Human Behavior and the Social Environment I Part XII Chapter 28 Physical Development in Late Adulthood

PART DEVELOPMENT IN LATE ADULTHOOD Learning Objectives I Explore and connect Psychosocial , Cognitive , and Psychosexual Development I Explore and connect another Theory , Approach , or Perspective to work in critical thinking skills for client assessments I Exploring important aspects of a experience and ability to justify why they are important Development in Late Adulthood 1131

Vignette is an 85 African American woman who lives alone with her small dog , Gus . lost her husband a few years ago after a painful battle with prostate cancer . and her husband had a . Photo by Vladimir on relationship . cared for her husband throughout his illness , but it took a toll on her both physically and emotionally . She still struggles with grief over his death and has days where she still cries uncontrollably . Her family checks in on her often but struggle with knowing what to do on days she is experiencing deep sadness . Gus has been a great support for her and has been critical in helping her get through some of her hardest times . is aware of the changes that occurred over the years in the neighborhood where she has so many memories and enjoyed life for so long . Despite the increasing crime , she continues to feel safe in her home as she maintains relationships with her friends who live close by and with the support of her church family , who also check in on her weekly . has been experiencing some increased health problems recently . She suffers from back pains , osteoporosis , and diabetes . She has been prescribed several medications to manage her health issues and has been experiencing increased side due to the new medicines . works hard to maintain her daily routine but her friends have noticed that she has started to engage in some unusual behaviors , such as walking without Gus or being out alone after dark , as well as she has had some dizzy spells and was falling more . Her friends have shared their concerns with her children , and they have decided to meet with their mother to find out more information to determine how to best support her needs . 1132 Development in Late Adulthood

Critical Thinking . What stage of Theory of Psychosocial Development are they currently in ?

Are they meeting the goals of this stage ?

Examples ?

Are they demonstrating any struggles with their goals in this stage ?

Examples ?

What theory , approach , or perspective from previous Dimensions ( PIE , Sociocultural , or Social Change ) would you use to assess this client ?

Why ?

What do you feel are the most important aspects ( physical development , attachment , sexual development , etc ) to consider for this client ?

Why ?

References Development in Late Adulthood 1133 Chapter 28 Physical Development in Late Adulthood Describe different theories of aging Describe the changes in physical appearance in late adulthood Describe the sensory changes in late adulthood Describe chronic health conditions during late adulthood Describe the importance of nutrition and exercise in late adulthood Describe the physical and functional changes in the brain during late adulthood Explain what happens in disease Explain how sleep patterns change in late adulthood Explain how sexuality changes in late adulthood Chapter 28 Physical Development in Late Adulthood 1135

Theories of Aging Why do we age ?

There are many theories that attempt to explain how we age , however , researchers still do not fully understand what factors contribute to the human lifespan ( Jin , 2010 ) Research on aging is constantly evolving and includes a variety of studies involving genetics , biochemistry , animal models , and human longitudinal studies ( NIA , According to Jin ( 2010 ) modern biological theories of human aging involve two categories . The first is Programmed Theories that follow a biological timetable , possibly a continuation of childhood development . This timetable would depend on changes in gene expression that affect the systems responsible for maintenance , repair , and defense responses , 72 ) The second category includes Damage or Error Theories which emphasize environmental factors that cause cumulative damage in organisms . Examples from each of these categories will be discussed . Figure Genetics One genetic certainly plays a role in longevity , but scientists are still attempting to identify which genes are responsible . Based on animal models , some genes promote longer life , while other genes limit longevity . Specifically , longevity may be due to genes that better equip someone to survive a disease . For others , some genes may accelerate the rate of aging , while 1136 Chapter 28 Physical Development in Late Adulthood

others decrease the rate . To help determine which genes promote longevity and how they operate , researchers scan the entire genome and compare genetic variants in those who live longer with those who have an average or shorter lifespan . For example , a National Institutes of Health study identified genes possibly associated with blood fat levels and cholesterol , both risk factors for coronary disease and early death ( NIA , Researchers believe that it is most likely a combination of many genes that affect the rate of aging . Evolutionary Theory Evolutionary psychology emphasizes the importance of natural selection that is , those genes that allow one to survive and reproduce will be more likely to be transmitted to offspring . Genes associated with aging , such as Disease , do not appear until after the individual has passed their main reproductive years . Consequently , natural selection has not eliminated these damaging disorders from the gene pool . If these detrimental disorders occurred earlier in the development cycle , they may have been eliminated already ( Gems , 2014 ) Cellular Clock Theory This theory suggests that biological aging is due to the fact that normal cells can not divide indefinitely . This is known as the limit and is evidenced in cells studied in test tubes , which divide about times before they stop ( 2014 ) But what is the mechanism behind this cellular senescence ?

At the end of each chromosomal strand is a sequence of DNA that does not code for any particular protein , but protects the rest of the chromosome , which is called a . With each replication , the gets shorter . Once it becomes too short the cell does one of three things . It can stop replicating by taming itself off , called cellular senescence . It can stop replicating by dying , called . Or , as in the development of cancer , it can continue to divide and become abnormal . Senescent cells can also create problems . While they may be turned off , they are not dead , thus they still interact with other cells in the body and can lead to an increased risk of disease . When we are young , senescent cells may Chapter 28 Physical Development in Late Adulthood 1137

