Interpersonal Relationships Flashcards
High loyalty and closeness and high dependence
Disengaged Family
Low to moderate closeness, some loyalty and interdependence with more dependence than independence
Seperated Family
High closeness, loyalty and dependence
Enmeshed
Loss of relationships bc of deaths as aging continues
The most common form of loss for adults
Acute Confusion
Delerium
Chronic Confusion
Dementia
S(x) of cognitive impairment for older adults
Disorientation, loss of language skills, inability to calculate, poor judgement - NOT normal aging changes.
Mini-Mental Status Exam (MMSE)
Tool used to examine patients’ mental status
Older adults
most common problems that are undiagnosed
Depression and alcohol abuse/alcoholism
Orientation phase
Pt felt and ID problem. Nurse responds, helps id problems, and uses resources.
Identification Phase
Pt. feels belonging and capable to deal with issue. Decreases feeling of helplessness and hopelessness
Exploitation Phase
Patient actively seeking and drawing help. Patient initated.
Resolution Phase
Occurs after other phases are completed. Termination of relationship. Both nurse a client mature.
Nurse theorist who believed that nurse and client should work together so both bcome mature and knowledgable.
Peplau
Nursing care of older adults poses a special challenge due to…
The great variation in physiological, cognitive and psychosocial health.
Positive aspects of care giving
- knowing that their loved one is receiving good care
- learning and mastering new skills
- finding opportunities for intimacy. The tasks involved in caregiving often provide opportunities for family members to gain greater insights into each other and strengthen their relationships.
Caregiver Stressors
- Change in roles and relationships within family unit
- Lack of respite or relief from caregiving responsibilities
- Need to juggle day-to-day activities, decisions, and caregiving
- Change in living conditions to accommodate family member
- Conflict in the family unit related to decisions about caregiving
- Other people’s lack of understanding of the time and energy needed for caregiving
- Inability to meet personal self-care needs, such as socialization, sleep, eating, exercise, and rest
- Financial depletion of resources as a result of patient’s or caregiver’s inability to work
- Inadequate information or skills related to specific caregiving tasks such as bathing, drug administration, wound care
Older Adult Men tendencies (vs women)
- More likely to be married and living with spouse or partner
- More likely to have health insurance
- Higher income after retirement
- Less likely to be involved in caregiving activities
- Generally have fewer chronic health conditions than women
Older adult women tendencies (vs. men)
- More likely to live alone
- More likely to be widowed
- Less likely to have health insurance
- More likely to live in poverty
- Poverty rates highest among minority women
- More likely to lack formal work experience leading to lower income
- More likely to rely on Social Security as major source of income
- More likely to be caregiver of ill spouse or partner
- Have a higher incidence of chronic health conditions such as arthritis, hypertension, stroke, and diabetes
Cognative skill that improves with aging
- Vocabulary and verbal reasoning
- Crystallized intelligence
Cognative skill that declines during for middle age adults
- Mental performance speed
- Synthesis of new information
- Fluid intelligence
Cognative skill, that declines during old age adults
-Short-term recall memory
Cognative skills that remain constant (no changes with aging)
-Long-term recall memory
Older adults and Internet use
Keep in mind that adults are more likely to accept what they read on the Internet as true. Teach patients how to assess the credibility of a website.
