Lumbar hernias occur through defects in the lumbar muscles or the posterior fascia, below the 12th rib. Patients with lumbar hernias can present with a variety of symptoms, including a back pain, bowel obstruction (if contents contain bowel), or urinary obstruction (if contents are kidney / ureter).
Late adulthood is the time of life after age 65. During this time, people go through many changes in their physical appearance, including an increase in wrinkles due to less elastic collagen, a decrease in muscle mass, and a loss of height.
Gail Sheehy termed the later stage of 'Second Adulthood...Age of Integrity (65-85+)'. The ninth of Loevinger's stages of ego development was the ' Integrated Stage...and ego integrity versus despair are probably Erikson's version of the Integrated Stage'.