reduce our risk of serious diseases such as cancer , but as we age they increase our risk of such problems ( NIA , Understanding why cellular senescence changes from being beneficial to being detrimental are still under investigation . The answer may lead to some important clues about the aging process . Figure Telomeres and Cellular ' Adapted from DNA Damage Over time DNA , which contains the genetic code for all organisms , accumulates damage . This is usually not a concern as our cells are capable of repairing damage throughout our life . Further , some damage is harmless . However , some damage can not be repaired and remains in our DNA . Scientists believe that this damage , and the body inability to fix itself , is an important part of aging ( NIA , As DNA damage accumulates with increasing age , it can cause cells to deteriorate and malfunction ( Jin , 2010 ) Factors that can damage DNA include ultraviolet radiation , cigarette smoking , and exposure to hydrocarbons , such as auto exhaust and coal ( 2006 ) Mitochondrial Damage Damage to mitochondrial DNA can lead 1138 Chapter 28 Physical Development in Late Adulthood

to a decaying of the mitochondria , which is cell organelle that uses oxygen to produce energy from food . The mitochondria convert oxygen to adenosine ( which provides the energy for the cell . When damaged , mitochondria become less efficient and generate less energy for the cell and can lead to cellular death ( NIA , Free Radicals When the mitochondria use oxygen to produce energy , they also produce potentially harmful byproducts called oxygen free radicals ( NIA , The free radicals are missing an electron and create instability in surrounding molecules by taking electrons from them . Figure Free Radicals A I There is a snowball effect ( A takes from and then takes from , Chapter 28 Physical Development in Late Adulthood 1139

etc . that creates more free radicals that disrupt the cell and causes it to behave abnormally ( See Figure ) Some free radicals are helpful as they can destroy bacteria and other harmful organisms , but for the most part , they cause damage in our cells and tissue . Free radicals are identified with disorders seen in those of advanced age , including cancer , atherosclerosis , cataracts , and . Some research has supported adding antioxidants to our diets to counter the effects of free radical damage because the antioxidants can donate an electron that can neutralize damaged molecules . However , the research on the effectiveness of antioxidants is not conclusive ( Harvard School of Public Health , 2016 ) Immune and Hormonal Stress Theories Ever notice how quickly presidents seem to age ?

Before and after photos reveal how stress can play a role in the aging process . Former President Obama 2008 Barack Obama 2012 Snum To understand how this stress affects aging , researchers note that both problems with the innate and adaptive immune system play a key role . The innate immune system is made up of the skin , mucous membranes , cough , stomach acid , and specialized cells that 1140 Chapter 28 Physical Development in Late Adulthood

alert the body of an impending threat . With age these cells lose their ability to communicate as effectively , making it harder for the body to mobilize its defenses . The adaptive immune system includes the tonsils , spleen , bone marrow , thymus , circulatory system and the lymphatic system that work to produce and transport cells . or lymphocytes , fight bacteria , viruses , and other foreign threats to the body . are in a naive ' state before they are programmed to fight an invader and become memory cells . These cells now remember how to fight a certain infection should the body ever come across this invader again . Memory cells can remain in your body for many decades , and why the measles vaccine you received as a child is still protecting you from this virus today . As older adults produce fewer new to be programmed , they are less able to fight off new threats and new vaccines work less effectively . The reason why the shingles vaccine works well with older adults is that they already have some existing memory cells against the varicella virus . The shingles vaccine is acting as a booster ( NIA , Hormonal Stress Theory , also known as Theory of Aging , suggests that as we age the ability of the hypothalamus to regulate hormones in the body begins to decline to lead to metabolic problems ( American Federation of Aging Research ( AFAR ) 2011 ) This decline is linked to an excess of the stress hormone cortisol . While many of the body hormones decrease with age , cortisol does not ( The more stress we experience , the more cortisol released , and the more hypothalamic damage that occurs . Changes in hormones have been linked to several metabolic and related problems that increase with age , such as diabetes ( AFAR , 2011 ) thyroid problems ( 2013 ) osteoporosis , and orthostatic hypotension ( Chapter 28 Physical Development in Late Adulthood 1141

Physical Changes of Aging The Baltimore Longitudinal Study on Aging ( NIA , began in 1958 and has traced the aging process in people from age 20 to 90 . Researchers from the have found that the aging process varies significantly from individual to individual and from one organ system to another . However , some key generalization can be made including Heart muscles thicken with age Arteries become less flexible Lung capacity diminishes Kidneys become less efficient in removing waste from the blood Bladder loses its ability to store urine Brain cells also lose some functioning , but new neurons can also be produced . Many of these changes are determined by genetics , lifestyle , and disease . Other changes in late adulthood include Body Changes Everyone body shape changes naturally as they age . According to the National Library of Medicine ( 2014 ) after age 30 people tend to lose lean tissue , and some of the cells of the muscles , liver , kidney , and other organs are lost . Tissue loss reduces the amount of water in your body and bones may lose some of their minerals and become less dense ( a condition called in the early stages and osteoporosis in the later stages ) The amount of body fat goes up steadily after age 30 , and older individuals may have almost one third more fat compared to when they were younger . Fat tissue builds up toward the center of the body , including around the internal organs . Skin , Hair and Nails With age skin becomes thinner , less elastic , lose fat , and no longer looks plump and smooth . Veins and bones can be seen easier , and scratches , cuts , and bumps can take longer to heal . Years exposed to the sun may lead to wrinkles , dryness , 1142 Chapter 28 Physical Development in Late Adulthood

age spots , and cancer . Older people may bruise more easily , and it can take longer for these bruises to heal . Some medicines or illnesses may also cause bruising . Gravity can cause the skin to sag and wrinkle , and smoking can wrinkle the skin . Also , seen in older adults are age spots , previously called liver spots . They look like flat , brown spots and are often caused by years in the sun . Skin tags are small , usually growths of skin that have a raised surface . They become common as people age , especially for women , but both age spots and skin tags are harmless ( NIA , Nearly everyone has hair loss as they age , and the rate of hair growth slows down as many hair follicles stop producing new hairs ( US . National Library of Medicine , 2019 ) The loss of pigment and subsequent graying begun in middle adulthood continues in late adulthood . The body and face also lose hair . Facial hair may grow coarser . For women , this often occurs around the chin and above the upper lip . For men , the hair of the eyebrows , ears , and nose may grow longer . Nails , particularly toenails , may become hard and thick . Figure Aging changes In nails I nu Lengthwise ridges may develop in the fingernails and toenails . However , pits , lines , changes in shape or color should be checked Chapter 28 Physical Development in Late Adulthood 1143

