Across the Life Span Health & Illness & ADHD Discussion. How do we View Health and Illness across the Life Span? Sept. 18, 2006

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1 Across the Life Span Health & Illness & ADHD Discussion Sept. 18, 2006 Exam 2 Next Tuesday Chapters 3 &4 (minus sleep, theories on aging, and Alzheimer s disease) What to Study: Text, ADHD (essay), Class Notes 1. Multiple Choice covering reading and lecture notes - 60pts (30 questions) 2. ONE essay related to ADHD and (a) lifespan tenets AND (b) nature/nurture 20 pts. How do we View Health and Illness across the Life Span? 1. On a continuum from health to illness across the lifespan Health Illness Acute vs. chronic illness Health promoting vs. Health compromising behaviors 2. Bio-Psycho-Social Model of Health and Illness (multidimensional & contextual) 3. Plasticity, Multidirectional, Multidisciplinary Children's Health What are some common child health illness/diseases? What are some health prevention/promotion techniques employed to prevent childhood disease and illness? What can we do to improve? What about some social and psychological interventions? Poverty is a special concern Approximately 11 million preschool children in U.S. malnourished 1

2 Adolescents' Health Typically throughout adolescence, we see mostly healthy individuals What are some common adolescent health illness/diseases? What are some health prevention/promotion techniques employed to prevent adolescent disease and illness? What can we do to improve? What about some social and psychological interventions? Health Services Use private physician services at lower rate than other age groups; lowest use by older males Young Adults' Health Most have few chronic health problems Know how to stay healthy but adopt unhealthy lifestyles Many college students unrealistic, overly optimistic about future health risks Hidden dangers in peaks of performance and health in early adulthood Gender, Health, and the Health- Care System Women and men experience health and health-care system differently Males may use health care inadequately Special concerns for women s health issues Medicine male-dominated profession Gender bias affects medical research Most research conducted with men 2

3 Chronic Disorders Characterized by slow onset, long duration Gender differences Fatal chronic disorders affect men more Nonfatal chronic disorders affect women more Socioeconomic differences Poor older adults 3 times more likely than non-poor to be limited by chronic disorder Health and Illness in Mid-Late Life What are some common adulthood and late adulthood health illness/diseases? What are some health prevention/promotion techniques employed to prevent adulthood disease and illness? What can we do to improve? What about some social and psychological interventions? BRFSS, CDCDC In 2004, 17.2% of older adults said they had diabetes In 1996, it was 13.3% 3

4 4

5 BRFSS, CDCDC Adults who are limited in any activities because of physical, mental, or emotional problems In 2003, 28.3% had some kind of physical limitation in VA Health Treatment for Older Adults Probability of living in nursing home increases with age Quality varies enormously 1/3 are seriously deficient; cause for national concern, fail inspections Home health care, elder-care centers, preventative medicine good alternatives Percentage of U.S. Older Adults of Different Ages In Nursing Homes Fig

6 Health Treatment for Older Adults Important factors for residents Feelings of control and selfdetermination Alert, responsive, caring staff Effective coping skills Opportunities to make choices Positive staff, absent of stereotyping beliefs Active role in medical encounters ADHD ADHD across the life span Symptoms/causes of ADHD (nature/nurture) Short Video Diagnosing ADHD (problems with ) Treating ADHD (nature v. nurture) Pharmaceuticals Environmental biofeedback research Short Video Discussion Questions How do tenets of life span theory relate? Nature v. Nurture in diagnosing & treating ADHD Family ADHD children and adults under one roof Are we over-diagnosing? Are we treating appropriately? What can we do better to help those with ADHD? Anything else of student interest. 6

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