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The groups also differed in their response distributions. The younger subjects spread
out their responses across the confidence levels: half of their selections were evenly
distributed among the intermediate confidence levels. In the older subjects, the majority
of the responses were given with either 100% or 50% confidence (in calibration terms,
their assessments had “higher resolution”). While older subjects reported a confidence of
100% significantly more often than the younger subjects (p...
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In the modified gambling task, subjects selected cards from one of two decks to
earn cash. The cards were pre-organized so that one deck (A) had an overall loss of $2.50
every ten cards and the other deck (B) had an overall gain of $2.50 every ten cards. All
the cards in deck A gave a $1.00 on every turn but were occasionally accompanied with
losses, $7.50 for example (for a net loss of $6.50). The other deck B gave a smaller gain
for each card, +$0.50 but had smaller occasional losses. Subjects did not know the
composition...
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Tham khảo tài liệu 'long term feeding tube placement in elderly patients', y tế - sức khoẻ, sức khỏe người cao tuổi phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả
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In our second gambling experiment subjects were asked to make six choices. For
each choice subjects had to select one of two decks of 10 cards. Unlike Bechara et al.
experiment, subjects saw the payoffs from each of the ten cards in the pair of decks
before making their selection. Once they decided which deck they wanted, the ten cards
were shuffled and the subjects selected one card. In all six choices one of the two decks
had a positive mean payoff, and the other deck had a nonpositive payoff. The deck with
the positive average payoff had a...
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We do not see significant differences in behavior of the younger and older
subjects. Somewhat surprisingly subjects more often than not chose the lower average
payoff decks. Among older subjects, 58% chose the lower payoff decks on four or more
of the six choices, while 59% of the younger subjects did so (Table 1 and Figure 3). The
proportions were similar across age groups for each of the six different deck pairs Older
women were significantly more likely than older men to choose the lower mean, higher
variance decks (Figure 4).Of the 54 choices made by the...
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The observed differences between willingness to pay and willingness to accept
have been labeled an “endowment effect”, intimating that the phenomena is due to loss-
aversion to the domain of choices over bundles of goods and money (Thaler, 1980;
Tversky and Kahneman, 1991;Camerer, Loewenstein and Prelec,2003). The theoretical
idea is that an individual who owns a good anticipates a loss from the sale and, thus
requires a higher payoff than the individual would pay to acquire the good if it were not
owned (Kahneman 1991, Kahneman 1990, Knetsch 1989, Knetsch 1984). In other
words, the willingness to accept (WTA)...
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Some recent experiments support a claim that the observed differences between
willingness to pay and willingness to accept are related to experimental procedures and
have nothing to do with preference asymmetries (Plott and Zeiler (2003)) or are
eliminated by trading experience (List, 2003). Older people are often presumed to be
more conservative and more likely to avoid risk. If this is true, then it would seem
natural to expect loss avoidance to be stronger in the older populations. Alternatively, it
may be that older people having experienced the loss of many everyday items have
learned that such...
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The fixed offer was randomly determined and not based on the actual value of the
item (Becker, DeGroot and Marschak (1964)). For sellers, if WTA was less than or equal
to the random offer, they gave up their item and received the amount of the random offer.
If the WTA was greater, they kept the item. For buyers, if the WTP was greater than or
equal to the random offer, they purchased the item for the amount of the random offer. If
the WTP was less than the amount of the random offer, they kept their money. Subjects...
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There were a total of three rounds in the task: the first two were hypothetical and
the last was the actual round. A pen and a picture frame were used in the hypothetical
situations, and a coffee mug was used for the actual situation. Only the actual round had a
real payoff, either the mug or the cash value of the fixed offer.
On the third round when each subject has determined their offer they wrote it on
an index card and place it inside an envelope (both items were provided) along with the
amount of the WTA or WTP....
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The data exhibit no significant differences between WTA and WTP in either
group. Thus, for these findings, endowment effect theory must be rejected. We also
conclude that there is no significant difference between the young and the old.
Excluding the difference of reference states, the experimental design was identical
for both the seller and buyer groups. The median seller price is higher than the median
buying price for each sample (Table 2). In the actual round, the coffee cup round, the
median offer price for the sellers in the older population is $2.50 and...
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In many situations a decision maker's outcome does not depend on his or her own
choice alone but upon the choices of others. Investing in the stock market, crossing an
intersection where there is opposing traffic, and playing poker are all examples. A game
known as the “p-beauty-contest” has been widely used in economic studies to examine
some of the simplest principles of interdependent decision making (Nagel 1995, Nagel
1999, Stahl 2001). In the “p-beauty-contest” game subjects select a number in the range
[0, 100] and the winner is the individual whose selection is closest to...
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Given that thinking steps have been shown to be modestly correlated with the
efficiency of working memory (measured by digit span; see Devetag and Warglien, 2003)
and aging may reduce working memory or, potentially, some other cognitive process
related to strategic reasoning, these changes could lead older subjects to use lower values
of n, and to choose higher numbers than younger subjects.
