prevention • Includes specific dietary changes • More antioxidants Caitlyn Andrews

  9. Physical Health: Aging Brain • Decrease in Brain Lateralization • Similar to that of young adults Caitlyn Andrews

  10. Physical Health:Appearance & Movement • Synopsis • Shorter in Height • Drop in weight • Lose muscle • Move more slowly • Prevention can also Decrease Disability • Regular walking • Regular exercise Caitlyn Andrews

  11. Physical Health:Appearance & Movement • Vision • Level two • Hearing • Level two • Smell and Taste • Level two • Touch and Pain • Level two • Level 3 • Changes in Sexuality • For Men Caitlyn Andrews

  12. Physical Health:Disease & Health Problems • Arthritis • Level two • Level 3 • Osteoporosis • Level two • Level 3 • Accidents (increased danger) • Level two • Level 3 Caitlyn Andrews

  13. Physical Health:Disease & Health Problems • Alzheimer’s Disease • Personal reflection Caitlyn Andrews

  14. Physical Health:Exercise & Nutrition • 7 Ways Exercise can Improve Quality of Life • Level two • Level 3 • Importance of Diet & Risk of Malnutrition • Dangers of Low Weight • Level 3 Caitlyn Andrews

  15. Brain Changes:Theories of Aging • Cellular Clock Theory • Level two • Level 3 • Free Radical Theory • Level two • Level 3 • Mitochondrial Theory • Level two • Level 3 • Hormonal Stress Theory • Level two • Level 3 Anna Clark

  16. Brain Changes:Physical & Cognitive Changes • Effects of Brain Shrinkage • Level two • Level 3 • Effects of Brain Slowing • Level two • Level 3 • Reduction in Neurotransmitter Production • Level two • Level 3 Anna Clark

  17. Brain Changes:Adaptions of the Brain • Neurogenisis • Level two • Level 3 • Dendritic Growth • Level two • Level 3 • Rewiring • Level two • Level 3 • Lateralization • Level two • Level 3 Anna Clark

  18. Mental /Behavioral Health:Depression • What is Depression? • Level two • Research Findings • Level two • Level 3 Alisa Meyer

  19. Mental /Behavioral Health:Depression • Studies • Level two • Level 3 • Gender? • Level two • Level 3 • Predictors • Level two • Level 3 • Treatment • Level two • Level 3 Alisa Meyer

  20. Mental /Behavioral Health:Victimization • Fear • Level two • Level 3 • Crimes • Level two • Level 3 Alisa Meyer

  21. Mental /Behavioral Health:Victimization • Abuse – How often does it occur? • Types • Level 3 • Institutional Abuse • Level 3 Alisa Meyer

  22. Mental /Behavioral Health:Life Satisfaction • Affect and Outlook • Level two • Level 3 • Self Esteem • Level two • Level 3 Alisa Meyer

  23. Mental /Behavioral Health:Socio-Emotional Health • Erickson Theory • Level two • Level 3 • Activity Theory • Level two • Socio-Emotional Selectivity • Level two • Level 3 • Selective Optimization with Compensation Theory • Level two • http://helpguide.org/mental/depression_elderly.htm Alisa Meyer

  24. Death & End of Life PreparationAttitudes at Late Late Age • Know the psycho-social aspects of Death among the elderly • Elder death touches everyone at some time • Counselors often serve as • Containers of difficult or awkward feelings • The neutral party who can raise important topics • Theorists and researchers consider • Awareness (insight) • Increasing certainty in a culture that denies it • Temporal nearness (salience) • Qualitative nature of preparedness (developmental tasks) • Cultural definitions of a “good death” Beth Lee

  25. Death & End of Life PreparationTalking about Death • Elderly people think and talk readily about death • Non-institutionalized more frequently • Institutionalized, less opportunity • “the belief that discussing death creates a negative mental framework and self-image that may interfere with the best possible client care” (Leif, 1982) • More thinking and talking than preparedness • 74% have a will, but only 53% & 65% spoke to family & friends about end of life wishes Schrader, Nelson, & Eidsness (2009) Beth Lee

  26. Death & End of Life Preparation Death Anxiety • Existential Definition • Although the physicality of death destroys us, it is the idea of death that saves us (Yalom, 1980) • Death is the condition that makes it possible for us to live in an authentic fashion (Heidegger, 1926) • By allowing us to embrace our possibilities and limits • Boundary pressure drives choices towards authenticity • This is the death driven developmental task of late late age It's not that I'm afraid to die, I just don't want to be there when it happens. Woody Allen Beth Lee

