Interpersonal Needs Flashcards
Watsons Hierarchy of Needs
Most important
Self-actualization
Affiliation achievement
Sexuality/activity
Ventilation
Elimination
food/fluid
Self-actualization need
Closer to the birthing of the inner spirit and its fuller, unique emergence
Unique continuum
Elevates consciousness
Traits of self-actualized people
- Time competent
- Inner directed
- sensitive to and values self
- Spontaneous
- Positive
Sandwich generation
Middle-aged caregivers’’
Struggle to balance demands pf work and parenting with caregiving for an older relative
Considerations for Aging parents taking care of developmentally delayed children
Often responsibility of the parents for their entire adult life, till one dies
Grandparents caring for grandchildren
Increasing number of individuals
Due to things like teen pregnancy, abuse, imprisonment
Long Distance caregiving
More children move away for education– do not come back
When a parent needs help– provided long distance
Care manager
Interventions for Self-actualization needs
Psychoeducational
Supportive
Psychotherapy
Multicomponent intervention
Respite
Interventions involving the maintenance of self-care ability and independence interventions
Environmental modifications
Financial aid
Assistance with chores
Meals, transportation
Companionship
Family dysfunction
May be a result of lifelong abuse by the elder
May be a recent problem
May be a result of rigid family problems
Learned violence
Legal capacity
Person’s ability to make decisions
Legal construct, not clinical condition
Continuum
Assessed by different people
Power of Attorney
Legal document/device allowing a decided person to act on their behalf
Continuing or enduring
Example of non continuing POA
Being out of the country
Elder abuse
Any action by someone in a relationship of trust that results in harm or distress to an older person
Neglect
Lack of action by that person in a relationship with the same result
What are the most common types of abuse
Emotional and financial
Why do surveys count low numbers of abuse?
Reluctance to report/people who are vulnerable are less likely to report
Two types of abuse
Resident-resident
(Sexual abuse is more likely from another resident)
Staff-resident
High risk for abuse
Cognitive impairment, female, wandering behaviour, limited mobility
Risk factors for abuse
Environment, Organizational culture,
Staff characteristics
Resident characteristics
Signs of elder abuse
- Fear, anxiety, passiveness in relation to family/friend/caregiver
- Unexplained physical injuries
- Dehydration, poor nutrition, poor hygiene
- Improper use of medication
- confusion about new legal documents (will, mortgage
- sudden drop in cash/financial holdings
- Reluctance to speak about the situation
If abuse suspected…
full assessment
Determine safety of victim and desires of victim if competent
Interventions for abuse
STOP mistreatment first
Provide care/treat consequences
Protect victim + society
Hold abuser accountable
Prevention of abuse
- Should be alert to situation of risk for maltreatment
- Take steps to prevent occurrence
- Make sure victims know how to get help
- Provide support/encouragement that it is possible to leave