by a healthcare provider as they can be related to nutritional deficiencies or kidney disease ( National Library of Medicine ) Height and Weight The tendency to become shorter as one age occurs among all races and both sexes . Height loss is related to aging changes in the bones , muscles , and joints . People typically lose almost inch every 10 years after age 40 , and height loss is even more rapid after age 70 . A total of to inches in height is lost with aging . Changes in body weight vary for men and women . Men often gain weight until about age 55 , and then begin to lose weight later in life , possibly related to a drop in the male sex hormone testosterone . Women usually gain weight until age 65 , and then begin to lose weight . Weight loss later in life occurs partly because fat replaces lean muscle tissue , and fat weighs less than muscle . Diet and exercise are important factors in weight changes in late adulthood ( National Library of Medicine , 2014 ) 1144 Chapter 28 Physical Development in Late Adulthood

Figure Bone Growth Change lam 1020330405 60708090 Sauna is the loss of muscle tissue as a natural part of aging . is most noticeable in men , and physically inactive people can lose as much as to of their muscle mass each decade after age 30 , but even when active muscle loss still occurs ( 2016 ) Symptoms include a loss of stamina and weakness , which can decrease physical activity and subsequently further shrink muscles . typically happens faster around age 75 , but it may also speed up as early as 65 or as late as 80 . Factors involved in include a reduction in nerve cells responsible for sending signals to the muscles from the brain to begin moving , a decrease in the ability to turn protein into energy , and not receiving enough calories or protein to sustain adequate muscle mass . Any Chapter 28 Physical Development in Late Adulthood 1145

loss of muscle is important because it lessens strength and mobility , and is a factor in frailty and the likelihood of falls and fractures in older adults . Maintaining strong leg and heart muscles are important for independence . walking , swimming , or engaging in other cardiovascular exercises can help strengthen the muscles and prevent atrophy . Sensory Changes in Late Adulthood Vision In late adulthood , all the senses show signs of decline , especially among the . In the last chapter , you read about the visual changes that were beginning in middle adulthood , such as presbyopia , dry eyes , and problems seeing in dimmer light . By later adulthood , these changes are much more common . Three serious eye diseases are more common in older adults Cataracts , macular degeneration , and glaucoma . Only the first can be effectively cured in most people . Cataracts are clouding of the lens of the eye . The lens of the eye is made up of mostly water and protein . The protein is precisely arranged to keep the lens clear , but with age , some of the protein starts to clump . As more of the protein clumps together the clarity of the lens is reduced . While some adults in middle adulthood may show signs of cloudiness in the lens , the area affected is usually small enough to not interfere with vision . More people have problems with cataracts after age 60 ( and by age 75 , 70 of adults will have problems with cataracts ( Boyd , 2014 ) Cataracts also cause a discoloration of the lens , tinting it more yellow and then brown , which can interfere with the ability to distinguish colors such as black , brown , dark blue , or dark purple . Risk factors besides age include certain health problems such as diabetes , high blood pressure , and obesity , behavioral factors such as smoking , other environmental factors such as prolonged exposure to ultraviolet sunlight , previous trauma to the eye , 1146 Chapter 28 Physical Development in Late Adulthood

term use of steroid medication , and a family history of cataracts ( NEI , Boyd , 2014 ) Cataracts are treated by removing and replacing the lens of the eye with a synthetic lens . In developed countries , such as the United States , cataracts can be easily treated with surgery . However , in developing countries , access to such operations are limited , making cataracts the leading cause of blindness in late adulthood in the least developed countries ( 2004 ) As shown in Figure , areas of the world with limited medical treatment for cataracts often results in people living more years with a serious disability . For example , of those living in the darkest red color on the map , more than 990 out of people have a shortened lifespan due to the disability caused by cataracts . Figure I , 61 . EU . Am Older adults are also more likely to develop macular degeneration , which is the loss of clarity in the center field of vision , due to the deterioration of the macula , the center of the retina . Chapter 28 Physical Development in Late Adulthood 1147

Macular degeneration does not usually cause total vision loss , but the loss of the central field of vision can greatly impair day functioning . There are two types of macular degeneration dry and wet . The dry type is the most common form and occurs when tiny pieces of a fatty protein called form beneath the retina . Eventually the macular becomes thinner and stops working properly ( Boyd , 2016 ) About 10 of people with macular degeneration have the wet type , which causes more damage to their central field of vision than the dry form . This form is caused by abnormal development of blood vessels beneath the retina . These vessels may leak fluid or blood causing more rapid loss of vision than the dry form . The risk factors for macular degeneration include smoking , which doubles your risk ( race , as it is more common among Caucasians than African Americans or high cholesterol and a family history of macular degeneration ( Boyd , 2016 ) At least 20 different genes have been related to this eye disease , but there is no simple genetic test to determine your risk , despite claims by some genetic testing companies ( At present , there is no effective treatment for the dry type of macular degeneration . Some research suggests that certain patients may benefit from a cocktail of certain antioxidant vitamins and minerals , but the results are mixed at best . They are not a cure for the disease nor will they restore the vision that has been lost . This cocktail can slow the progression of visual loss in some people ( Boyd , 2016 , 20153 ) For the wet type medications that slow the growth of abnormal blood vessels , and surgery , such as laser treatment to destroy the abnormal blood vessels may be used . Only 25 of those with the wet version may see improvement with these procedures ( Boyd , 2016 ) A third vision problem that increases with age is glaucoma , which is the loss of peripheral vision , frequently due to a buildup of fluid in the eye that damages the optic nerve . As you age the pressure in the eye may increase causing damage to the optic nerve . The exterior of the optic nerve receives input from retinal cells on the periphery , 1148 Chapter 28 Physical Development in Late Adulthood

