Study Guide for care of the older adult
1. Baby Boomers: large group of people born between 1946-1964. Considered
more affluent, better educated and healthier. Baby boomers have entered the older
age group as of 2011
2. Baby Boomers unique characteristics that make them a
challenge forhealthcare professionals: expect and demand excellence
in geriatric care. Health disparities exist among minority elder group.
3. Top five racial groups in United States:
EuropeanAfrican
Hispani
cAsian
Native Americans
4. European Americans
5 health disparities: individualistic, stoic (don't want to be a burden to
others),elders- lose their sense of self worth.
Trust authority- will tend to follow health care advice)
smoking by pregnant women
drug induced deaths
deaths from poisoning
deaths from melanoma,
,and deaths from COPD before age 45.
5. African Americans: 2nd larges minority populations.
religion/spirituality plays important role in health and
wellness.
Equate good luck, good fortune, and good health with being right with God.
Closer ties with extended families and rely on their close family ties for support.
Distrustful of health care personnel
6. African Americans - top five health disparities:
gonorrhea,congenital syphilis,
new cases of AIDS,
deaths due to HIV infection.
7. Hispanic Americans: high values on family, religion, and
community.family interdependence over independence.
family first before seeking outside health care.
homeopathic remedies in conjunction with religious artifacts before engaging the
,health care professional.
They disagree with silence and noncompliance.
May not seek health care because they feel that their illness/disease is a punish-
ment of sins.
Many do not seek health care because they do not have access to it (lack of
insurance, communication difficulties, or fear of ramifications due to being
incountry illegally.
Diabetes and heart disease are two health problems that have increased withinthis
cultural group
8. Hispanic Americans - top 5 health disparities: congenital
syphilisTB,
AIDS,
exposure to particulate matter,
cirrhosis deaths
9. Asian Americans: still practice holistic (naturalistic) medicine and may
incorpo-rate this as an adjunct to Western medicine.
Majority of influence comes from Confucianism Follows a naturalistic perspective,
defining health and illness as a balance between the individual and the world
around the individual.
Treatments may involve - acupuncture, moxibustion (burning of herbal leaves on
ornear the body), cupping (the use of warmed glass jars to create suction on
, certainparts of the body), massage, herbal remedies, movement and
concentration exercises (tai chi)
Some elders may forgo life sustaining treatment because of the principles of ren.
Ren is the golden rule of Chines decision making "Do not do to others what you
do not want done to yourself".
10. Asian Americans - top 5 disparities: new cases of TB, congenital syphilis,
no pap test among females > 18, exposure to particulate matter, and carbon
monoxideexposure
11. Native Americans: Insulated from the rest of the country, either literally
(byway of land reservation) or in other ways such as linguistically.
Follow naturalistic approach, believing that health is a balance of the mind, body,