Baby Boomers - answerare aging adults born from 1946-1964. They will reach retirement starting around 2011-2030. Geriatrician - answera physician, board certified in geriatrics, who specializes in the care of the elderly Geriatrics - answerThe branch of medicine concerned with the problems of aging Gerontology - answerStudy of aging; broad category that includes several areas (sociology of aging, psychology, economics of aging Ageism - answerPrejudice towards elderly Alzheimer's - answerbetaamyloid plaques and neurofibrillary plaques Age - answerOld Old= 85+ years Older Adult= 65 years of age or older Types of Care Facilities - answerAcute Care Hospital (ACH) - point of entry into the health care system for older adults. Acute Rehabilitation (Rehab)- may be found in several settings. Uses the interdisciplinary team of nurses, therapists, and physicians. Goal is to maximize independence, promote maximal function, prevent complications, and promote quality of life within each person's strengths and limitations. Level of intensity depends on setting and patient. Home Health Care- For independent living home-bound adults who require a longer period of observation or care from nurses. Can include PT/OT, & speech therapy. Hospice- holistic, interdisciplinary care that helps the dying person "live until they die." Includes palliative care and pain management and comfort care. Long-term Care Facility (a.k.a. nursing home)- provides 24 hr support care to any age who have lost some or all their capacity for self-care due to illness, disability, or dementia Skilled Nursing Facilities (SNFs)- subacute or transitional care are for those patients requiring more intensive nursing care than provided in Long-term care. Alzheimer's Care- dedicated specifically for Alzheimer and Dementia care. Respite Care- provides time off for family members who are caretakers. Care can be at adult daycare center, in the home, or in an assisted living facility or LTC Continuing care retirement community (CCRC)- group care in independent living to assisted living, LTC, or skilled Assisted Living- alternative who do not feel safe living alone, who wish to live in a community setting, or who need some additional help with ADLs. They each have their own apartment or room. Foster care/Group Homes- adults who can do most ADLs but have safety issues and require supervision with some activities. Green House Concept- new concept of a home environment with 8-10 residents in private rooms with open kitchen and still receive assistance. Adult Day Care- Adult day services are community based group programs designed to meet the needs of functionally and/or cognitively impaired adults through and individual plan of care. Less than 24 hour care. five racial groups - answerCaucasian/non-Hispanic whites/European Americans African American Hispanic Asians and Pacific Islanders American Indians and Alaskan Natives Maslows Psychological Theories of Aging - answerPhysiological Safety & Security Love & Belonging Selft-esteem Self-actualization Dysarthria - answeris disturbed articulation caused by disturbance in the control of the speech muscles. This disturbance is caused by brain lesions in motor areas in the central nervous system or the brain stem or disruption in the coordination of information from the basal ganglia, cerebellum, and motor neurons. Dysarthria-related lesions can be caused by stroke, brain tumor, degenerative diseases, metabolic diseases, or toxins. The location of the brain lesion determines the nature of the disturbance, which can manifest in many ways, with the most severe form being anarthria (complete inability to move the articulators for speech). People with dysarthria may present with slurred speech, breathiness, slow or rapid rate of speech, limited mouth or facial movement, monotonous voice, or weak articulation. A person who has dysarthria may be able to read, write, and gesture normally and comprehension may remain intact Aphasia - answeris the most common language disorder in the elderly and occurs in up to a third of the patients in an acute phase following stroke. Aphasia is an inability to express or understand the meaning of words due to damage in the language areas. Damage is most frequently due to stroke in the left hemisphere, but can be due to brain tumor, trauma, infection, dementia, or surgery. In addition to spoken language, writing, reading, and the ability to gesture also may be impaired Changes of aging that could affect therapeutic communication - answerVisual communicationposition objects within their visual field. This includes positioning yourself within their visual field