and as glaucoma progresses more and more of the peripheral visual field deteriorates toward the central field of vision . In the advanced stages of glaucoma , a person can lose their sight . Fortunately , glaucoma tends to progress slowly ( NEI , Glaucoma is the most common cause of blindness in the US . NEI , African Americans over age 40 and everyone else over age 60 has a higher risk for glaucoma . Figure Normal , Degeneration Those with diabetes , and with a family history of glaucoma also have a higher risk ( et , 2015 ) There is no cure for glaucoma , but its rate of progression can be slowed , especially with early diagnosis . Routine eye exams to measure eye pressure and examination of the optic nerve can detect both the risk and presence of glaucoma ( NEI , Those with elevated eye pressure are given medicated eye drops . Reducing eye pressure lowers the risk of developing glaucoma or slow its progression in those who already have it . Hearing As you read in Chapter , our hearing declines both in Chapter 28 Physical Development in Late Adulthood 1149

terms of the frequencies of sound we can detect , and the intensity of sound needed to hear as we age . These changes continue in late adulthood . Almost in adults aged 65 to 74 and in aged 75 and older have disabling hearing loss ( 2016 ) Table lists some common signs of hearing loss . Table Common of Hearing Loss trouble hearing our due it hard when two or more are talking ask people to repeal ! are saying Need to nun up the volume so loud that others Have a problem hearing of background noise seen to numble Can not understand when and children are meeting NIA . Presbycusis is a common form of hearing loss in late adulthood that results in a gradual loss of hearing . It runs in families and affects hearing in both ears ( NIA , Older adults may also notice tinnitus , a ringing , hissing , or roaring sound in the ears . The exact cause of tinnitus is unknown , although it can be related to hypertension and allergies . It may come and go or persist and get worse over time ( NIA , The incidence of both presbycusis and tinnitus increase with age and males have higher rates of both 1150 Chapter 28 Physical Development in Late Adulthood

around the world ( Somerset , Hall , 2016 ) Your auditory system has two jobs To help you to hear , and to help you maintain balance . Your balance is controlled by the brain receiving information from the shifting of hair cells in the inner ear about the position and orientation of the body . With age this function of the inner ear declines which can lead to problems with balance when sitting , standing , or moving ( Martin , 2014 ) Taste and Smell Our sense of taste and smell are part of our chemical sensing system . Our sense of taste , or gustation , appears to age well . Normal taste occurs when molecules that are released by chewing food stimulate taste buds along with the tongue , the roof of the mouth , and in the lining of the throat . These cells send messages to the brain , where specific tastes are identified . After age 50 we start to lose some of these sensory cells . Most people do not notice any changes in taste until one ( Senior Health , Given that the loss of taste buds is very gradual , even in late adulthood , many people are often surprised that their loss of taste is most likely the result of a loss of smell . Smell loss due to aging Loss of only certain odors Total loss of smell Change in the perception of odors . Familiar odors are . Smell odors thin are not Mantra um Smell Our sense of smell , or olfaction , decreases more with age , and problems with the sense of smell are more common in men than in women . Almost in males in their have a disorder with the sense of smell , while only in 10 women do ( Senior Health , This loss of smell due to aging is called presbyopia . Olfactory Chapter 28 Physical Development in Late Adulthood 1151

cells are located in a small area high in the nasal cavity . These cells are stimulated by two pathways when we inhale through the nose , or via the connection between the nose and the throat when we chew and digest food . It is a problem with this second pathway that explains why some foods such as chocolate or coffee seem tasteless when we have a head cold . There are several types of loss of smell . Total loss of smell , or , is extremely rare . Problems with our chemical senses can be linked to other serious medical conditions such as , or multiple sclerosis ( Senior Health , Any sudden change should be checked out . Loss of smell can change a person diet , with either a loss of enjoyment of food and eating too little for balanced nutrition or adding sugar and salt to foods that are becoming to the palette . Touch Research has found that with age , people may experience reduced or changed sensations of vibration , cold , heat , pressure , or pain ( Martin , 2014 ) Many of these changes are also aligned with a number of medical conditions that are more common among the elderly , such as diabetes . However , there are changes in the touch sensations among healthy older adults . The ability to detect changes in pressure have been shown to decline with age , with it being more pronounced by the decade and diminishing further with advanced age ( 2013 ) Yet , there is considerable variability , with almost 40 showing sensitivity that is comparable to younger adults ( 1981 ) However , the ability to detect the or of an object shows no appreciable change with age ( McNulty , 2013 ) Those who show increasing insensitivity to pressure , temperature , or pain are at risk for injury ( Martin , 2014 ) Pain According to and ( 2014 ) approximately 60 of people over the age of 65 reports at least some chronic pain , and this rate is even higher for those individuals living in nursing homes . Although the presence of pain increases with age , older adults are less sensitive to pain than younger adults ( Price , 1986 ) Farrell ( 2012 ) looked at research studies 1152 Chapter 28 Physical Development in Late Adulthood