  27. Death & End of Life Preparation Death Anxiety • Geriatric care providers (medical, behavioral, pragmatic) encounter DA daily in clients and their families • May impair the ability to make unbiased decisions • May prevent the flow of information, sometimes against the law (Sinoff, et al, 2008) • DA on the part of care givers may obstruct an elderly person’s right to die naturally • 4 out of 5 people would prefer to die at home (Hine, 1979) • DA is functionally two constructs: • Fear of death • Fear of the dying process • DA as a function of age • Peaks in middle- age • All but disappears in elderly (Twelker, 2006) Beth Lee

  28. Death Anxiety as a Function of Age Sinoff, Iosipovici, Almog, & Barnett-Greens (2008)

  29. Death & End of Life Preparation Cultural Issues of Preparing • Cultural Sensitivity about Death rituals requires investigation • In the US, preparedness for death has a legal and psycho-social component • Excellent resource on emerging ritual: http://www.dailyundertaker.com Beth Lee

  30. Death & End of Life Preparation Cultural Issues of Preparing • Emerging EOL Traditions • There’s an app for that…. • Kaddish, the Jewish Mourner's prayer, is recited publicly every day for 11 months after a parent's death as a reaffirmation of faith. This requirement can be difficult for many to fulfill properly though, as the prayer is in Aramaic. Now there is help in the form of an iPhone app to tutor mourners in the pronunciation of this important prayer. • Bosan, which in Japanese means grave honoring, is a newly released iPhone app from KnowledgEx which allows you to register information about and carry photos of a loved one’s grave, as well as photos of the deceased. Whenever you want and where ever you are in your busy schedule, you can virtually honor the grave of your loved one with a prayer, along with offerings of incense, flowers, food and water. Beth Lee

  31. The Best Part of Late Late Age! Jennifer Jaber

  32. The Best Part of Late Late Age! Benefits of Late Late Adulthood Jennifer Jaber

  33. The Best Part of Late Late Age: Successful Aging • Positive Aspects being studied • Growing subject • Level 3 • Factors linked with Successful Aging • Active lifestyle • Positive coping skills • Good social relationships • Support • Absence of disease • Being Active is especially important to successful aging • Level two • Level 3 • Self -efficacy • Control over the environment • Positive attitude • Result: higher levels of happiness Jennifer Jaber

  34. The Best Part of Late Late Age! • Felice News • Not for profit based in Toronto that tells only good news • http://www.felicenews.com/the-five-best-things-about-getting-older.html • Late Age gives you ready made excuses! • Failing memory (even if your hearing is fine!) • Hearing loss (selective hearing) • Other people get to take care of you • Freedom to do what you want Jennifer Jaber

  35. The Best Part of Late Late Age! Secrets of the Centenarians - NYTimes.com http://www.nytimes.com/interactive/2010/10/19/health/20101018-centenarians-voices-photos.html Jennifer Jaber

  36. The Best Part of Late Late Age! Age is an issue of mind over matter. If you don't mind, it doesn't matter. Mark Twain 1855, aprox 20 yrs old Much older: Be good, and you will be lonesome. Jennifer Jaber

  37. This is the title text • Level 1 • Level two • Level 3 • Level 1 • Level two • Level 3 • Level 1 • Level two • Level 3

  38. This is the title text • Level 1 • Level two • Level 3 • Level 1 • Level two • Level 3 • Level 1 • Level two • Level 3

  39. Second Page • Level 1 • Level two • Level 3 • Level 1 • Level two • Level 3 • Level 1 • Level two • Level 3

  40. references • Lieff, Jonathan D. (1982). "Eight reasons why doctors fear the elderly, chronic illness, and death." Journal of Transpersonal Psychology 14, no. 1: 47-60. • May, R., & Yalom, I. (1989). Existential psychotherapy. Current psychotherapies (4th ed.) (pp. 363-402). Itasca, IL US: F E Peacock Publishers. • Schrader, S., Nelson, M., & Eidsness, L. (2009). 'South Dakota’s dying to know': A statewide survey about end of life. Journal of Palliative Medicine, 12(8), 695-705. • Sinoff, G., Iosipovici, A., Almog, R., & Barnett-Greens, O. (2008). Children of the elderly are inapt in assessing death anxiety in their own parents. International Journal of Geriatric Psychiatry, 23(11) • Twelker PA. 2006. The relationship between death anxiety, sex, and age. Internet resource available at URL: http://www.tiu.edu/psychology/deathanxiety.htm • Yalom, I. (2008). Staring at the sun: Overcoming the terror of death. The Humanistic Psychologist, 36(3-4), 283-297.

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