the mysteries of menopause

By: Bernadine Healy, M.D.By: Bernadine Healy, M.D.U. S. News and World Report

Objective: Students explain the main components of menopause Objective: Students explain the main components of menopause

Thanks to Anna HildClass of 2005

Itchy, Forgetful, Sweaty, Sleepy, Bloated, Bitchy & Psycho

Itchy, Forgetful, Sweaty, Sleepy, Bloated, Bitchy & Psycho

The Seven Dwarfs of Menopause The Seven Dwarfs of Menopause


Current female life expectancy: 80Current female life expectancy: 80Menopause: when women stop Menopause: when women stop menstruatingmenstruating

Disappearance of a woman’s Disappearance of a woman’s eggs from ovaries eggs from ovaries Baby girl: 2 million immature eggsBaby girl: 2 million immature eggs

400 Menstrual cycles in life400 Menstrual cycles in life By 12 (menarche): 300,000-600,000By 12 (menarche): 300,000-600,000 Late 30s: 25,000Late 30s: 25,000


Average age of menopause: 51Average age of menopause: 51Range of ages: 45-55Range of ages: 45-55

Smoking: comes 1-2 years soonerSmoking: comes 1-2 years soonerMeat & alcohol: later menopauseMeat & alcohol: later menopause

Hypothalamus: “cascade of neuro-Hypothalamus: “cascade of neuro- hormonal eventshormonal events

Unpredictable hot flashes (1-2 years)Unpredictable hot flashes (1-2 years)Disturbances in sleepDisturbances in sleep


Changes to the body:Changes to the body:Breasts become less firmBreasts become less firmFat redistributes to abdomenFat redistributes to abdomenSkin thinsSkin thinsBones lose great deals of calciumBones lose great deals of calciumCardiovascular system—prone toCardiovascular system—prone to hardening of the arteries, stroke hardening of the arteries, stroke and heart attackand heart attackPossible affect on brain (Alzheimer’s)Possible affect on brain (Alzheimer’s)


Hi dearies, Simone Hi dearies, Simone here. Your here. Your

assignment now is to assignment now is to write your next journal write your next journal entry. Call it: entry. Call it: Chapter Chapter 4—The Mysteries of 4—The Mysteries of MenopauseMenopause. Discuss . Discuss

what you learned what you learned about menopauseabout menopause——and don’t just repeat and don’t just repeat the notes from the the notes from the article we read. article we read.

Relay for Life is cool. I Relay for Life is cool. I hope to see all of hope to see all of

these HOT students these HOT students out there this year.out there this year.


When people with terminal When people with terminal illnesses learn about them, illnesses learn about them, they and their families they and their families must must cope with a truth that cope with a truth that many many of us do not want to face.of us do not want to face.Elizabeth Kubler-Ross Elizabeth Kubler-Ross

(1969) studied how (1969) studied how the the terminally ill react to terminally ill react to their impending their impending deaths deaths Objective: Students explain the main components of thanatology Objective: Students explain the main components of thanatology

As an anticipatory activity for this As an anticipatory activity for this section, let’s watch a brief film clip from section, let’s watch a brief film clip from the 1998 commercial film the 1998 commercial film Patch AdamsPatch Adams

Objective: Students explain the main components of thanatology Objective: Students explain the main components of thanatology

Kubler-Ross’s studies Kubler-Ross’s studies led to the led to the establishment ofestablishment of thanatology—the thanatology—the study of death and study of death and dying.dying.

She identified five stages She identified five stages of of psychological adjustment.psychological adjustment.

Stage 1: Denial Stage 1: Denial First reaction to news is First reaction to news is shock, numbness, then denialshock, numbness, then denialObjective: Students explain the main components of thanatology Objective: Students explain the main components of thanatology

Kubler-Ross Model Kubler-Ross Model

Stage 2: Stage 2: AngerAnger““Why me?”Why me?”

Likely to alienate Likely to alienate themselves from themselves from others—no one others—no one can can relieve their anger. relieve their anger.