that included techniques involving older people who were healthy and those who experienced a painful disorder . Results indicated that there were decreases in brain volume in those structures involved in pain . Especially noteworthy were changed in the prefrontal cortex , brainstem , and hippocampus . Women are more likely to identify feeling pain than men ( et , 2008 ) Women have fewer opioid receptors in the brain , and women also receive less relief from opiate drugs ( Garrett , 2015 ) Figure from Arthritis Because pain serves as an important indicator that there is something wrong , a decreased sensitivity to pain in older adults is a concern because it can conceal illnesses or injuries requiring medical attention . Chronic health problems , including arthritis , cancer , diabetes , joint pain , sciatica , and shingles are responsible for most of the pain felt by older adults ( 81 , 2014 ) Cancer is a special concern , especially breakthrough pain which is a severe pain that comes on quickly while a patient is already medicated with a acting painkiller . It can be very upsetting , and after one attack many people worry it will happen again . Some older individuals worry about developing an addiction to pain medication , but if the Chapter 28 Physical Development in Late Adulthood 1153

medicine is taken exactly as prescribed , addiction should not be a concern ( Lastly , side effects from pain medicine including constipation , dry mouth , and drowsiness may occur that can adversely affect the elders life . Some older individuals put off going to the doctor because they think pain is just part of aging and nothing can help . Of course , this is not true . Managing pain is crucial to ensure feelings of for older adults . When chronic pain is not managed , the individua will restrict their movements for fear of feeling pain or injuring themselves further . This lack of activity will result in more restrictions , further decreased participation , and greater disability ( Jensen , Moore , 2011 ) A decline in activity because of pain is also associated with weight gain obesity in adults ( Chapman , 2005 ) Additionally , sleep and mood disorders , such as depression , can also occur ( 2014 ) Learning to cope effectively with pain is an important consideration in late adulthood working with one primary physician or a pain specialist is recommended ( For those 65 and older , 35 have a disability of some type . Figure identifies the percentage of those who have a disability on the type . 05 Add in MI ! Hun . mu . In . In . 1154 Chapter 28 Physical Development in Late Adulthood

Nutrition A healthy diet is necessary for older adults to increase mental acuteness , resistance to illness and disease , boost energy levels , improve immune system strength , recuperation speed , and have greater effectiveness in the management of chronic health problems ( Mayer , 2016 ) The new for Older Adults , a website from Tufts University , suggests that older adults should strive for 50 of their diet is fruits and vegetables 25 grains , many of which should be whole grains and 25 foods , such as nuts , beans , fish , lean meat , poultry , and and dairy products such as milk , cheeses , and yogurts . Unfortunately , changes in sensory functions , such as smell and taste , along with loss of teeth , can derail an older adults ability to eat right . Figure Couple lunch Chapter 28 Physical Development in Late Adulthood 1155

Older adults are likely to use salt and sugar to foods that no longer taste the way they once did . Several government websites provide older adults with alternatives to the salt shaker to make foods more palatable . Chronic Conditions Chronic illnesses are illnesses that are ongoing , generally incurable conditions that require continuous medical attention and affect daily life . As individuals live longer , diseases that affect older individuals will become more prevalent , and the burden of chronic illness grows with age . Less than 50 of adults have a chronic condition , 90 aged 75 and up do ( Cohen , 2011 ) Almost 80 have at least one chronic disease , and 77 have at least two ( National Council on Aging , 2019 ) Older women are more likely to have a chronic condition than are older men ( 83 88 ) 2009 ) Table lists the percentage of older adults who have certain chronic illnesses based on the National Health Survey conducted in 2014 . Other studies place the figure of diabetes in older adults at 26 ( 2014 ) 1156 Chapter 28 Physical Development in Late Adulthood

95 High cholesterol Hypertension Arthritis Cancer ! Diabetes Heart disease I . Chronic bronchitis Emphysema Cancer and Major Cardiovascular Disease As discussed in chapter , cancer and cardiovascular disease are the overall leading causes of death , and they are especially high reasons for death in middle and late adults . Table identifies the percentages of deaths due to cancer and cardiovascular disease for selected age groups in 2016 the most recent year for data ( Heron , 2018 ) Cancer Advancing age is a significant risk factor for cancer , with persons over 65 accounting for 60 of newly diagnosed cancer and 70 of all cancer deaths ( Berger et , 2006 ) Additionally , more than 70 of the mortality associated including prostate , bladder , colon , uterus , pancreas , stomach , rectum and lung occurs in patients 65 and older . Other conditions that affect the elderly can occur with cancer , including anemia , coronary artery diseases , congestive heart failure , chronic obstructive pulmonary diseases , renal insufficiency , cerebrovascular diseases , neurovascular complications of diabetes , and arthritis that restricts mobility ( 2000 ) will complicate treatment . Chapter 28 Physical Development in Late Adulthood 1157

Dull for Ind Hun for Age Groups CAUSES DEATH 654 ' HEART DISEASE and ( 2000 ) examined several concerns about cancer treatment in the elderly . With aging , there is a decline in multiple organ systems that can adversely affect the ability of medications to treat cancer . Chemotherapy has been found to compromise the cognitive function of those being treated for cancer , and it may further exacerbate dementia and elderly cognitive declines . Frail individuals , defined as having limited life expectancy and exhausted functional reserves , are also not considered candidates for more toxic forms of chemotherapy . With cancer , the prevalence and risk of malnutrition are higher and diminished visual and hearing function makes elderly cancer patients more susceptible to environmental injury . Screening for depression is also recommended because depression is associated with weight loss , failure to thrive , and may reduce the motivation to receive treatment . Consequently , depression has been associated with decreased survival rates in the elderly . Due to the projected increase in the total number of older patients with cancer , it is recommended that physicians and caretakers have expertise in both oncology and geriatrics ( Berger et , 2006 ) Heart Disease There are changes to the heart that happen with age , and some may increase a person risk of heart disease . These include stiffening blood vessels and valves , which may result in leaks or problems pumping blood out of the heart ( NIA , 2012 ) As 1158 Chapter 28 Physical Development in Late Adulthood