For the actual task, participants were told that they would be playing with nine other
individuals from their research population, who had gone through identical procedures
before providing their numbers. A written questionnaire was used to outline the...
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We report the results of experiments on economic decisions with two populations,
one of healthy elderly individuals (average age 82) and one of younger students (average
age 20). We examine confidence, decisions under uncertainty, differences between
willingness to pay and willingness to accept and the theory of mind (strategic thinking).
Our findings indicate that the older adults’ decision behavior is similar to that of young
adults, contrary to the notion that economic decision making is impaired with age.
Choices over lotteries do not reflect the age differences previously reported in the
psychology and biology literature. ...
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For both groups we combined all the answers in which subjects gave the same confidence
assessment and calculated how often they were right. Good calibration means that the
fraction of correct answers should be about equal to the stated confidence level. For example,
on questions where subjects said they were 80 percent confident, they should be right about
80 percent of time. If subjects are well calibrated, then a graph of the percent correct against
the confidence levels should lie near a 45◦ line. Points below the line would represent
overconfidence and points abovewould showunderconfidence. Fig. 1 contains these scatters
for both older and younger subjects, along...
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Both groups of subjects display overconfidence at some levels, and neither group
shows underconfidence at any level. Older subjects’ assessments are significantly more
accurate at 60 percent (P
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In the modified gambling task, subjects selected cards from one of two decks to earn
cash. The cards were pre-organized so that one deck (A) had an overall loss of $2.50
every 10 cards and the other deck (B) had an overall gain of $2.50 every 10 cards. All
the cards in deck A gave $1.00 on every turn but were occasionally accompanied with
losses, $7.50 for example (for a net loss of $6.50). The other deck B gave a smaller
gain for each card, +$0.50 but had smaller occasional losses. Subjects did not know the
composition of the decks (given in Appendix B). Subjects were...
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Bechara et al. conducted their gambling task with a population of healthy adults and a
population of individuals with damage to the ventromedial prefrontal cortex (VM). They
found that the VM patients, unlike the healthy adults, did not gradually shift their choices
to the more advantageous deck B. Other studies employing Bechara’s design have found
that individuals with damaged orbitofrontal cortex have an impaired ability at adapting their
deck preferences to deck B in comparison to control subjects (Damasio, 1994). Denburg
et al. (1999) administered this task with a population of healthy older adults and argued that
the older individuals behave similarly to the frontal-lobe-damaged subjects. Our...
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Consistent with the results of the Bechara study, our subjects gradually concentrated
their choices on deck B (Fig. 2). The beginning phase of the task was an exploratory period
in which both populations sampled each deck equally. For the next 20 draws subjects shifted
towards deck B drawing on average 8 of the 20 cards from deck A. In the final 10 draws both
groups largely abandoned deck A: on average the younger subjects chose deck A two times
of 10 and the older subjects chose deck A three times of 10. In summary both populations
appear to have adapted the same way to the payoffs....
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The elderly population is seen differently in developing
and developed countries. In the former, the age limit for
a person to be considered old is 60 years; in the latter,
this age limit is 65 years. This differentiation emerged
during the First United Nations World Summit on
Population Aging, through Resolution number 39/125(1).
The need to establish chronological parameters for old
age becomes more relevant as social and health actions
are scheduled.
When it comes to elderly healthcare, its main purpose
is to achieve the maintenance of good health conditions,
so that these individuals can maximize their active life, in
the environment they are inserted in, along with their
families, with physical, mental...
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Issues related with powerlessness are usually present
in their everyday life, especially as of the moment when
people escape from patterns considered acceptable by
society, being marginalized and deprived of possibilities.
This fact occurs, for instance, with the elderly population,
which is sometimes acknowledged as incapable of making
its own decisions or even assuming its role within society.
The health of the individuals and its alleged promotion
seem to be closely related with power, which implies
freedom of choice about several issues. Many of these
issues are loaded with ethical dilemmas. During the aging
process, a number of losses are perceived, as a natural
result of the lifecycle, which culminates in old...
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Gerontogeriatric nursing groups knowledge and
nursing practices derived from General Nursing,
Geriatrics and Gerontology(3). Gerontogeriatric nursing
is, in addition, a specific branch of nursing that delivers
care to the elderly at all levels of prevention, i.e., from
health promotion to rehabilitation. This nomenclature was
selected because it is understood as being more
comprehensive and adequate(4).
The purpose of this article was to review the history
of health policies focused on the elderly, initially by using
international health conferences, and then going through
national policies, correlating them with the loss of power
usually attributed to the elderly. Nola Penders health
promotion model was used to interconnect the themes,
resulting in empowerment as a health promotion...
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To better understand the international perspective of
public policies for the elderly, in line with the parameters
that serve as tendencies for national policies, one must
contextualize international health conferences that had
health promotion as their central topic. Since the
Declaration of Alma-Ata, in 1978(5), it has been noted
that measures and characteristics of health promotion
imply a search for healthier life styles and active aging.
