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1. Get demographic data of aging population of your respective community/barangay.

You may get in touch with the office of the senior citizen at you respective barangay
hall
I came in touch with the office of the senior citizen and got the following data. I was also told
that this data is what they have for now since there are still a lot of senior citizen who are not
registered yet.

Age Population
60-69 301
70-79 189
80-89 56
90-99 9
100-109 1

Total: 556

2. Identify some factors that affects the aging population

Free Radicals

Free radicals are molecules that are ingested or produced within the body that combine
haphazardly with the molecules of living cells. Free radicals damage the cells of all the bodily
organs —especially the heart and arteries.

Free radicals are formed in foods during processing, storage, or cooking. Fats, especially
unsaturated ones, are subject to free-radical formation when they are exposed to heat, light, or
oxygen. To avoid the introduction of free radicals into the body, you should avoid damaged fats.
Damaged fats include not only foods fried in vegetable oil but bottled oils, most of which have
been exposed to processing, heat, light, and oxygen. Since fats are essential to health, one should
eat a moderate amount of fats that occur in raw, whole seeds and nuts or in steamed or baked
cold-water fish. Such foods are rich in undamaged “essential fatty acids.” The undesirable fats
should be avoided. An excellent book on fats and oils by Udo Erasmus3 is essential reading.

Once free radicals have been introduced into the body, they are removed and their damaging
effect is offset by substances called anti-oxidants. Vitamin C, vitamin E, zinc, and selenium are
examples of anti-oxidants. It is ironic that the very oils which produce the free radicals have had
the vitamin E removed in the refining process. Moreover, white flour, the staple of the American
diet, has had all of the zinc and vitamin E removed, as well as other vital nutrients. When the
natural anti-oxidants are unavailable, the body utilizes cholesterol to clean out the free radicals.
To attempt to reduce blood cholesterol levels by removing cholesterol from the diet does not
address the problem of free radicals and may place an additional burden on the body to
manufacture its own cholesterol. The answer is to lower intake of free radicals and increase the
intake of antioxidants.

Nutrition

Another manner in which cells are damaged is by not receiving the nutrients required for their
functioning, repair, or reproduction. Every cell in our body requires a supply of oxygen,
vitamins, minerals, amino acids, sugar, etc. Every cell also requires that waste products such as
carbon dioxide be eliminated from it. It is not sufficient to eat a “well-balanced diet.” The food
must be digested, absorbed into the bloodstream, and routed to the appropriate cells. Optimal
digestion and absorption are unlikely when foodstuffs are haphazardly consumed without regard
to their mode of digestion and the effect of one upon the digestion of the other. Full discussion of
this topic is beyond the scope of this book but can be found in Herbert Shelton’s excellent book
on combining foods.4

Unfortunately, most foods lack essential vitamins and minerals. This lack results from forcing
foods to grow in impoverished soil, from losing vitamins and minerals during processing, or
from purposely removing nutrients. For example, wheat products such as bread, pasta, cake,
cookies, crackers, and cereals are made almost exclusively from white flour rather than whole-
wheat flour. Even bread labeled “made from 100% whole-wheat flour” is often made primarily
from white flour and some 100% whole-wheat flour, as can be verified by reading the list of
ingredients. White flour is whole wheat, from which is removed most of the magnesium, zinc,
iron, selenium, chromium, vitamin E, and B vitamins. Then iron (in a less assimilable form) plus
three B vitamins are added as a token gesture (“enriching”). In addition to our being deprived of
essential nutrients, we are subjected to the stresses discussed next, some of which increase our
requirements for vitamins and minerals. Gary Price Todd5 has written a valuable book that
clarifies the role of supplements.

Repeated Cellular Reproductive Demand

Widespread or repeated damage to cells requires many cell divisions for the repair of the
damage. The greater the number of reproductions that occurs, the greater the probability that
errors will be made. Such errors can result in (a) tissue that is unable to perform its specialized
function, (b) an inability to reproduce past a certain point, and (c) cancerous growth.

Excessive or Insufficient Sunlight

Health consequences stem from exposure to too much or too little sunlight (see article on
sunlight).

