Chapter 35: Family Caregiving Flashcards
Stresses, challenges, and negative consequences associated with providing assistance to a person in need
Caregiver burden
The infliction of physical or emotional harm, neglect, financial exploitation, sexual mistreatment, or abandonment of an older adult
Elder abuse
Middle-aged persons who are caring for their own children and their parents
Sandwich generation
Household in which grandparent is raising minor grandchild with no parent present
Skipped-generation household
Greater numbers of families are providing more complex care for their older members for ___ periods of time than ever before.
longer
The person who is granted or assumes responsibility for making important decisions or is called on in times of crisis; may not be geographically close or involved in daily activities but is consulted for problem-solving
Decision-maker
The person who provides direct services, looks after, or assists with personal care and home management of another family member
Caregiver
The “problem child” or nonconformist who has strayed from family norms; may be the family scapegoat or may provide a sense of purpose for family members who “rescue” or compensate for this individual
Deviant
An individual who relies on the other members of the family for economic or caregiving assistance
Dependent
A person who forfeits his or her legitimate rights and may be physically, emotionally, socially, or economically abused by the family.
Victim
In assessing the family unit, it is useful to explore the following issues:
- how family members feel about each other
- the manner of communication
- attitudes, values, and beliefs
- links with organizations and the community
Most older people and their families prefer to live near or with each other?
Near
The typical pattern is for siblings to:
Drift apart during young and middle adulthood but then reestablish strong ties in later life
Older couples have a __ rate of divorce.
low
Children who feel their parents were insensitive to their needs throughout their lives may be ___
reluctant caregivers to these parents in old age.
More than 45% of caregivers are __ years of age or older themselves
65
Nearly half of the caregivers for older adults are __; the next largest group of caregivers is __ and ___
wives
daughters, daughters-in-law.
Today the average woman will spend more time providing care for her __ than for her __
parents
children
A “___” generation of caregivers is being seen who care for aging parents, children, and grandchildren or grandparents, parents, and children.
club sandwich
Most of the home care of older adults is provided by __ __.
family members
An individual who assists someone in need of care who lives more than ___ away is considered a long-distance caregiver
1 hour
The caregiving assistance offered can include:
arranging and coordinating in-home care, managing finances, and providing respite.
A ___ is a strong chain of human experience that bonds its members through life’s challenges and joys; however, that chain is only as strong as its weakest link.
family
Effective gerontological nursing recognizes that the ___ of all family members must be maintained and promoted.
health
Maintaining older persons’ independence facilitates normality in __ __
family relationships.
Sound health practices to prevent __ and __ are crucial to maintaining self-care ability and independence
disease and disability
Gerontological nurses should review the ___ needs of caregivers during every contact to ensure their continued effectiveness.
TLC
The physical, emotional, and social health of the caregivers must be evaluated periodically to ensure that they are competent to provide the required services and are not jeopardizing themselves in the process. What provisions do they refer to?
TLC
What is the “T” TLC?
Training in care techniques, safe med used, recognition of abnormalities, and available resources
What is the “L” TLC?
Leaving the car situation periodically to obtain respite and relaxation and maintain their normal living needs.
What is the “C” TLC?
Caring for themselves via adequate sleep, rest, exercise, socialization, solitude, support, financial aid, stress reduction, and health management.
A particularly vulnerable group of caregivers is ____ who are the most likely caregiver group.
middle-aged daughters
Family caregivers are often__ __.
senior citizens
If the family caregivers are younger children of an older adult, they are often __ years of age or older.
60
__ __ occurs in many forms, ranging from an older parent’s domination and manipulation of an adult child, to incestuous relationships.
Family dysfunction
Families experiencing ___ may be:
- less able to fulfill the physical, emotional, socioeconomic, and spiritual needs of their members
- rigid in roles, responsibilities, and opinions
- unable or unwilling to obtain and use help from others
- composed of members with psychopathology or behavioral disorders
- inexperienced or ineffective at managing crises
- ineffective or inappropriate with their communication and behavior (including learned violence patterns)
dysfunction
__ out of every __ individuals over the age of 60 experiences some form of abuse, and this statistic is believed to be lower than that which actually occurs due to:
- One, ten
- victims being afraid or unable to report their abuse
The profile of the older adult at greatest risk for abuse is a:
disabled woman, older than 75 years of age, who lives with a relative and is dependent on others
Abuse includes:
- infliction of pain or injury
- withholding of food, money, medications, or care
- confinement, physical or chemical (drug) restraint
- theft or intentional mismanagement of assets
- sexual abuse
- verbal or emotional abuse
- neglect
- abandonment
T/F: Both the actual commission of a harmful act and the threat of committing it are considered abuse.
True
Subtle clues of abuse include:
malnutrition, failure to thrive, injuries, oversedation, and depression.
Nurses can assess for abuse using a tool such as the :
Elder Mistreatment Assessment Instrument
Once abuse is detected, the nurse needs to:
assess the degree of immediate danger and take appropriate actions
Most abusers are:
distressed persons who find themselves in stressful caregiving situations and are coping ineffectively.
Caregiving burdens often ___ over time.
increase
A __, __ family is one of the most valuable resources an individual can possess in old age
caring, interested
The caregiving situation has become more complicated due to:
- a greater number of women in the workforce
- mobility of families
- complexity of family structures resulting from divorce and remarriage.
When assessing family members, nurses need to inquire about those significant others who provide ___, ___, ___, ___, and ___ support.
physical, emotional, social, spiritual, and financial
Nurses must be sensitive to the fact that certain “___” roles may not have the adverse effects on the family unit that may be anticipated; and “__” roles may not be welcomed by the family
negative
positive
__ __ are important to assess because they can have positive or negative effects on the older person.
Family dynamics
Learning about family relationships also can provide insights into __, __, and ___ that the older adult may have.
responsibilities, satisfactions, and concerns
More than ____ people are involved in the care of a parent
10 million
___ ___ can be a new problem or one that has been present for a long time.
Family dysfunction
Elder abuse is ___.
increasing
Caregivers’ TLC:
Training, Leaving, Caring
The impact of an individual’s aging process has a ripple effect on the ___
entire family unit
T/F: Many families today do not reflect the stereotypical nuclear family.
True
__ __ __ are determined as a result of socialization processes, family needs, and expectations.
Family member roles
Majority of older adults have ___ contact with their children.
regular
Provision of ___ is usually a subtle and gradual process.
assistance
The most common type of elder abuse is ___.
financial
Maintaining older persons’ independence facilitates ___ in family relationships.
normality
Sound health practices to prevent __ and __ are crucial.
disease
disability
Nursing management of abusive situations:
- Assess the degree of immediate danger
- Support for the abused person
- Good family history
- Care of the family
A ___, ___ ___ is one of the most valuable resources an individual can possess in old age.
caring, interested family
___ can add a unique depth and meaning to the family.
Caregiving
Nurses need to support the caregiver and give them ___
the most resources you can
Aging is a ___ affair.
family
____ in giving back to the aged.
Gratification
