The Demographics of Aging

1. The Demographics of Aging Module 2 Nurse Responses to Elder MistreatmentAn IAFN Education Curriculum

2. Learning Objectives By the end of this module, participants will be able to: • Identify societal assumptions about aging and how these assumptions can affect nursing care of older adults • Discuss basic demographic information about the older population • Recognize difficulties posed by various age-related impairments • Discuss data on heath of older population • Discuss how generational values can affect an older adult’s recognition of mistreatment and willingness to seek help

3. Assumptions about Aging • What negative attitudes and inaccurate assumptions do people have about older adults? • Where do these attitudes and assumptions come from? • How can these attitudes and assumptions affect care older patients receive in your practice setting?

4. Turn Assumptions Around • Focus on facts related to aging and older adults rather than assumptions! • What are some of these facts?

5. A Few Facts… • Majority of older adults have no self-care deficits • Older adults need to be treated as adults • -Put person before impairment • -Age does not equal incapacity • Each older patient has unique needs and circumstances

6. Number of people age 65+ will increase over 50% by 2050 2008: almost 40 million 2030: more than 70 million 2050: almost 90 million Some ethnic groups will see more than a doubling of their older population Main source of data for statistics/charts in this module: Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being, 2008. Slide 15 from Older American 2000: Key Indicators of Well-Being. Older Population Estimates

7. Life Expectancy • People who survive to age 65 can expect to live average of almost 19 years • Of those who survive to age 85 • Women can expect to live average of 7 years • Men can expect to live average of 6 years

8. Sex Ratio • For older adults 65 years and over: 70 men for every 100 women • By 85 and over: more than 2 women for every 1 man

9. Potential Impairment • As people age, they are more likely to experience impaired functioning • When civilian, non-institutionalized adults ages 65 and over were asked to rate their health, 74% of both men and women reported their health as good or better • Self-rated health status declined with age for all groups

10. 4% reside in long-term care facilities on any given day 96% of adults ages 65+ live in community -73% of older men are married /live with spouse -42% of older women also live with spouse; 39% live alone. Widowhood is more common among older women than older men -Some older adults live with other relatives -Small % of older adults live with non-relatives Living Arrangements

11. Poverty • Less than 10% of older adults lived in poverty in 2006

12. Living with Impairments Examples… • Severe visual impairment • Severe hearing impairment • A stroke or has an arm fracture • Arthritis in fingers • Peripheral neuropathy • Aphasia

13. Physical Functioning

14. Chronic Conditions

15. Memory Impairment

16. Depressive Symptoms

17. Use of Health Care Services

18. Nursing Home Utilization

19. Generational Values • Historical Timeline • -Grandparents’ years of birth • -Events that occurred at different points on the line in their lives • -Additional historic events, inventions and norms of the times • -Effect of generational values related to elder mistreatment

20. Closing Assessment Write down one major concept you learned from this module and how you will apply it in your practice