Insufficient Sleep

There are many important restorative effects that occur during sleep. During the day, our body is
under the constant pull of gravity in a vertical direction. Gravity compresses the spine and
requires the heart and vascular system to pump blood against its pull. When sleeping, which is
usually done lying down, the heart and vascular system can rest, and the spine can regenerate. Of
course, merely lying down will give similar benefits, but there are other benefits that only occur
during sleep. For example, certain hormones such as growth hormone and cortisol are secreted
only during sleep. Also, the brain and nervous system go into a state that does not occur while
awake. Many of the benefits of sleep occur during meditation, and those who meditate regularly
often require much less sleep.

Stimulants such as coffee, tea, and chocolate cause difficulty in falling asleep, and then, the
minimal sleep that occurs is not deep. Stimulants also lead to “overdrawing one’s energy
account,” which is never adequately paid back. Also, work schedules and alarm clocks also
cause many people to incur a sleep deficit.

Excessive Sexual Activity

For the male, excess sexual activity is not without a cost. Sperm requires energy and nutrients for
its production, and engaging in excessive sexual activity tends to stimulate a larger than normal
production of sperm. Moreover, the production of seminal fluid requires nutrients that are
lacking in the diets of many. For example, the secretion of the prostate contains relatively large
amounts of zinc, and unless one eats a diet primarily consisting of natural foods or takes mineral
supplements, that mineral is not easy to get. The main staple of the American diet, white flour,
has had essentially all of its vitamins and minerals removed in the refining process. Whole-wheat
flour, from which white flour is made, is rich in many nutrients, especially zinc.

On the other hand, excessively abstaining from sexual activity is probably a bad idea. At the very
least, large amounts of mental energy are required for abstinence. Moderation is, of course, the
answer.
Poisons

A poison is any substance that has an adverse physiological relationship to the growth and
nutrition of the cells of the body. There are a multitude of poisons that harm us and are,
consequently, to be avoided. Among these poisons are artificial flavors, artificial colors,
preservatives, polluted air, polluted water, damaged fats, alcohol, caffeine, mercury-amalgam
dental fillings, inoculations, most pharmaceuticals, and products of putrefaction in the gut.
Whenever a poison enters the body, it is transported to all of the cells of the body via the blood.
Cells that are bathed in these poisons are altered deleteriously in function. Aside from the
physical damage caused by poisons, there is an addictive effect. The addictive effect stems from
the fact that as the poison is eliminated, the cells must resume their original function. However,
by now, some of the essential constituents of the cell may have been released and are no longer
available. Thus, it may be easier for the body to adapt to the elimination of a poison by the
introduction of more of that poison. This adaptation is experienced as a craving for the poison
that was eliminated and explains addiction. Therefore, it is imperative that poisons be avoided.

Insufficient, Improper, or Excessive Exercise

Here is a case where the aging process is not so much a result of age but, rather, the number of
years of lack of proper use of the body. For example, flexibility continually decreases with lack
of movement that involves regularly using muscles through their full range, and increases with
proper “stretching.” The word stretching is in quotes because that word implies lengthening a
muscle by applying an outward force on each of its ends, and much of the way people stretch in
exercise class tends to be done that way, namely by pitting one set of muscles against another.
The concept of stretching that I have learned from my teacher Elaine Summers, is having
muscles lengthen on their own by actively extending rather than being bullied by an opposing set
of muscles.The benefits of proper stretching are toning and strengthening of muscles, tendons,
blood vessels, nerves and acupuncture meridians; strengthening of bones; and massaging organs
and glands. Aerobic exercises such as running, bicycling, swimming are valuable for the
cardiovascular system, lungs, and weight stabilization. Meditative exercises such as T’ai
Chi have many benefits. Weight or resistance training increases muscle strength and tone and
strengthens and adds mass and density to bones. Excessive exercise breaks down the body, as
does improper exercise. For example running with improper leg alignment can cause knee and
ankle problems—even arthritis.

