feb6333333 Flashcards
At about 30 years of age; there is reappraisal of one?s life; psychological separation from parents; What is defined for the adult in this phase?
Physical development peaks; role in society
Stage 6: Intimacy versus isolation; 20-40 years old; tasks are what two things?
Love and work; development of an intimate relationship
What is characterized by self-abandonment; mutuality of sexual orgasm; intense friendship; and attachments that are life long?
Intimacy
What is marked by separation from others and view that others are dangerous?
Isolation
If an individual does not have a relationship at the 6th stage of life; Erikson; what is this person likely to experience?
Isolation and self-absorption
What issues are in early adulthood?
Work identity; developing adult friends; sexuality; a marriage
If a community loses a lot of jobs; what increases in the community?
Alcohol dependence; homicide; violence; and suicide
What age do women reach their sexual prime?
Mid 30s increased capacity for orgasm
Women identify more with what? Men identify more with what?
Motherhood
What age is stage 7: Generativity versus Stagnation?
40-65 years old
Stage 7; what does generativity include?
Raising children; guiding new generation; creativity; altruism
Stage 7; what does stagnation include?
Self-concern; isolation; and absence of intimacy
What age group; Eriksons stuff; is physical health; emotional maturity; and competence and power in career issues?
40-65 years old
What do a lot of men 40-65 years old men go through? A change in profession or lifestyle; infidelity; separation or divorce; and depression?
Midlife Crisis
What is the change in physiologic function that occurs during midlife? What normally happens in women?
Climacterium; menopause forty and fifty
How long after menopause should an individual take contraceptive measures; even after menstruation stops?
1 year
During 40-65 years what are typical problems?
Empty-nest syndrome; legal vs. psychic; economic and social divorce; and retirement
What is stage 8 in Erikson?s stage of development?
Over 65 years
What is a sense of satisfaction that life has been productive and worthwhile?
Integrity; an acceptance of ones place in the life cycle is characteristic of integrity
What is a loss of hope that produces misanthropy and disgust?
Despair
65 years and older; men and women both experience functioning? What does not decrease?
Sexual functioning; sexual interest does not decrease
What is a time of physical health; emotional maturity; competence and power in career; and gratifying relationships?
Middle Adulthood; 40-65 years old
What is the overall fastest growing cohort in the US population?
85 years old
What population group is below the poverty line?
Elderly; worse in Hispanics and blacks
With exception of cognitive impairment; the elderly has a lower incidence of what?
Psychiatric disorders
Us elderly are generally not what; but may not receive the same respect as in other cultures?
Isolated or lonely
Elderly patients have at least one what? Erickson?s last of development; who has the higher rate of suicide?
Chronic illness; men
What two therapies offer clear advantage over ?just keeping busy??
Occupational and physical therapy
What is the best predictor of nursing home admissions? What improves balance; risk of falls
Falls and fall related injuries
What is one that is free from avoidable distress and suffering for patients; families; and caregivers; and is consistent with clinical; cultural; and ethical standards?
Good death
What is one that is characterized by needless suffering; a dishonoring of the patient or family wishes or values?
Bad death
Most people will die; not sudden death; but how?
Prolonged illness
Most people want to die at home; but how many really do?
20 percent
What process begins with death of a loved one and/or significant losses?
Bereavement
What type of men have higher morbidity and mortality rates for at least the first 6 months after the loss?
Bereaved persons; especially widowed men
What includes chest tightness; heart palpitations; decreased energy; emotional numbing; sadness; disbelief; and confusion?
Normal grief
Greatly prolonged; very intense; postponed or suppressed; interferes with health or ability to function is what?
Complicated grief
What are the major fears of adolescents and dying?
Losing control; being imperfect; being different; body image; generate resistance to treatment
What are elderly and dying fears include?
Long; painful; and disfiguring deaths
What allows people with despair see death as fearsome because it symbolizes emptiness and failure?
Elderly and dying
Many people have recurrent grief around what called anniversary events?
Holidays and anniversary of the death
The stages of grief follow shock and denial; anger?
Bargaining; depression; and acceptance
What age bracket is often aware of their condition and what to discuss it?
Dying children
Who are the Pre-operational stage of development? How do they see their situation?
Preschoolers; death is seen as a temporary absence; incomplete and reversible; separation from their parent is a big concern
What do school age children manifest concrete-operational thinking and recognize death as?
Final reality
Adults and elderly differ in what way through dying?
Separation from loved ones; losing control; and pain adults; eldery is long a painful death
What is; 7 features of dying patient; empathy; compassion; and involvement are essential?
Concern
What; 7 features of dying patient; skills and knowledge can be reassuring as warmth and concer
Competence
What; 7 features of dying patient; open lines of talking and understanding?
Communication
What; 7 features of dying patient; family members who want to visit?
Children
What; 7 features of dying patient; maximizes patient support and bereavement; on the same page?
Cohesion
What; 7 features of dying patient; is a general sense of humor; kind; understanding; good attitude?
Cheerfulness
What; 7 features of dying patient; is a persistent attention that is highly valued; do not want to be seen as a burden?
consistency
