Chapter 22 Flashcards

0
Q

make the difference between transitional crisis and healthy adaption

A

speed and intensity of change

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1
Q

role transitions in later life

A
  1. retirement
  2. grandparenthood
  3. widowed
  4. becoming a caregiver or recipient of care
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2
Q

developmental stage that may occupy 30 or more years of life and involve many stages

A

retirement

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3
Q

what is retirement influenced by?

A
  • personal meanins
  • expectations
  • level of knowledge
  • preplanning
  • emotional and physical reserves
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4
Q

retirement pyramid from bottom to top

A
  • guaranteed income
  • long term assets
  • insurance
  • investments
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5
Q

phases of retirement

A
  • remote
  • near
  • honeymoon
  • dissenchantment
  • reorientation
  • stability
  • termination
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6
Q

phase of retirement: future anticipation with little real planning

A

remote

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7
Q

phase of retirement: preparation and fantasizing regarding retirement

A

near

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8
Q

phase of retirement: euphoria and testing of the fantasies

A

honeymoon

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9
Q

phases of retirement: letdown, boredom, sometimes depression

A

disenchantment

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10
Q

phase of retirement: developing a realistic and satisfactory lifestyle

A

reorientation

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11
Q

phase of retirement: personal investment in meaningful activities

A

stability

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12
Q

phase of retirement: loss of role resulting from illness or return to work

A

termination

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13
Q

% of women widowed over 85

A

76%

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14
Q

% of men widowed after 85

A

38%

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15
Q

several changes that occur simultaneously because of loss of a spouse

A
  • social status
  • economics
  • self image
16
Q

common widower bereavement reactions

A
  • search for lost mate
  • neglect of self
  • inability to share grief
  • loss of social contacts
  • struggle to view women as other than wife
  • erosion of self confidence and sexuality
  • protected grief period
17
Q

social bonding…

A

increases health status

18
Q

provide critical elements of satisfactory living that families may not, providing commitment and affection without judgement

A

friendships

19
Q

friends function in what ways

A
  • act as surrogate kin
  • ease loneliness of widowhood
  • validate ones generational viewpoint
20
Q

challenges in later life can put strain on relationship

A
  • deteriorating health
  • income limitations
  • conflicts with kids or other relatives
  • incompatible sexual needs
  • mismatch in activity and socialization needs
  • divorce more common as older couple less likely to stay in unsatisfactory marriage
21
Q

traditional couple

A

husband and wife

22
Q

nontraditional couples

A
  • lesbians
  • gays
  • bisexual
  • transexual
23
Q

% older adults never married

A

4%

24
Q

non relatives that become surrogate family and take on instrumental and affectional attributes of family

A

fictive kin

25
Q

elderly spouses caring for disabled partners have special needs and may face many role changes

A

spousal caregiving

26
Q

caregiving roles

A
  1. spousal caregiving
  2. aging parents caring for developmentally disabled kids
  3. grandparents raising grandkids
  4. long distance caregiving
  5. role of nonfamily caregiver
27
Q

what to assess wiitth family needs strengths, and roles

A
  • evaluation of stresors
  • coping mechanisms
  • meaning of caregiving
  • cultural values
  • support systems
  • family dynamics
28
Q

intervention programs

A
  • risk assessment
  • education about caregiving
  • caregiver health
  • home safety
  • support groups
  • available resources
  • stress management