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Fundamentals, Lecture 7 Gerontology

Terms in this set (21)

Dr. I.L Nascher
Wrote the first geriatric textbook in 1914.
1935
Federal Old Age Insurance Law under the Social Security Act. There was a provision of some financial security for older adults. Created social security.
1965
Formation of the Administration of Aging, enactment of Older Americans Act; introduction of Medicare and medicaid.
Medicare
Age-dependent. Does not pay for nursing homes. Hospice is a medicare benefit. You only apply if you have worked and paid to social security system. automatically get part a (hospital and other services)
part b: medical visit services and other services (copayments, deductibles, pays for glucose test strips).
part c: medicare advantage plans
part d: drug plan- through private insurers.
- affordable care act.
Affordable care act
No huge impact on older adults. Cut deductibles from part d program, and gives a once a year "check-up".
Medicaid
Income-dependent. Federal law, enacted in 1965. State and federally funded. Pays for primary and hospital care, along with nursing homes after "spent down" (the older adult spends all their money).
Young-old
60 to 74 years.
Middle-old
75- 84 years.
Old-old
85- 100 years.
Centenarians
Over 100 years.
Baby boomers
Born between 1946- 1964. 65 started turning 1/1/11. Diverse group, educated, "high-tech products", fitness movement, informed consumers. Will demand changes in long-term care.
Ageism effects
Reduced health care from providers of care, less heath education and teaching, may be regarded as not eligible for certain therapies or programs (ie, rehab and certain types of surgeries). Older adults are treated socially and medically based on myths and stereotypes.
Assisted living
Not paid by medicare or medicaid.
Joint Commission
Not mandated, but must need JC accreditation to receive medicare and medicaid payments.
Leading causes of death in older adults
Heart disease, cancer, and stroke (in order).
Age is a risk factor for
cognitive impairment
Biological theory
Encompasses measures of the functional capacity of life-limiting organ systems. No two people age identically. Theories are stochastic (error) and nonstochastic (programmed aging).
Stochastic theories
Cross-linking theory, free radicals, wear and tear (ie, joint replacement in a tennis player), and biogerontology.
Nonstochastic theories
See sheet.
Psychological theory
Refers to the behavioral capacities of person to adapt to changing environmental demands.
Social theory
Involves the role and age-graded behaviors of persons in response to the society of which they are a part.
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