Health promotion is seen as a process of community
qualification, aiming to improve life and health conditions.
The promotion actions result from the combination of
state actions in the respective public health policies;
community actions, the actions of the individuals
themselves, to develop their own capabilities, and...
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Empowerment is the increase of individual and
collective power of people and social groups in
interpersonal relations and institutions, especially those
submitted to relations of oppression and social
domination(8). As such, empowerment will have the
primary purpose of helping people and communities to
become more independent, generating self-confidence and
sense of governance.
One can associate empowerment to health gains, as
one recognizes that its absence is a risk factor for falling
ill(9). Therefore, so-called health promotion goes beyond
the small context of health organizations and migrates
toward communities, schools and multiple environments,
with the development of personal skills as a way of
reinforcing communities.
In line with this conception, health promotion has an
interface with health...
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To represent the specific behaviors of this reflection,
a schematic model was sought that simultaneously covered
health promotion and the Health Policy for the Elderly,
with a view to adopting actions for greater awareness,
resulting in attitudes of empowerment and suggestions
for gerontogeriatric nursing actions. Nola Penders Health
Promotion Model(10) was used. Through a chart, it
manages to represent the behaviors that can lead to health
promotion.
Nola Penders Model was developed in the United
States in the 1980s, but was little explored in Brazil. It
emerges as a proposal to integrate behavioral sciences with
nursing theories, seeking to identify factors that influence
health behaviors in a biopsychosocial context. It seeks to
support its...
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Strategic actions aiming at elderly health are:
implementing the Caderneta de Saúde for the elderly, with
relevant information about their health, permitting better
follow-ups by healthcare workers; Family Health Strategy;
stimulating the Permanent Distance Education Program,
implementing permanent education activities in the field
of aging and elderly health, focused on workers in the
basic healthcare network; establishing the Welcoming, by
reorganizing the process of welcoming elderly patients in
healthcare units; establishing Pharmaceutical Care,
developing actions that aim at qualifying care delivery and
access of the elderly population; guaranteeing
Differentiated Care upon Admission, establishing global
gerontological evaluation, performed by a
multidisciplinary team, to all seniors admitted in a hospital,
seen in an out-patient clinic, either institutionalized...
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A recent government health survey found that 1 to 5 per cent of elderly people who drank
more than occasionally were ‘problem drinkers’, reporting significant psychological and/or
physical dependence on alcohol.
Other studies have found higher proportions of elderly problem drinkers, especially in men.
One found 5 - 12 per cent of men in their 60’s to have alcohol problems.
Another possible measure is the proportion of older people exceeding government
recommended “sensible limits” for regular consumption, although there is a question as to
whether the limits are appropriate for the elderly, as they are based on evidence relating to
younger age groups. Older people may be more...
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Generally, alcohol consumption declines with age and the proportion of non-drinkers
increases. The reasons for this decline in consumption are presumably connected to
changes in life circumstances and attitudes and, in the later middle aged and older,
growing ill health.
There is evidence that today’s population of elderly people may be relatively heavier
drinkers than previous generations. This could be the result of an effect whereby a
generation which has had its formative years at a time of high social availability and
acceptability of alcohol may be more likely to retain the habit of drinking. Higher levels of
disposable income in retirement could also be a factor. Certainly,...
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While there appears to be a rising incidence of problem drinking in the elderly, there are
also reports that low risk drinking may provide benefits to older populations. Indeed.
arguably most of the supposed benefits of alcohol consumption are to be found in older
people. So, for example, the claimed protective effect of alcohol in regard to
cardiovascular disease applies to the late middle aged and elderly. For this reason, the
recommended optimum level of alcohol consumption for health is higher for the elderly
than the young. (See IAS factsheet Alcohol – what is problem drinking?)
As well as medical benefits, there are also reports that low...
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Early-Onset drinkers or ‘Survivors’ are those people who have a continuing problem with
alcohol which developed in earlier life. It is thought that two thirds of elderly problem
drinkers have had an early onset of alcohol misuse. However, because of the health risks
connected to heavy drinking and dependence on alcohol, the chances of reaching old age
are reduced - one estimate is that the life span of a problem drinker may be shortened by
on average ten to fifteen years.
Late-Onset drinkers or ‘Reactors’ begin problematic drinking later in life, often in response
to traumatic life events such as the death of a loved one, loneliness,...
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It is therefore possible that the same amount of alcohol may produce a higher Blood
Alcohol Concentration (BAC) in the elderly than younger people. Elderly car drivers are
three times more likely to be involved in a motoring accident after consuming even a small
amount of alcohol, than they are at a zero level of alcohol.
Alcohol depresses the brain function to a greater extent in older people, impairing coordination
and memory, which can lead to falls and general confusion. It can also heighten
emotions leading to moodiness, irritability or even violence. Alcohol in excess affects
digestion, making it more difficult to absorb vitamins and minerals. However,...
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