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Kathryn Fant
Worcester State University
Discussion Questions
 Why does our society put so much emphasis on our
  reproductive years, while information about our post
  reproductive years goes unheard and undiscovered
 Why is there such a negative outlook on the aging
  process?
General Definitions
 Perimenopause- one-to-ten year stretch which the
  ovaries function erratically and hormonal fluctuations
  effect many changes within the body.
 Menopause- marked by final period, ovaries settle
  down, estrogen and progesterone decline to low steady
  levels
 Postmenopause- the years after a women goes through
  menopause and can no longer reproduce. The average
  women spends one third of her life within the stage of
  postmenopause.
Perimenopause
 Happens between the ages of thirty and sixty
 The time which you go through menopause may be
  predicted by the time your mother went through “the
  change”
 Nine common changes; Heavy/longer flows, Shorter
  menstrual cycles, Sore/swollen breasts, New midsleep
  wakening, Increased cramps, Night sweats, Migraines,
  Increased mood swings, Weight gain without changes
  in exercise or eating
 Gaps or lower ability to concentrate
Myth
 Once your periods become irregular you cannot
  become pregnant. This is indeed false and this myth is
  responsible for many unplanned pregnancies.
 Women should use birth control up to a year after
  there last period, some experts say even two to three
  years after.
Postmenopause
 “No more bloating, sore breast, menstrual migraines,
  back pain, greasy hair, and zits. I now realize I felt like
  I had been pregnant for thirty-five years!”
 Many women feel a sense of relief and seek more self
  directed activities.
 Western cultures outlook on youth and beauty can
  lead to sexism and ageism. This can make the
  transition to postmenopause difficult.
 This may lead women to for more extreme solutions to
  resist the ageing process
Hormone Therapy
 Many hormone treatments have not been tested for
  long term effects and can have detrimental effects
 Some hormones treatments are not regulated by the
  FDA
 Menopause is not a disease and our society puts a
  negative spin on the ageing process
 If you are considering hormone therapy consult with
  your doctor and look at the latest research, but above
  all, you should do what works for you
Later Years
 Ageism is a negative outlook of older individuals and
  the U.S. actively engages in ageism
 Our society needs more older role models and needs to
  be educated about the aging process because all of us
  (“is we are lucky”), will get old.
 The new average life expectancy went from 48 to 80
  within the time span of 1900 to 2007.
Relationships
 The family dynamic changes- our place in the
  generational hierarchy changes as we become
  grandparents.
 Social connections have a positive effect on our health
 In our later years we are more likely to experience the
  loss of a loved one. On average 42% of women over the
  age of 65 are widowed
Preventative Measures
 Many diseases are preventable by acquiring healthy
  habits such as; Eating healthful foods, Exercising,
  Regular check ups, Engaging your mind, Reducing or
  quitting smoking, and balanced meals.
 Some obstacles to some of these preventative
  measures include; Financial opportunity and years of
  exposure to occupational health hazards
Myth
 Sexual desire and activity fade as a natural, irreversible
  part of ageing. This is false, our society views older
  women as “dried up”. Sexuality can continue through
  the lifespan.
 “Sexual feelings often depend more on how we feel
  about out bodies and our relationships than our age.”
Health Care
 Overtreatment and under treatment continue to be
    problems within the U.S. health care system
   Rates of longevity are inconsistent across racial and
    ethnic groups, and income level.
   Health care providers may prescribe wrong treatments
    for misdiagnosed health problems
   Many medications can have adverse effects such as;
    increased confusion, and depression
   Medicare only covers short term at-home or nursing
    home care, long term care is paid out of pocket
Planning Ahead
 Many aspects of our lives need to be planned for
  especially living arrangements and health care so that
  you may age according to your values.
 Other things to plan for; retirement, meaningful
  relationships, finances, and community
 Caregiver and long term care planning, Medicare
  covers only short term after hospital visits.
Legal Decisions
 A durable power of attorney-gives someone you trust
  power to make legal and financial matters is you are
  unable to yourself
 A health care proxy- gives someone you trust power to
  make medical testing and treatment for you. Speak to
  this person about your values and wishes
 A living will- describes healthcare treatment you wish
  to refuse of receive. May also include advance directive
  and DNR documents
End of Life Care
 Medical science can shape how we feel about death
  and dying, rather that quality of life
 DNR’s can be ignored and patients given life
  prolonging treatments
 Palliative or comfort care, reduce and soothe
  symptoms of disease while keeping your dignity
 Many women assume the job of caregiving for aging
  parents or spouse.