Stage 3: Stage 3: Bargaining Bargaining Change attitude Change attitude and and try to bargain with try to bargain with fatefate

May try to make May try to make a bargain with a bargain with God God

This stage is relatively This stage is relatively short short Objective: Students explain the main components of thanatology Objective: Students explain the main components of thanatology


Stage 4: Depression Stage 4: Depression

Become aware Become aware of of losses they are losses they are incurring. . .incurring. . .

. . . and of the losses that . . . and of the losses that are to come—everybody are to come—everybody and everything and everything

Helpful for others to let these Helpful for others to let these people express their sadness people express their sadness



Stage 5: Stage 5: Acceptance Acceptance Recognition that the struggle Recognition that the struggle is is over—sense of calm over—sense of calm

In some cases, the In some cases, the approach of death feels approach of death feels peaceful or appropriate peaceful or appropriate



Not all terminal patients Not all terminal patients progress through all of the progress through all of the stages of the Kubler-Ross stages of the Kubler-Ross Model—some die in the Model—some die in the denial stage: denial stage: some can’t some can’t psychologically get psychologically get past denial; for others, the past denial; for others, the disease proceeds too fast disease proceeds too fast



An addendum to An addendum to the Kubler-Ross the Kubler-Ross model in light of model in light of the 2005 Terri the 2005 Terri Schiavo situation Schiavo situation

Now we shall watch a film on Thanatology Now we shall watch a film on Thanatology



Students, it’s time Students, it’s time to write your next to write your next

journal entry. journal entry. Entitle it Entitle it Chapter Chapter 5: Thanatology. 5: Thanatology.

What is your What is your reaction to my reaction to my

model? What did model? What did you learn from you learn from

watching the film watching the film clip?clip?


Book written by: Mitch AlbomBook written by: Mitch AlbomMovie directed by: Mick Jackson Movie directed by: Mick Jackson

Objective: Students reinforce information obtained in developmental Objective: Students reinforce information obtained in developmental psychology by psychology by observing and writing in their journals about observing and writing in their journals about Tuesdays With MorrieTuesdays With Morrie

Professor of Sociology Professor of Sociology and and Psychology at Brandeis Psychology at Brandeis University, Waltham, University, Waltham, MAMA

Morrie Morrie SchwartzSchwartz


Amyotrophic Lateral Amyotrophic Lateral Sclerosis (ALS)Sclerosis (ALS)

Lou Gehrig’s DiseaseLou Gehrig’s Disease

What is ALS?What is ALS?


ALS is a progressive neurodegenerative ALS is a progressive neurodegenerative disease that attacks nerve cells in the disease that attacks nerve cells in the brain and the spinal cord. Motor neurons brain and the spinal cord. Motor neurons reach from the brain to the spinal cordreach from the brain to the spinal cordand from the spinal cord to the muscles and from the spinal cord to the muscles throughout the body. The progressive throughout the body. The progressive degeneration of the motor neurons in ALSdegeneration of the motor neurons in ALSeventually lead to their death. When the eventually lead to their death. When the motor neurons die, the ability of the brainmotor neurons die, the ability of the brainto initiate and control muscle movement to initiate and control muscle movement is lost. Therefore in the later stages of the is lost. Therefore in the later stages of the disease, patients become totally paralyzed.disease, patients become totally paralyzed.


For more information about ALS,For more information about ALS,Log on to The ALS Association WebsiteLog on to The ALS Association Website www.alsa.org

Morrie Schwartz wrote several booksMorrie Schwartz wrote several booksHis disease and his wisdom His disease and his wisdom made famous by the book: made famous by the book: Tuesdays With Morrie: an Tuesdays With Morrie: an old man, a young man, and old man, a young man, and life’s greatest Lessonlife’s greatest Lesson,, by Mitch Albomby Mitch Albom


Albom’s book made into the movie:Albom’s book made into the movie:Oprah Winfrey Presents: Tuesdays Oprah Winfrey Presents: Tuesdays With MorrieWith Morrie, in 1999, , in 1999, directed by Mick directed by Mick JacksonJackson and starring Jack Lemon and and starring Jack Lemon and Hank AzariaHank Azaria


Chapter 6: Chapter 6: Tuesdays With MorrieTuesdays With Morrie Part 1: What are your reactions Part 1: What are your reactions to this point?to this point?

