Late Adulthood Prepared by Madeleine Lacefield Tattoon, M.A

1. Late AdulthoodPrepared by Madeleine Lacefield Tattoon, M.A • Physically – Theories of Aging • Erikson’s Theory • Coping with Retirement • Friends and Relatives • The Frail Elderly .

2. Gerontology • Theories of Aging • Clockwork • Free radical • Wear and Tear • Immune System Failure • Disengagement • Activity • Continuity

3. Physical Characteristics • We shrink • We lose bone mass • Our skin gets “Ugh” • Brain size decreases • Kidneys work 2/3 less • And Cognitive memeory

4. Late Adulthood: Psychosocial Development • the range of possibilities for life after age 65 is vast, greater than at any earlier age • people in late adulthood take comfort in: • family • pleasure in their daily routines • current events

5. Theories of Late Adulthood • Self Theories • theories of late adulthood that emphasize the core self, or the search to maintain one’s integrity and identity

6. Theories of Late Adulthood • Integrity Versus Despair • the final stage of Erik Erikson’s developmental sequence, in which older adults seek to integrate their unique experience with their vision of community

7. Theories of Late Adulthood • Identity theory • Erikson’s fifth stage, identity versus role confusion—each new experience, each gain or loss, requires a reassessment of identity • identity is challenged in old age • the usual pillars of self-concept crumble • appearance, health and employment

8. Theories of Late Adulthood • Selective Optimization • this concept is central to self theories—individuals can set goals, assess their own abilities, and figure out how to accomplish what they want to achieve despite the limitation and declines of later life

9. Theories of Late Adulthood • Better to Be Female, Non-European, and Old? • African and Hispanic Americans are often nurtured and respected within their families and churches • Asian and Hispanic elders often outlive European American contemporaries

10. Coping with Retirement • Deciding When to Retire • social scientists and political leaders have assumed that older adults wanted employment • recent sociological and psychological research has found that most older adults want to stop working as soon as they are eligible

11. Coping with Retirement • Retirement and Marriage • research says that it is best for both spouses to retire together • neither is satisfied if the other is still working and making family decisions

12. Coping with Retirement • Aging in Place • refers to a preference of elderly people to remain in the same home and community, adjusting but not leaving when health fades

13. Coping with Retirement • Continuing Education • retirement offers the time and opportunity to take classes • 1 out of 4 U.S. adults age 66 and older were enrolled in continuing education in 2005

14. Coping with Retirement • Volunteer Work • is suitable for elderly people who have adequate pensions or other sources of income • volunteering allows the elderly to gain status and to find “new meaning…”

15. Coping with Retirement • Religious Involvement • studies show that religious involvement of all kinds correlates with physical and emotional health as well as long life

16. Coping with Retirement • Political Activism • the elderly are more politically active • frequently write to their elected representatives • vote in off-year elections • identify with a political party • join groups that lobby

17. Coping with Retirement • AARP • a U.S. organization of people aged 50 and older, which advocates for the elderly—it was originally called the American Association of Retired Person, but now only the acronym AARP is used, to reflect the fact that the organization’s members do not have to be retired

18. Friends and Relatives • social convoy • collectively, the family members, friends, acquaintances, and even strangers who move through life with an individual

19. Friends and Relatives • Long-Term Marriages • a spouse buffers against the problems of old age and extends life • personal happiness increases with the quality of the marriage or intimate relationship • mutual respect

20. Friends and Relatives • Losing a Spouse • widowhood among elderly is common and problematic—especially the first two years after death • women tend to marry older men and live longer than men

21. Friends and Relatives • Relationships with Younger Generations • older adults live to see two or more generations of younger family members • more adults are having one child—many children will have no aunts, uncles, cousins, brothers, or sisters

22. Friends and Relatives • Adult Children • engagement and interaction are common between older adults and their grown children • intergenerational relationships are affected by many factors in general • assistance arises both from need and from the ability to provide • personal contact depends mostly on geographical proximity • affection is influenced by the pair’s history of mutual love and respect • sons feel stronger obligation; daughters feel stronger affection

23. Friends and Relatives • Adult Children • as parent grow older, every family needs to adjust to changing conditions and circumstance renegotiating relationships • filial responsibility • the idea that adult children are obligated to care for their aging parents

24. Friends and Relatives • Grandchildren • ongoing grandparent-grandchild relationships usually reveal one of three approaches to grandparenting • remote grandparents • companionate grandparents • involved grandparents

25. Friends and Relatives • Friendship • quality, not quantity, of friendship is crucial • having at least one close confidant acts as a buffer against many forms of lost status, poor health and reduced companionship

26. Nutrition • Decrease sodium • Reduce calories • Drink lots of fluids • Reduce use of simple sugars • Apetite affected by loss of taste

27. Health Promotion / Safety • Things you learned in MNA class?

28. The Frail Elderly • frail elderly • people over age 65 who are physically infirm, very ill, or cognitively impaired

29. The Frail Elderly • activities of daily life (ADL) • actions that are important to independent living, typically consisting of five tasks of self-care; eating, bathing, toileting, dressing, and transferring from a bed to a chair—the inability to perform any of these tasks is a sign of frailty

30. The Frail Elderly • instrumental activities of daily life (IADL) • actions that are important to independent living and that require some intellectual competence and forethought—the ability to perform these tasks is even more critical to self-sufficiency than ADL ability

31. The Frail Elderly • Instrumental Activities of Daily Life (IADL)

32. Caring for the Frail Elderly • The Demands of Family Care • often caregivers of the elderly are themselves elderly • caregivers often experience substantial stress • sometimes caregivers feel fulfilled by their experiences • designated caregivers are often chosen less for practical reason than because of cultural expectation • respite care • an arrangement in which a professional caregiver relieves a frail elderly person’s usual family caregiver for a few hours each day or for an occasional weekend

33. Caring for the Frail Elderly • Elder Abuse • analysis of elder abuse is complicated because three distinct elements contribute to the problem: • the victim • the abuser • the setting

34. Caring for the Frail Elderly • Long-Term Care • assistant living • provides some of the privacy and independence of living at home, along with some medical supervision