3. Discuss the economic and socio-cultural implications of the aging population to your
respectivebarangay

One key economic implication of an aging population is the strain on social insurance
programs and pension systems. With a large increase in an aging population, many
nations must raise their budget allocations for social security .In our country laws are
made for the senior citizens. They receive pensions and great privileges. In our barangay
they receive 1,000 pesos as monetary assistance from January to June. Another key
economic implication of an aging population is the increase in health care costs. As the
population ages, health generally declines with more medical attention required such as
doctor visits, surgery, physical therapy, hospital stays, and prescription medicine. But due
to increase care cause the government gives assistance to them with a total of
12,000pesos.
4. Identify laws/ordinances that support the senior citizen ( a social contract between
the state and the citizens)

Republic Act No. 9994

AN ACT GRANTING ADDITIONAL BENEFITS AND PRIVILEGES TO SENIOR CITIZENS,


FURTHER AMENDING REPUBLIC ACT NO. 7432, AS AMENDED, OTHERWISE KNOWN AS
"AN ACT TO MAXIMIZE THE CONTRIBUTION OF SENIOR CITIZENS TO NATION
BUILDING, GRANT BENEFITS AND SPECIAL PRIVILEGES AND FOR OTHER PURPOSES"

REPUBLIC ACT NO. 10645

AN ACT PROVIDING FOR THE MANDATORY PHILHEALTH COVERAGE FOR ALL


SENIOR CITIZENS, AMENDING FOR THE PURPOSE REPUBLIC ACT NO. 7432, AS
AMENDED BY REPUBLIC ACT NO. 9994, OTHERWISE KNOWN AS THE "EXPANDED
SENIOR CITIZENS ACT OF 2010"

.
5. Discus the life’s framework of your client comprehensively
My client is Rosina N. Cayetano, she is born on June 26, 1951. She stays at home taking care of
her grandchildren. She lives with her husband, her youngest daughter, her 2 grandchildren and 2
of her nieces. She is the one attending to her grandchildren, She do the household chores, she
cooks food for her family. She serves healthy food and often cooks vegetable and fish. She is
also an active member of the Society of the Elders Association in our barangay, and helps the
other senior citizens in registering. She is also very active, during some occasions she dances.
During Sundays she always go to the church and is a member of organization there. Due to being
active to some organizations, some problems at home and doing all the household chores alone
she gets tired easily and stressed. She is also taking her maintainance for her hypertension and
diabetes.

6. Identify and prioritized the health problems of you client holistically.

PATTERN OF HEALTH PERCEPTION & HEALTHMANAGEMENT


•My client was diagnosed with hypertension and diabetes mellitus. She is eating ore healthy foods
and limits her intake of foods which are contraindicated to her. She also takes her maintenance on
time.

NUTRITIONAL - METABOLIC PATTERN


• She often eats vegetables and fish. She doesn’t have any allergies, except she should intake foods
that are salty, fatty and foods with high sugar content.

PATTERN OF ELIMINATION
•She doesn’t have problems in urinating and in her bowel elimination.

PATTERN OF ACTIVITY & EXERCISE


•She exercises by doing household chores, walking and sometimes dancing.

COGNITIVE - PERCEPTUAL PATTERN


•She does not have hearing problems, but wears eyeglasses since she has a poor eyesight

PATTERN OF SLEEP & REST


•She often sleeps at 9pm at wakes up at 5am, but these past few days she wakes up the same time but
sleeps at 12 midnight or 1 am

PATTERN OF SELF PERCEPTION & SELF CONCEPT


•She said that she feels good about herself. She also feels sometimes that she loses hope but do
something about her problem and feel fine after.

ROLE - RELATIONSHIP PATTERN


•She lives wither family, her husband, her daughter, her 2 grandchildren and two niece She also
joined organizations in the barangay and interact with them.

SEXUALITY - REPRODUCTIVE PATTERN


•She has 2 sons and 2 daughters, she does not have any problems in her reproductive organ.

PATTERN OF COPING & STRESS TOLERANCE


•She copes up stress by talking to her husband and her friends at her organizations.

PATTERN OF VALUES & BELIEFS


•She believes that religion is really important to our lives, and it helps people in facing difficult
situations

PRIORITIZED PROBLEMS
1.Hypertension
2.Diabetes Mellitus
3. Disturbed Sleep pattern

Links:

https://www.weforum.org/agenda/2015/10/what-are-the-economic-implications-of-ageing-populations/

https://www.lawphil.net/statutes/repacts/ra2014/ra_10645_2014.html

http://www.dilg.gov.ph/PDF_File/issuances/republic_acts/RA_7432.PDF

https://www.chuckrowtaichi.com/Aging.html
ASSIGNMENT
IN
ELECTIVE II

Ricaela Piarose C. Macaso

BSN IV-C

Antonio D. Patiño RN, MN

ELECTIVE ADVISER