Upload
jjoekool89
View
410
Download
1
Embed Size (px)
Citation preview
Aspects of aging that affect our…
HealthSocial Emotional Wel lbeingReproductive Health and Sexual i ty
“Our we as old as we look or as old as we feel”
OUR LATER YEARSCHAPTER
1. How can we make the adaption needed to maximize good health and maintain Independence and Quality of Life?
2. How much medical intervention are we comfortable with in our later years? (60-80 yrs.)
Breast ExamsVaginal ExamsPreventative Health
3. How does sex and sexual pleasures fit into our lives in our later years?
QUESTIONS FOR THOUGHT???
Aging has become feminized
Women live longer Fitness becomes a problem as we
age65 and older
12% live in poverty
Our bodies in contextMost cultures value and honor
older people
*In the United States they idealize the young and discriminate against older adults.
THE NEW OLD AGE
Advertisements play on and exaggerate a women’s fear and anxieties about the natural changes in their body as they age
Pharmaceutical – Hormone replacement & cologin
Plastic Surgery – Botox & Laser Treatment
Cosmetics – Oil of Olay & Clinique
“Self acceptance as we age can be hard won but…invaluable” pg 550
ADVERTISEMENTS
Maintaining Connections
Set new goals as relationships changeEvaluate or assess our love and
relationshipsChange in gestational hierarchy in
familyNo matter how we defi ne relationships, social connections have positive eff ect on ones health Dealing with Loss
During our older years we experience the death of more friends and loved ones
RELATIONSHIPS
65 and older – 42% of women are widowed
65 and older – 14% of men are widowed
65 and older – 45% of women live alone
65 and older – 19% of men live alone
GOING AT IT ALONE
We all age diff erently
some women have developed disabilities from an early age
More women develop disabilities in midlife or older
AGING AND HEALTH
The key word is prevention
Prevention is doing what we can to take care of ourselves so as to avoid or ease the chronic conditions associated with later life
Healthy habits include no nicotine and excessive alcohol and as much exercise and nutritious eating as possible.
PREVENTIVE MEASURES: TAKING CARE OF OURSELVES
There are many factors beyond our controlsuch as…
Occupational Health HazardHigh Blood PressureDiabetesEthnicity
“Strive to make changes that are within out power”
PREVENTIVE MEASURES: TAKING CARE OF OURSELVES CONTINUED
Start and or continue to exercise
Engage your mind
Get to bed – you need sleep just like young adults
Schedule checkups which can now be paid for by the 2010 health care reform act
BASIC PREVENTATIVE MEASURES
Hearth DiseaseOsteoporosisDiabetesArthritisForms of CancerUrinary incontinence… everyone’s favorite topic
You can visit www.cdc.gov/chronicdisease for more information about chronic diseases
COMMON CHRONIC DISEASES
By the age of 60 a women has undergone regular screenings for
Cervical Canceror
Breast CancerLongevity is a recent phenomenon in women
so…There is not a lot of data on screening for women over 85. It is important to maintain
Vaginal HealthMamograms – every year for women age 50-74Pap screenings – 65 and older should discuss with
their health care providerBone screenings should be done at 65 and every
2 years following
GUIDELINES FOR SEXUAL AND REPRODUCTIVE HEALTH CARE
The Sex ContinuumOur society views older women as
“drugged up” and sexless.
