(40-65 YEARS)

Middle Aged Adult
y called as the years of stability and consolidation y a time when children have grown and moved away

or are moving away from home.

y Couples have more time for and with each other

and time to pursue interests they may have deferred for year

Middle Aged Adult y sense of maturity is fully developed  ±the state of maximal function and integration or the state of being fully developed.  Guided by an underlying philosophy in life  Open to new experiences and continued growth .

flexibility and adaptability to change of self acceptance  Quality  Reflective and are insightful about life and to see themselves as others see them. Tolerate ambiguity. .

 Fatty tissue is redistributed. resulting in fat deposits in the abdominal area.  Skin turgor and moisture decrease  subcutaneous fat decreases.PHYSICAL CHANGES OF THE MIDDLEAGED ADULT y Appearance  Hair begins to thin and hair gray appears. and wrinkling occurs. .

Musculoskeletal System y Skeletal muscles bulk decreases at about age 60. y Thinning of the intervertebral discs causes a decrease in height of about 1 inch. . y Calcium loss from bone tissue is more common among postmenopausal women y Muscle growth continues in proportion to use.

Cardiovascular system y Blood vessels lose elasticity and become thicker. .

Sensory perception y Presbyopia .Visual acuity declines often by the late 40s. especially for near vision ‡ defect in vision consequent with aging ‡ Crystalline lens loses its flexibility making it difficult to focus on objects .

y Taste sensations also diminish.Sensory perception y Presbycusis .Auditory acuity for high frequency sounds decrease particularly in men. .

Metabolism yMetabolism slows and may result in weight gain. .

.Gastrointestinal system y Gradual decrease in tone of large intestine may predispose the individual to constipation.

and glomerular filtration rate decrease.Urinary system y Nephron units are lost during this time. .

smaller breast. insomnia and headaches . y Decreasing hormonal production  Menopause for women s/sx : decline in estrogen hot flashes. weight gain. chilliness.Sexuality y Hormonal changes take place in both men and women.

difficulty in achieving sexual arousal .Sexuality y Andropause for men ± androgen levels decrease .

fires. Caused by changing physiologic factors as well as concern over personal and work related responsibilities Ù Motor vehicle crashes ± most common cause of unintentional death. decreased reaction times and visual acuity. Work related injuries Ù . falls. and drowning. burns.LEADING CAUSE OF DEATH 1. poisoning. INJURIES 2.

uterus and lungs.2. CANCER y 2ND leading cause of death between the ages 25 and 64 in the US bladder cancer y Men have higher incidence of lung and y Women have high incidence on breast cancer. cancer of the colon and rectum. .

CARDIOVASCULAR DISEASE  Number 1 leading cause of death for women in the Phil. 2000 Coronary heart disease is the leading cause of death in the US  .

FACTORS CONTRIBUTING TO CHD Ù Smoking hypertension diabetes mellitus Ù Ù .

 family history of Myocardial infarction physical inactivity (lack of exercise)  .

FACTORS CONTRIBUTING TO CHD  obesity  hyperlipidemia .

hypertension. high lipid levels and insulin resistance .  sedentary lifestyle Metabolic syndrome includes the risk factors excessive abdominal fat.

OBESITY 1. Decreased metabolic rate and decreased physical activity 2. Counseling on reducing caloric intake and regular exercise program and Food Pyramid Program .

ALCOHOLISM a. Excessive use results in unemployment. . injuries and diseases. disrupted homes.

climacteric. aging and impending retirement Situational stressors ± death of a spouse Ù .MENTAL HEALTH ALTERATIONS The following can predispose the individuals to anxiety and depression Ù Developmental stressors ± menopause.

DEVELOPMENTAL ASSESSMENT GUIDELINES y PHYSICAL DEVELOPMENT  Exhibit weight within normal range for age and sex Manifest vital signs within normal range for age and sex Manifest visual and hearing abilities within normal range   .

elimination or exercise Verbalize .PHYSICAL DEVELOPMENT Exhibit appropriate knowledge and attitudes about sexuality changes in eating.

PSYCHOSOCIAL DEVELOPMENT y Accepts aging body. . y Enjoy new freedom to be independent. y Accept changes in family roles. y Feel comfortable and respect self.

y Pursue charitable and altruistic activities. y Expand and renew previous interests. y Have a meaningful philosophy in life.PSYCHOSOCIAL DEVELOPMENT y Interact effectively and share companionable activities with life partner. .

HEALTH PROMOTION GUIDELINES y HEALTH TESTS AND SCREENING  Physical Examination (every 3 to 5 years until age 40 then annually) are recommended such as tetanus booster every 10 years and current recommendations for influenza vaccine.  Immunizations .

HEALTH PROMOTION GUIDELINES PPV (pneumococcal polysacharride vaccine) immunization: 1 dose every year up to age 64 for those with medical indications. 1 dose for those unvaccinated by age 65 or who received the first dose more than 5 years previously (before age 65) y Regular dental assessments (every 6 months) .

HEALTH PROMOTION GUIDELINES y Tonometry for signs of glaucoma and other eye diseases every 2 -3 years or annually if indicated. y Breast examination annually by primary care provider y Testicular examination annually .

ECG and cholesterol test as directed by the primary care provider) colorectal. uterine and prostate cancer  tuberculosis every 2 years  Smoking: history and counseling.HEALTH PROMOTION GUIDELINES y Screenings for:  cardiovascular disease (BP measurement. breast. cervical. if needed  .

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