previously stated , heart disease is the leading cause of death for those in late adulthood ( There are different types of heart disease , and as already discussed in chapter , the most common is atherosclerosis , the buildup of fatty deposits or plaques in the walls of arteries . As plaque builds up , blood is unable to flow normally and bring oxygen throughout the body , including to the heart . Depending on where the buildup is , atherosclerosis can cause a heart attack , leg pain , or a stroke . However , Atherosclerosis is not part of normal aging . Many of the problems older people have with their heart and blood vessels are caused by disease and not by aging . For example , an older heart can normally pump blood as strong as a younger heart , while less ability to pump blood is caused by disease . Therefore , leading a lifestyle is most important to keeping one heart strong in late adulthood . Arthritis Arthritis and other rheumatic conditions are the most common cause of disability among US adults and have been the most common cause of disability among US adults for the past 15 years ( National Institute of Arthritis and and Skin Diseases , 2014 ) According to the , approximately 62 of adults with arthritis are 65 years old and up . Almost in older adults with arthritis have some degree of mobility limitations , such as climbing stairs , walking , and grasping objects . The pain and other limitations of arthritis can also increase the risk of depression and other forms of mental distress . Osteoarthritis is the most common type of arthritis . When the cartilage , the slick , cushioning surface on the ends of bones wears away , bone rubs against bone , causing pain , swelling , and stiffness . Over time , joints can lose strength and pain may become chronic ( Arthritis Foundation , 2017 , para ) Common risk factors for osteoarthritis include genetics , obesity , age , previous injury , and other medical conditions . Osteoporosis and Kyphosis Osteoporosis is a disease that thins and weakens bones to the point that they become fragile and break easily . After age 50 , in women and in men will experience an fracture in their lifetime , often leading to Chapter 28 Physical Development in Late Adulthood 1159

hip , spine , and wrist fractures ( 2006 ) Broken hips are a very serious problem as we age . They greatly increase the risk of death , especially during the year after they break ( Senior Health , 2015 ) In the US , more than 53 million adults either already have osteoporosis or at high risk due to low bone mass ( Senior Health , 2015 ) As bones in the spine , adults gradually lose height and their posture becomes hunched over , which is called Kyphosis . Over time a bent spine can make it hard to walk or even sit up . Adults can prevent the loss of bone mass by eating a healthy diet with enough calcium and vitamin , regularly exercising , limiting alcohol , and not smoking ( National Osteoporosis Foundation , 2016 ) Figure Osteoporosis Chronic obstructive pulmonary disease ( is a progressive lung disease in which the airways become damaged making it difficult to breathe . includes problems such as emphysema and chronic bronchitis ( Senior Health , 2013 ) kills more than people every year , making it one of the leading causes of death . was once considered a mans disease . However , 1160 Chapter 28 Physical Development in Late Adulthood

since 2000 , 58 of those with are women and they comprise of all women ( American Lung Association , 2019 ) Research has indicated that women may be more susceptible to the effects of cigarette smoke due to having smaller lungs and estrogen worsening the effects . OH ! The 504 ?

Figure compares healthy to damaged lungs due to . As develops slowly , people may not notice the early signs and may attribute the shortness of breath to age or lack of physical exercise . Most people are not diagnosed until midlife or late adulthood . There is no cure as the damage can not be reversed . Treatments aim at slowing further damage . Cigarette smoking is the leading cause of , but other types of tobacco smoking , such as a pipe or cigar , can cause , especially if the smoke is inhaled . Chapter 28 Physical Development in Late Adulthood 1161

Heavy or exposure to smoke can also lead to ( Senior Health , 2013 ) can also occur in people who have long term exposure to other environmental , such as chemical fumes , and dust from the environment and workplace . About in every to people have a risk for because of a recessive genetic condition known as antitrypsin ( deficiency ( 2011 ) is a protein made in the liver that protects organs , especially the lungs , from the effects of other harmful proteins . In those with the genetic defect , the protein created is the wrong shape and can not leave the liver . This can lead to a heightened risk for lung disease , and even liver disease , as the excess of the protein can lead to cirrhosis , which is a disease in which the liver becomes scarred and does not function properly . While some people with ATT deficiency are not affected and live a normal life , is more likely to occur in such individuals if their lungs are exposed to environmental . Shingles According to the National Institute on Aging ( the shingle is a disease that affects your nerves . Shingles are caused by the same virus as chickenpox , the virus ( After you recover from chickenpox , the virus continues to live in some of your nerve cells . It is usually inactive , and most adults live with in their bodies and never get shingles . However , the virus will become active in one in three adults . Instead of causing chickenpox again , it produces shingles . A risk factor for shingles includes advanced age as people have a harder time fighting off infections as they get older . About half of all shingles cases are in adults age 60 or older , and the chance of getting shingles becomes much greater by age 70 . Other factors that weaken an individual ability to fight infections , such as cancer , HIV infections , or other medical conditions , can put one at a greater risk for developing shingles . 1162 I Chapter 28 Physical Development in Late Adulthood

Figure Shingles Shingles result in pain , burning , tingling , or itching in the affected area , as well as a rash and blisters . Typically , shingles develop only on one side of the body or face and in a small area rather than all over . Most cases of shingles last to weeks . After the shingles rash goes away , some people may be left with ongoing pain , called neuralgia ( in the area where the rash had been ( NIA , 20156 ) The older one is when getting shingles , the greater the chance of developing . Some people with find it hard to go about their daily activities , like dressing , cooking and eating . They can also suffer from depression , anxiety , and sleeplessness . Medicines can help with pain and usually , will disappear . Unfortunately , the blisters from shingles may become infected or leave a scar . Blisters near or in the eye can cause lasting eye damage or blindness . A brief paralysis of the face , hearing loss , and very rarely , swelling of the brain ( encephalitis ) can also occur . There is a shingles vaccine that is recommended for those aged 50 and older . Shingles are not contagious , but one can catch chickenpox from someone with shingles . Beliefs about Health Despite the fact that the majority of older adults have at least one chronic illness , most rate their overall health positively ( Graham , 2019 ) Based on the results of the 2017 Chapter 28 Physical Development in Late Adulthood 1163

