Chapter 11: Older Flashcards
the young old are ages ____ , middle old are ages _____, and the old old are ages _______
65-74; 75-84; 85+
people 90+ often referred to as:
frail old
3 main factors for aging population:
baby boom after WW2, low birth rate, increasing life expectancey
any attitude, action, policy, institutional structure that subordinates or oppresses person or group on basis of age
ageism
term used to describe long term occupation of hospital bed, mostly by elderly cuz of shortage of suitable care elsewhere
bed blockers
3 tiers of Canadian pension system?
old age security and guaranteed income supplement, canada pension plan, private pension plans
process where normal behavioural, emotional, physiological conditions become viewed as med probs
medicalization
now moving away from medicalization to____
self-empowerment and social engagement
can’t have MAID if:
mentally ill, mature minor
what is principles based approach to physician assisted death?
importance of pt consent/capacity, respect for autonomy, respect for physician ethics/values
causes of elder abuse
stress of situation, violence a learned behaviour, lives intricately intertwined, effects of discriminatory attitudes, addiction
most common form of elder abuse
financial
systemic institutional abuse often stems from:
policies, procedures, processes that appear to be designed to maximize care and/or safety
the It’s Not Right! campaign encourages community members to:
see it, name it, check it
home care involves these services:
health promotion, curative meds, end of life care, rehab, support/maintenance, social adaptation/integration, support for informal caregivers, link home with community
two tiers of home care workers:
professionals and unregulated workers
temporary relief for informal caregiver is called:
respite care
most common form of dementia
Alzheimer’s
__ cases of Alzheimer’s are attributable to preventable risk factors (smoking, inactivity)
1 in 3
SW with older adults relies initially on thorough:
biopsychosocial assessment
major domains of assessment for older adults:
physical health, competence in ADLs, psycho-emotional wellbeing, social fxn, spirituality, sexuality, enviro safety
what is life course theory?
focus on how ppl take various distinct paths thru life as move thru diff periods (each period has particular benefits, limitations, characteristics), focus on life events and not age
4 principles of life course theory:
shaped by historical/geographical placement, impact of transition/event depends on when occurs in person’s life, lives lived interdependently, individuals construct own life course through choice, action, and constraints, opportunities
strengths based approach focuses on client:
respect+dignity, empowerment/self determination, full/equal citizenship, resilience, capacity to heal and benefit from social engagement, potential for positive possibilities
technique used to encourage clients to summon memories involving positive affect in order to moderate negative emotional states
therapeutic reminiscence
one of the fastest-growing and most innovative approaches to working with older adults:
engage spirituality
4 phases of LTC:
pre-admission, admission, residency, discharge/transfer/death
examples of palliative interventions?
NG tube feeding, pain meds, oxygen, anti nausea meds, anti anxiety meds, psychosocial support, spiritual support
2 categories of palliative interventions that have potential to cause death:
opioids and terminal sedation