What is it about silence?What is it about silence? Do you agree with Morrie?Do you agree with Morrie?


Chapter 7: Chapter 7: Tuesdays. .Tuesdays. . . Part 2 . Part 2Comment on the following:Comment on the following:

• Morrie’s living funeralMorrie’s living funeral• ““We must love one another We must love one another or or

die!”die!”““. . . how miserable it can be . . . how miserable it can be

to be young. . .”to be young. . .” “ “Some people don’t like to beSome people don’t like to be touched.”touched.” “ “How can you spare How can you spare someone’s someone’s feelings by denying them. . feelings by denying them. . ?”?”•““Some people are afraid to give Some people are afraid to give

love because they are too love because they are too afraid of giving themselves afraid of giving themselves

to to someone they might lose?”someone they might lose?”


Screenplay based on the book by: Screenplay based on the book by: Mitch Albom; movie first aired in Mitch Albom; movie first aired in 19991999 Directed by: Mick Jackson and Directed by: Mick Jackson and Starring Jack Lemon and Hank Starring Jack Lemon and Hank AzariaAzaria


Chapter 8: Chapter 8: Tuesdays. . .Tuesdays. . . Part 3 Part 3•How would you live your life How would you live your life if you knew that you only had if you knew that you only had a few weeks to live and had a few weeks to live and had the strength to do what youthe strength to do what you wanted?wanted?•Do you agree that “love always Do you agree that “love always wins?”wins?”•In what ways has Mitch begun In what ways has Mitch begun to change at this point? How has to change at this point? How has he remained the same? he remained the same?


Chapter 9: Chapter 9: Tuesdays. . .Tuesdays. . . Part 4 Part 4• What have you learned, so far,What have you learned, so far, about ALS (Lou Gehrig’s Disease)?about ALS (Lou Gehrig’s Disease)?• Mitch brought so much to Mitch brought so much to Morrie. What can young people Morrie. What can young people like you bring to older or sick like you bring to older or sick people, such as Morrie?people, such as Morrie?• Comment: “We learn from what Comment: “We learn from what hurts us as much as what loves hurts us as much as what loves us.”us.”


Screenplay based on the book by: Screenplay based on the book by: Mitch Albom; movie first aired in Mitch Albom; movie first aired in 19991999 Directed by: Mick Jackson and Directed by: Mick Jackson and Starring Jack Lemon and Hank Starring Jack Lemon and Hank AzariaAzaria


Chapter 9: Chapter 9: Tuesdays. . .Tuesdays. . . Part 5 Part 5• What, if anything, did Morrie What, if anything, did Morrie

teach you about living?teach you about living?• What, if anything, did you learn What, if anything, did you learn

from how Mitch changed in from how Mitch changed in the movie?the movie?

• Describe the best day in your Describe the best day in your life. If you could design your life. If you could design your perfect day, what would it perfect day, what would it entail?entail?

• Overall, did you learn anything Overall, did you learn anything valuable from this film? What?valuable from this film? What?


Adulthood and Old Age JournalAdulthood and Old Age JournalChapter 1: City SlickersChapter 1: City SlickersChapter 2: Father of the Bride IIChapter 2: Father of the Bride IIChapter 3: Men are from Mars andChapter 3: Men are from Mars and Women are from VenusWomen are from VenusChapter 4: The Mysteries of MenopauseChapter 4: The Mysteries of MenopauseChapter 5: ThanatologyChapter 5: ThanatologyChapter 6: Tuesdays, Part 1Chapter 6: Tuesdays, Part 1Chapter 7: Tuesdays, Part 2Chapter 7: Tuesdays, Part 2Chapters 8/9: Tuesdays, Part 3Chapters 8/9: Tuesdays, Part 3Chapter 10: Tuesdays, Part 4Chapter 10: Tuesdays, Part 4


the mysteries of menopause

Documents

hot students

dwarfs of menopause

appropriate objective

short objective

mysteries of menopause

sadness objective

elizabeth kublerross

world report objective