National Health Interview Survey , 82 of those aged and 73 of those 75 and older rated their health as excellent , very good or good . Because older adults focus more on emotional , positive social relationships , remaining active , and overall life satisfaction , poor physical functioning is not considered as important . Older adults often look to those who are worse off than themselves , including those having died or are in a nursing home , and consequently feel more positive about themselves . This perspective is in contrast to those younger who believe that there should not be anything wrong with them , and consequently experience negative feelings when they have an illness . Older adults expect there will be some deterioration in their health and are able to adapt to it . Similarly , most older adults identify positive mental health in conjunction with their physical health . Brain Functioning Research has demonstrated that the brain loses to 10 of its weight between 20 and 90 years of age ( 2010 ) This decrease in brain volume appears to be due to the shrinkage of neurons , lower number of synapses , and shorter length of axons . According to Garrett ( 2015 ) the normal decline in cognitive ability throughout the lifespan has been associated with brain changes , including the reduced activity of genes involved in memory storage , synaptic pruning , plasticity , and glutamate and ( neurotransmitters ) receptors . There is also a loss in white matter connections between brain areas . Without myelin , neurons demonstrate slower conduction and impede each others actions . A loss of synapses occurs in specific brain areas , including the hippocampus ( involved in memory ) and the basal forebrain region . Older individuals also activate larger regions of their attentional and executive networks , located in the parietal and prefrontal cortex , when they perform complex tasks . This increased activation 1164 Chapter 28 Physical Development in Late Adulthood

correlates with reduced performance on both executive tasks and tests of working memory when compared to those younger ( 2011 ) Continued Neurogenesis Researchers at the University of Chicago found that new neurons continued to form into old age . et al . 2019 ) examined the brain tissue of individuals between the ages of 79 and 99 ( average age ) and found evidence of neurogenesis in the hippocampus . Approximately 2000 neural progenitor cells and 150 , 000 developing neurons were found per brain , although the number of developing neurons was lower in people with cognitive or disease . et al . hypothesized that the lower levels of neurogenesis in the hippocampus were associated with symptoms of cognitive decline and reduced synaptic plasticity . The brain in late adulthood also exhibits considerable plasticity , and through practice and training , the brain can be modified to compensate for any changes ( 2015 ) Park and ( 2009 ) proposed the Scaffolding Theory of Aging and Cognition which states that the brain adapts to neural atrophy ( dying of brain cells ) by building alternative connections , referred to as scaffolding . This scaffolding allows older brains to retain high levels of performance . Brain compensation is especially noted in the additional neural effort demonstrated by those individuals who are aging well . For example , older adults who performed just as well as younger adults on a memory task used both prefrontal areas , while only the right prefrontal cortex was used in younger participants ( Cabeza , Anderson , 2002 ) Consequently , this decrease in brain lateralization appears to assist older adults with their cognitive skills . Healthy Brain Functioning Cheng ( 2016 ) found that physical activity and stimulating cognitive activity resulted in significant reductions in the risk of disorders in longitudinal studies . Physical activity , especially aerobic exercise , is associated with less gray and white matter loss , as well and Chapter 28 Physical Development in Late Adulthood 1165

diminished neurotoxins in the brain . Overall , physical activity preserves the integrity of neurons and brain volume . Cognitive training improves the efficiency of the prefrontal cortex and executive functions , such as working memory , and strengthens the plasticity of neural circuits . Both activities support cognitive reserve , or the structural and dynamic capacities of the brain that buffer against and lesions ( 85 ) Although it is optimal to begin physical and cognitive activities earlier in life , it is not too late to start these programs in late adulthood to improve one cognitive health . Figure Exercise Is Important to Functioning Can we improve brain functioning ?

Many training programs have been created to improve brain functioning . ACTIVE ( Advanced Cognitive Training for Independent and Vital Elderly ) a study conducted between 1999 and 2001 in which individuals age 65 to suggests that the answer is yes . These racially diverse participants received 10 group training sessions and follow up sessions to work on tasks of memory , reasoning , and speed of 1166 Chapter 28 Physical Development in Late Adulthood

processing . These mental workouts improved cognitive functioning even years later . Many of the participants believed that this improvement could be seen in everyday tasks as well ( et , 2006 ) However , programs for the elderly on memory , reading , and processing speed training demonstrate that there is an improvement in the specific tasks trained , but there is no generalization to other abilities ( 2015 ) Further , these programs have not been shown to delay or slow the progression of disease . Although these programs are not harmful , physical exercise , learning new skills , and socializing remain the most effective ways to train your brain ( 207 ) These activities appear to build a reserve to minimize the effects of primary aging of the brain . disease is characterized by motor tremors , loss of balance , poor coordination , rigidity , and difficulty moving ( Garrett , 2015 ) affects approximately of those over the age of 60 , and it appears more frequently in family members in a little less than 10 of cases . chromosomal areas have been implicated in disease , but environmental factors have also been identified and include brain injury . Being knocked unconscious once increases the risk by 32 and being knocked out several times increases the risk by 174 ( Garrett , 2015 ) Other environmental influences include toxins , industrial chemicals , carbon monoxide , herbicides and pesticides ( 1999 ) The symptoms are due to the deterioration of the substantia nigra , an area in the midbrain whose neurons send releasing axons to the basal ganglia which affect motor activity . Treatment typically includes the medication ( which crosses the barrier and is converted into dopamine in the brain . Deep brain stimulation , which involves inserting an electrode into the brain that provides electrical stimulation , has resulted in improved motor functioning ( Garrett , 2015 ) Chapter 28 Physical Development in Late Adulthood 1167

