Ch 13: Oldest-Old Elderhood

Question 1

What is life quality?

Answer 1

medical status, financial, concrete stuff (see it and fix it), how are they living currently

Question 2

What is life satisfaction?

Answer 2

more holistic view and more subjective and the persons point of view and their satisfaction with their life; how are they doing

Question 3

How does life quality and life satisfaction each play into counseling with the oldest-old?

Answer 3

counselor role with advocating, psychoeducation part or stress management; asking the client where they are at and how they are doing and where they want to be/what they need help with

Question 4

Are the oldest-old always in poor health?

Answer 4

no

Question 5

Do old age and disease always go hand in hand?

Answer 5

no

Question 6

What would be some things that counselors would watch for in working with oldest-old clients in terms of aging vs. disease?

Answer 6

what is typical for individuals in that age group vs this individual; sudden changes in a client that may need attention

Question 7

What would be some interventions when aging vs. disease is an issue for a client?

Answer 7

referring a client to a medical professional if need be

Question 8

Two of the strongest predictors of good health in old age?

Answer 8

how you took care of yourself in earlier age & social connections

Question 9

How is a holistic approach helpful in in dealing with issues that an oldest-old client might bring?

Answer 9

looking at the whole picture

Question 10

Which of Erikson’s stages are the oldest old in?

Answer 10

Integrity vs. despair –looking back at life and feeling integrity and satisfaction with life vs feeling despair and regrets; therapeutic life review

Question 11

What are the four factors that client’s may be dealing with as they are facing death?

Answer 11

1. reluctance to talk about the topic of death openly
2. anxiety about death that complicates this reluctance
3. guilt that emanates from the lack of openness
4. the loneliness and isolation of the dying person

Question 12

-What are the five stages of grief developed by Kubler-Ross?

Answer 12

1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance

Question 13

How different is the counseling process for the oldest-old compared to younger clients?

Answer 13

very the same

Question 14

define Iatrogenic

Answer 14

side effects or consequences due to the activity of a physician or therapy. (example: an iatrogenic illness is an illness that is caused by a medication or physician’s practice)