ch 34 - relationships, roles and transitions Flashcards

1
Q

what puts older adults at increased economic risk

A
  • disabilities
  • lacked access to education
  • low paying jobs without benefits
  • those uneligible for social security
  • women
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2
Q

common widower reactions

A
  • searching for lost partner
  • neglect of self
  • inability to share grief
  • lack of social contacts
  • struggle to view women as other than wife
  • erosion of self confidence and sexuality
  • protracted grief period
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3
Q

five stages of widowhood

A
  1. reactionary (first few weeks)
  2. withdrawal (first few months)
  3. recuperation (second six months)
  4. exploration (second year)
  5. integration (fifth year)
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4
Q

S+S reactionary stage of widowhood

A
  • disbelief
  • anger
  • indecision
  • detachment
  • inability to communicate in logical sustained manner
  • searching for mate
  • visions
  • hallucinations
  • depersonalization
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5
Q

interventions for reactionary stage of widowhood

A
  • support
  • validate
  • be available
  • listen
  • reduce expectations
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6
Q

S+S withdrawal stage of widowhood

A
  • depression
  • apathy
  • physiological vulnerability
  • slowed movement and cognition
  • insomnia
  • unpredictable waves of grief
  • anorexia
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7
Q

interventions for withdrawal stage of widowhood

A
  • protect against suicide
  • monitor health status
  • encourage involvement in support groups
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8
Q

S+S recuperation stage of widowhood

A
  • periods of depression

- returning feelings of personal control

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9
Q

interventions for recuperation stage of widowhood

A
  • support accustomed lifestyle patterns

- encourage individual to explore new possibilities

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10
Q

S+S exploration stage of widowhood

A
  • new ventures
  • testing suitability of new roles
  • anniversaries, holidays, birthdays, and date of death may be hard
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11
Q

interventions for exploration stage of widowhood

A
  • prepare for unexpected reactions during special dates

- encourage and support new trial roles

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12
Q

S+S integration stage of widowhood

A

-fully integrated into new and satisfying roles

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13
Q

interventions for integration stage of widowhood

A

-assist individual to recognize and share pattern of growth through loss

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14
Q

potential areas of conflict when adding an older adult to family

A
  • space
  • possessions
  • entertaining
  • responsibilities and chores
  • expenses
  • vacations
  • childrearing
  • childcare
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15
Q

ways to decrease areas of conflict when adding an older adult to family

A
  • respect privacy
  • discuss space
  • discuss older adult’s furnishings before the move
  • make social events clear in advance
  • make clear decisions about household tasks
  • have older adult pay share of expenses if able
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16
Q

assessment tools for caregivers (2)

A
  • caregiver preparedness tool

- modified caregiver strain index