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Chapters 20 21 aging

  • 2. Discussion Questions  Why does our society put so much emphasis on our reproductive years, while information about our post reproductive years goes unheard and undiscovered  Why is there such a negative outlook on the aging process?
  • 3. General Definitions  Perimenopause- one-to-ten year stretch which the ovaries function erratically and hormonal fluctuations effect many changes within the body.  Menopause- marked by final period, ovaries settle down, estrogen and progesterone decline to low steady levels  Postmenopause- the years after a women goes through menopause and can no longer reproduce. The average women spends one third of her life within the stage of postmenopause.
  • 4. Perimenopause  Happens between the ages of thirty and sixty  The time which you go through menopause may be predicted by the time your mother went through “the change”  Nine common changes; Heavy/longer flows, Shorter menstrual cycles, Sore/swollen breasts, New midsleep wakening, Increased cramps, Night sweats, Migraines, Increased mood swings, Weight gain without changes in exercise or eating  Gaps or lower ability to concentrate
  • 5. Myth  Once your periods become irregular you cannot become pregnant. This is indeed false and this myth is responsible for many unplanned pregnancies.  Women should use birth control up to a year after there last period, some experts say even two to three years after.
  • 6. Postmenopause  “No more bloating, sore breast, menstrual migraines, back pain, greasy hair, and zits. I now realize I felt like I had been pregnant for thirty-five years!”  Many women feel a sense of relief and seek more self directed activities.  Western cultures outlook on youth and beauty can lead to sexism and ageism. This can make the transition to postmenopause difficult.  This may lead women to for more extreme solutions to resist the ageing process
  • 7. Hormone Therapy  Many hormone treatments have not been tested for long term effects and can have detrimental effects  Some hormones treatments are not regulated by the FDA  Menopause is not a disease and our society puts a negative spin on the ageing process  If you are considering hormone therapy consult with your doctor and look at the latest research, but above all, you should do what works for you
  • 8. Later Years  Ageism is a negative outlook of older individuals and the U.S. actively engages in ageism  Our society needs more older role models and needs to be educated about the aging process because all of us (“is we are lucky”), will get old.  The new average life expectancy went from 48 to 80 within the time span of 1900 to 2007.
  • 9. Relationships  The family dynamic changes- our place in the generational hierarchy changes as we become grandparents.  Social connections have a positive effect on our health  In our later years we are more likely to experience the loss of a loved one. On average 42% of women over the age of 65 are widowed
  • 10. Preventative Measures  Many diseases are preventable by acquiring healthy habits such as; Eating healthful foods, Exercising, Regular check ups, Engaging your mind, Reducing or quitting smoking, and balanced meals.  Some obstacles to some of these preventative measures include; Financial opportunity and years of exposure to occupational health hazards
  • 11. Myth  Sexual desire and activity fade as a natural, irreversible part of ageing. This is false, our society views older women as “dried up”. Sexuality can continue through the lifespan.  “Sexual feelings often depend more on how we feel about out bodies and our relationships than our age.”
  • 12. Health Care  Overtreatment and under treatment continue to be problems within the U.S. health care system  Rates of longevity are inconsistent across racial and ethnic groups, and income level.  Health care providers may prescribe wrong treatments for misdiagnosed health problems  Many medications can have adverse effects such as; increased confusion, and depression  Medicare only covers short term at-home or nursing home care, long term care is paid out of pocket
  • 13. Planning Ahead  Many aspects of our lives need to be planned for especially living arrangements and health care so that you may age according to your values.  Other things to plan for; retirement, meaningful relationships, finances, and community  Caregiver and long term care planning, Medicare covers only short term after hospital visits.
  • 14. Legal Decisions  A durable power of attorney-gives someone you trust power to make legal and financial matters is you are unable to yourself  A health care proxy- gives someone you trust power to make medical testing and treatment for you. Speak to this person about your values and wishes  A living will- describes healthcare treatment you wish to refuse of receive. May also include advance directive and DNR documents
  • 15. End of Life Care  Medical science can shape how we feel about death and dying, rather that quality of life  DNR’s can be ignored and patients given life prolonging treatments  Palliative or comfort care, reduce and soothe symptoms of disease while keeping your dignity  Many women assume the job of caregiving for aging parents or spouse.