Intro To Gero: Self Concept, Flashcards

1
Q

What psychological challenge do many older adults face related to self-concept?

A
  • difficulty accepting changes
    -> especially related to aging, loss of independence, or identity.
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2
Q

What are the benefits of a multigenerational living situation for older adults?

A
  • Offers social support
  • Provides companionship
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3
Q

What are the benefits of senior-only living communities?

A
  • Encourages social interaction
  • Offer independence
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4
Q

What is the goal of independent senior living?

A

autonomy and control

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5
Q

What is the goal of assisted living situations?

A

Helps older adults maintain some independence while offering support

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6
Q

What is a risk of moving into long-term care (LTC) or nursing homes?

A

Can be traumatic and lead to relocation stress syndrome

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7
Q

Why is balancing solitude and social interaction important in older adulthood?

A

Impacts growth and self-actualization

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8
Q

What are some key psychosocial considerations with aging?

A
  • Health care delivery systems
  • financial implications
  • legal/ethical issues
  • evidence-based practice, - AARP and Grey Panthers
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9
Q

Why are health care delivery systems/community-based resources important for older adults?

A
  • support aging in place
  • enhance quality of life
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10
Q

What are some financial implications older adults may face?

A
  • Out-of-pocket copayments
  • Higher insurance premiums if continuing to work after age 65
  • Reluctance to accept services like SNAP
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11
Q

Why might insurance premiums be higher for older adults who continue working after 65?

A
  • Due to income adjustments
    -> May pay more for medicare B (ambulatory care/diagnositc services) and D (prescrition drugs)
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12
Q

Why might some older adults avoid using programs like SNAP?

A
  • Too proud to accept services
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13
Q

What is a legal and ethical obligation related to elder care?

A
  • Reporting suspected elder abuse and neglect
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14
Q

What is the purpose of evidence-based practice in elder care?

A
  • improve the quality of care
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15
Q

What is AARP and what does it offer older adults?

A
  • pvds resources and programs for older adults
    -> liveable communities
    -> driver-refresher classes
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16
Q

What values are emphasized in European-American (Western) culture regarding aging?

A
  • Youth and beauty
  • Thinness
  • Independence
  • Productivity
  • Less positive view of aging
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17
Q

What are the implications for nursing when caring for older European-American adults?

A
  • feel pressure to stay “young”
  • prefer to stay independent or resist help
  • Experience ageism or feel less valued
18
Q

What values are emphasized in Hispanic, Black, and Asian cultures regarding aging?

A
  • Respect elders
  • Aging as honorable
  • ↑ family support
  • Prefer for home care over institutions
19
Q

What should nurses keep in mind when caring for older adults from different cultural backgrounds?

A
  • Recognize cultural/family patterns
  • Ask about beliefs and preferences
  • Avoid assumptions
  • Pvd culturally competent care
19
Q

What are the implications for nursing when working with Hispanic, Black, and Asian older adults?

A
  • Families wants deep involvement in decisions
  • May prefer to avoid nursing homes
  • show respect and inclusion in care planning
20
Q

what type of questions could be asked when considering the aging adults family?

A
  • Who is the family or significant others?
  • Who is/are the caregivers?
  • What are the relationships?
  • What is the role of the significant other(s) in the older adults life?
  • What are the needs of the caregiver?
20
Q

What roles might significant others play in an older adult’s life?

A
  • Social Support
  • Physical Support
21
Q

Why should caregivers be included in the decision-making process?

A
  • more comprehensive, pt-centered approach
    -> respect older adults preferences
    -> leverage caregiver insights
22
Q

What are some needs or challenges caregivers may face?

A
  • Risk for burnout
  • Neglect elder
23
What is the role of religion in many older adults’ lives?
- pvds consistent structure/routine throughout life.
24
How does age impact spirituality or religious involvement?
- ↑ age = ↑ spirituality/religion
25
What are key aspects of establishing patient-centered spiritual care?
- Respect differences - Assist pt in expressing feelings/needs - Collaborate with family/spiritual advisor
26
What is disenfranchised grief in veterans?
- Grief that is not recognized as valid -> b/c killing enemies during military service.
27
What are the stages of grieving?
- Denial - Anger - Bargaining - Depression - Acceptance
28
What emotional dynamic may occur when a patient is dying?
- pt may be at peace, but families may struggle - Families may be at peace while the pt struggles
29
What resources can help grieving family members?
- Widow/widower support groups - Senior centers - Churches
30
What are key components of collaboration and teamwork during end-of-life care?
- coordinating hospice - discuss Advance directives, & spiritual advisors - death and burial arrangements - unfinished business
31
Why is managing grief important for nurses?
- Unmanaged grief may lead to burnout
32
How can nurses cope with grief and prevent burnout?
- Colleague support - Assist in debriefing - Caring enriches life and prevents burnout
33
What percentage of married men aged 60–64 still engage in sex?
87%
34
What percentage of married women aged 60–64 still engage in sex?
89%
35
What percentage of men aged 80+ still engage in sex?
29%
36
What percentage of women aged 80+ still engage in sex?
25%
37
What is the trend in the size of the LGBTQ elder population?
- Growing population -> expected to double by 2030
38
What are LGBTQ elders at increased risk for?
- Disability - Chronic diseases - Mental health illness - Overall poor health
39
What unhealthy behaviors are more commonly seen in LGBTQ elders?
- smoking - drinking
40
Why might LGBTQ elders avoid visiting doctors or hospitals?
- Fear of rejection or being judged - Face discrimination