Sleep Similar to other adults , older adults need between to hours of sleep per night , but they tend to go to sleep earlier and get up earlier than those younger . This pattern is called advanced sleep phase syndrome and is based on changes in circadian rhythms ( National Sleep Foundation , 2009 ) There are sleep problems in older adults , and insomnia is the most common problem in those 60 and older ( NIA , 2016 ) People with insomnia have trouble falling asleep and staying asleep . There are many reasons why older people may have insomnia , including certain medications , being in pain , having a medical or psychiatric condition , and even worrying before bedtime about not being able to sleep . Using over the counter sleep aids or medication may only work when used for a short time . Consequently , sleep problems should be discussed with a health care professional . Also , common in older adults are sleep disorders , including sleep apnea , restless legs syndrome , periodic limb movement disorder , and rapid eye movement sleep behavior disorder ( NIA , 2016 ) Sleep apnea refers to repeated short pauses in breathing , while an individual sleeps , which can lead to reduced oxygen in the blood . Snoring is a common symptom of sleep apnea and it often worsens with age . Untreated sleep apnea can lead to impaired daytime functioning , high blood pressure , headaches , stroke , and memory loss . Restless legs syndrome feels like there is tingling , crawling , or pins and needles in one or both legs , and this feeling is worse at night . Periodic limb movement disorder causes people to jerk and kick their legs every 20 to 40 seconds during sleep . Rapid eye movement sleep behavior disorder occurs when one muscles can move during REM sleep and sleep is disrupted . According to the National Sleep Foundation ( 2009 ) there are many medical conditions that affect sleep and include gastroesophageal reflux disease , diabetes , renal failure , respiratory diseases such as asthma , and immune disorders . Diseases such as 1168 Chapter 28 Physical Development in Late Adulthood

disease and multiple sclerosis also commonly cause problems sleeping . Lastly , disease can interfere with sleeping patterns . Individuals may wake up many times during the night , wander when up , and yell which can alter the amount of time they sleep . Both minor and major sleep problems in older adults can lead to increased risk of accidents , falls , chronic fatigue , decreased quality of life , cognitive decline , reduced immune function , and depression ( 2013 ) Figure Source Sexuality Because of sleep problems experienced by those in late adulthood , research has looked into whether exercise can improve their quality of sleep . Results show that 150 minutes per week of exercise can improve sleep quality ( 2013 ) This amount of exercise is also recommended to improve other health areas including lowering the risk for heart disease , diabetes , and some cancers . Aerobic activity , weight training , and balance programs are all recommended . For those who live in assisted living facilities even light exercise , such as stretching and short walks , can improve sleep . Chapter 28 Physical Development in Late Adulthood 1169

activity is not necessary to see improvements . Overall , the effects of exercise on sleep may actually be even larger for older adults since their sleep quality may not be ideal to start . Figure Source According to Kane ( 2008 ) older men and women are often viewed as genderless and asexual . There is a stereotype that elderly individuals no longer engage in sexual activity and when they do , they are perceived to have committed some kind of offense . These myths can become internalized , and older people have a more difficult time accepting their sexuality ( 2011 ) Additionally , some older women indicate that they no longer worry about sexual concerns anymore once they are past the childbearing years . In reality , many older couples find greater satisfaction in their sex life than they did when they were younger . They have fewer distractions , more time and privacy , no worries about getting pregnant , and greater intimacy with a lifelong partner ( NIA , 2013 ) Results from the National Social Life Health , and Aging Project indicated that 72 of men and of women aged 52 to 72 reported being sexually active ( Schwarz , 2011 ) Additionally , the National Survey of Sexual Health data indicated that 20 of individuals remain sexually active well into their ( et , 2010 ) However , there are issues that 1170 Chapter 28 Physical Development in Late Adulthood

occur in older adults that can adversely affect their enjoyment of healthy sexual relationships . Causes of Sexual Problems According to the National Institute on Aging ( 2013 ) chronic illnesses including arthritis ( joint pain ) diabetes ( erectile dysfunction ) heart disease ( difficulty achieving orgasm for both sexes ) stroke ( paralysis ) and dementia ( inappropriate sexual behavior ) can all adversely affect sexual functioning . Hormonal changes , physical disabilities , surgeries , and medicines can also affect a senior ability to participate in and enjoy sex . How one feels about sex can also affect performance . For example , a woman who is unhappy about her appearance as she ages may think her partner will no longer find her attractive . A focus on youthful physical beauty for women may get in the way of her enjoyment of sex . Likewise , most men have a problem with erectile dysfunction ( ED ) once in a while , and some may fear that ED will become a more common problem as they age . If there is a decline in sexual activity for a heterosexual couple , it is typically due to a decline in the males physical health ( 2015 ) Overall , the best way to experience a healthy sex life in later life is to keep sexually active while aging . However , the lack of an available partner can affect heterosexual women participation in a sexual relationship . Beginning at age 40 there are more women than men in the population , and the ratio becomes to at age 85 ( et , 2011 ) Because older men tend to pair with younger women when they become widowed or divorced , this also decreases the pool of available men for older women ( 2015 ) In fact , a change in marital status does not result in a decline in the sexual behavior of men aged 57 to 85 years old , but it does result in a decline for women ( et , 2011 ) Concluding Thoughts Key players in improving the quality of life among older adults will be those adults themselves . By exercising , reducing stress , stopping smoking , limiting the use of alcohol , and consuming more fruits and vegetables , older adults can expect to live longer and more active lives ( He et , 2005 ) Stress reduction , Chapter 28 Physical Development in Late Adulthood 1171

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