Sexuality unlike, fertility, can continue throughout your life
Many women enjoy sex more in the middle and later stages of their lives due to appreciating their body and sexuality more fully
Adjustments, disruptions or feeling less sexual can also result from chronic or acute illness or surgery
SEXUALITY
2010 Harvard Medical School Spec ia l Heal th Report Sexual i ty in Mid l i fe and Beyond
Poss ib le Age Related Sexual Changes for Women:
Phys ica l Changes: Low estrogenDecreased blood fl ow to genitals Thinning of vaginal l iningMuscle tone
Desire – Decreased libido, fewer sexual thoughts
Arousal – Reduced vaginal lubricants, less blood and congestion
Orgasm – Delayed or absent
Resolution – body returns rapidly to a non- aroused state
“Only 22% of women discuss sex with a physician after 50”
PHYSICAL CHANGES THAT AFFECT SEXUALITY
Declining HealthBody ChangesChronic IllnessMedication
Health Benefits to Sexual ActivityExpand EnergyBurns Calories – Brain release endorphinsReduced StressSleep BetterDelay or minimize incontinence by working
pelvisDelay Pain – Orgasm can reduce pain
PRACTICAL APPROACH TO AGE RELATED SEXUAL CHANGES
Women experience a shift in levels of desire throughout their lives
Reasons for less sexual desire include:
Overwork and anxietyLoss of newnessAbuseGradual changes/accommodationsNot being attracted
LOSS OF DESIRE
Viagra and other erectile dysfunction medications exist for men
Navigating Health CareIn the twenty-fi rst century medical care there is a great shortage of doctors, nurses, psychologists, psychiatrists, dentists and other health care professionals trained in caring for older adults
PLEASURING OTHERS AND YOURSELF
Predictions in the near future…
2007 = 1 geriatrician for every 2,546 older adults2030 = 1 geriatrician for every 4,254 older adults
2007 = 1 geriatric psychiatrist for every 11,372 older adults2030 = 1 geriatric psychiatrist for every 20,195 older adults
THE INSTITUTE OF MEDICINE
Providers without adequate training may treat older women inaccurately
They may not fully treat chronic illnessMisdiagnosis or fail to manage
reversible conditionsOver proscribe medicationsPeople over the age of 65 take 34% of medicationsPrescriptions are based on a yearly
basis in the USThey are only 13% of the US population
WRONG DIAGNOSIS, WRONG TREATMENT
Be proactive … Plan Ahead
Look into retirementHealth CareLong-term CareHousingActivitiesYour Community Can Help
PLANNING AHEAD
Retirement and Social SecurityPlanning ahead is critical in dealing with gaps in your earning during employment years
Raising childrenTaking care of older parents
HousingAs you get older you may…
Move to a smaller home Get a roommateMoving to a retirement homeReceive elder services in your own house
PLANNING AHEAD CONTINUED
Household help and Long Term Care
Long term care services are very expensive
Community Living Assistance Services and Support Act (Class Act) 2010 Health Reform Law
Voluntary Long-Term Care insurance program for senior and disabled people to pay no medical services and support
Contribute for 5 years – A benefi t on average of $50 a day
MORE PLANNING AHEAD
Power of Attorney – A trusting person has the authority to act on your behalf in financial and legal matters if unable to take action yourself
Health Care Proxy Document – A person you trust authority to make medical testing and treatment decisions
Medical Advance Directive or Living Will – Describes the medical treatment one wishes to receive or refuse… and under what conditions
HEALTH AND LEGAL DECISION
Sometimes medical science, not the concern of a women’s life quality, shapes the advice we receive about death and dying
Talk to a health care provider about your wishes
You need to manage your own healthcare
Compassionate end-of-life care that addresses you emotional, spiritual and practical needs is essential, regardless of the type of treatment or care chosen
END OF LIFE CARE
66% of caregivers are women41% work full time13% work part timeThe economic value of caregivers unpaid contributions is estimated at $375 billionCare givers have high rates of
DepressionChronic DiseasesInfectionsExhaustion
This is compared to non-caregivers of the same age
CAREGIVER
Family Caregiver Alliance (caregive.org)Information services and advocacy for caregivers
National Alliance for Caregivers (caregiving.org)Non-profi t coalition of national organizations
focused as family caregiversRoselynn Carter Institute of Caregiving (roselynncarter.org)
Established local and state partnerships that build quality long-term and home based services Share the Care (sharethecare.org)
creative models in which neighborhoods help families
RESPITE AND RESOURCES
Women need to accept help without feeling deminished
Helpers need to provide choices when possible
Living Full: Building Community, Continuing Advocacy
“From the bottom of my heart: Life gets greater and more surprising after 40, 50, 60 and yes 70.” -Gloria Steinem-
One must have a sense of purpose and enthusiasm for life
ACCEPTING CARE WHEN WE NEED IT
You need fulfi llment during later years
Why do you need fulfi llment…Less time leftClarified prioritiesMore knowledge of what matters
Dr. Gene Cohen, geriatric psychiatrist was convinced older people have untapped wells of creativity and skills
“Chocolate for the aging brain”
ACCEPTING CARE WHEN WE NEED IT CONTINUED
Older women’s wisdom and skills are much needed by younger generations
We must work toward building a society that celebrates and supports the elderly
INTERGENERATIONAL LIVING
Older women need to build on the strength they have in numbers by creating and supporting programs that meet older women’s needs
Such as…Long-Term CareHealth CareWork-Family BalanceRetirement security
Everyone will age
Women need to continue to tell their stories of being mothers, sisters, daughters, caregivers, workers and push their local, state and national governments to provide services for their older years!
WORKING TOGETHER TO CREATE CHANGE