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Core Concepts in Health, Brief Cover Image
Core Concepts in Health Brief, 9/e
Paul M. Insel, Stanford University, School of Medicine
Walton T. Roth, Stanford University, School of Medicine

The Challenge of Aging


presbyopia  The inability of the eyes to focus sharply on nearby objects, caused by a loss of elasticity of the lens that occurs with advancing age.
cataracts  Opacity of the lens of the eye that impairs vision and can cause blindness.
osteoporosis  The loss of bone density, causing bones to become weak, porous, and more prone to fractures.
*glaucoma  A disease in which fluid inside the eye is under abnormally high pressure; can lead to loss of peripheral vision.
arthritis  Inflammation of a joint or joints, causing pain and swelling.
dementia  Deterioration of mental functioning (including memory, concentration, and judgment) resulting from a brain disorder; often accompanied by emotional disturbances and personality changes.
Alzheimer's disease  A disease characterized by a progressive loss of mental functioning (dementia), caused by a degeneration of brain cells.
life expectancy  The average length of time a person is expected to live.
Social Security  A government program that provides financial assistance to people who are unemployed, disabled, or retired (and over a certain age); financed through taxes on business and workers.
gerontologist  One who studies the biological, psychological, and social phenomena associated with aging and old age.
*brain death  A medical definition of death as the cessation of brain activity indicated by various diagnostic criteria, including a flat EEG reading.
electroencephalogram (EEG)  A record of the electrical activity of the brain (brain waves).
clinical death  A determination of death made according to accepted medical criteria.
cellular death  The total breakdown of metabolic processes at the level of the cell.
*will  A legal instrument expressing a person's intentions and wishes for the disposition of his or her property after death.
*testator  A person who makes a will.
*intestate  Referring to the situation in which a person dies without having made a legal will.
*palliative care  A form of medical care aimed at reducing the intensity or severity of a disease by controlling pain and other discomforting symptoms.
hospice  A program of care for dying patients and their families.
*persistent vegetative state  A condition of profound unconsciousness in which a person lacks normal reflexes and is unresponsive to external stimuli, lasting for an extended period with no reasonable hope of improvement.
*passive euthanasia  The practice of withholding (not starting) or withdrawing (stopping) treatment that could potentially sustain a person's life, with the recognition that without such treatment, death is likely to occur.
*physician-assisted suicide (PAS)  The practice of a physician intentionally providing, at the patient's request, lethal drugs or other means for a patient to hasten death with the understanding that the patient plans to use them to end her or his life.
*advance directive  Any statement made by a competent person about his or her choices for medical treatment should he or she become unable to make such decisions or communicate them in the future.
*living will  A type of advance directive that allows individuals to provide instructions about the kind of medical care they wish to receive if they become unable to participate in treatment decisions.
Uniform Donor Card  A consent form authorizing the use of the signer's body parts for transplantation or medical research upon his or her death.
*embalming  The process of removing blood and other fluids and replacing them with chemicals to disinfect and temporarily retard deterioration of the corpse.
*grief  A person's reaction to loss as manifested physically, emotionally, mentally, and behaviorally.
Parkinson's disease  A neurological disorder caused by a deficiency of the neurotransmitter dopamine. Symptoms include muscle rigidity, tremors, and difficulty walking.
age-related macular degeneration (AMD)  A deterioration of the macula (the central area of the retina) leading to blurred vision and sensitivity to glare; some cases can lead to blindness.
active euthanasia  A deliberate act intended to end another person's life; voluntary active euthanasia involves the practice of a physician administering-at the request of a patient-medication or other intervention that causes death.
health care proxy  A type of advance directive that allows an individual to appoint another person s an agent in making health care decisions in the event he or she becomes unable to participate in treatment decisions; also known as a durable power of attorney for health care.
bereavement  The objective event of loss.
mourning  The process whereby a person actively copes with grief in adjusting to a loss and integrating it into his or her life.