Attitudes about Aging Worry Contributing factors Age-vulnerable Youth Middle age Professionals Implications Being old/Feeling old Reality Solutions

Pathways to Disability (American Journal of Public Health, 2002)

Common Abnormalities Arthritis 48% Hypertension 36% Hearing 32% Heart disease 32% Orthopedic 19% Cataracts 17% Sinusitis 16% Diabetes 11% Vision 9% Sinusitis Heart disease Thyroid Diabetes Bronchitis Ulcers Incontinence Bowel Cancer epilepsy

Prevalence (528) Known Hypertension 57.6% Diabetes 14.5% Anemia 7.3% A fib 6% Thyroid 6% Newly identified 12.5% 1.7% 21.1% 4.3% 1.1%

Presentation of Illness Modifying factors Perceptions Values Barriers Management

Quality Care Mortality Barriers Attitude Knowledge Time Complex problems Medical research Resources

Public Health Strategies Health behaviors Research Funding Priorities Application Education Clinical preventive services

Principles of Geriatric Care Setting clear goals Advocacy Clinical alertness Collaboration/communication Serial observation/time Accurate diagnosis Emphasis on function Postpone dependency Interventions

Ageism Older Adults Physicians Nurses Nursing education Implications for care Nurses Behaviors Contributing factors Nursing education

End of Life Care Common symptoms Palliative care Contributing factors <65 >85 Contributing factors Need Symptoms Values Attitudes knowledge

Messages for Men Real men have feelings Real men wear seat belts No man is an island Obesity happens Real men have doctors Expand your horizons Use it or lose it Count your blessings Share your wisdom