lecture 11 Flashcards
what is elder abuse?
any action or inaction by any person that causes harm to an older person
most victims of elder abuse are who?
women
perpetrators are most likely:
for women: family
for men: an acquaintance or stranger
what is a hidden problem of elder abuse?
under-reported and low-quality data
what are risk factors of elder abuse?
unresolved conflicts
financial, personal dependence
burden
there has been an increased interest in abuse and neglect due to what?
- the growth of the older population
- increased political power of older people
- Intersection between women’s movement and re-analysis of the social location of the family
- the state’s willingness to intervene in family life
note*
try find in textbook the biological vs. social definition of death
note*
most deaths occur in old age (less than 1% in young children)
most death in old age follow a slow trajectory (a long time that people are aware of death in the near future)
leading cause of death for 65-74 is malignant neoplasms
(rest of age group the highest is accidents)
what is palliative care and its goals?
Providing relief from the symptoms, pain, physical, mental, and social distress of a terminal diagnosis
goal: to improve quality of life for both the person and the family
WHO: a component of comprehensive care throughout the life course
what are the stages of psychological reactions to dying?
- denial
- anger
- bargaining
- depression
- acceptance
(may skip, overlap, go back and forth)
what is grief?
a sense of deep sorrow after a loss
what is mourning?
an expression of grief in public
what is bereavement?
the state of having recently experienced grief
what is anticipatory grief?
grief starts before and in anticipation of the death
common in partners of older adults with a fatal disease
what is disenfranchised grief?
deemed illegitimate and therefore unacknowledged
insignificant relationship between the grieving person and the deceased
(example; loss of a pet, perinatal loss)
what is complicated grief?
long and severe
inability of recovering and resuming the normal life
what are some risk factors for maladaptive grief?
lingering and severe (with many symptoms) disease
- burden
- helplessness
- fatigue
closeness and nature of relationship
socio-economic status
note*
As life values and practices varies between cultural/ethnicity groups so it the death related practice
key- understanding, respect, reflecting
what is assisted suicide vs. active voluntary euthanasia vs. MAID?
assisted suicide: asking for a lethal medicine, but you take it yourself
active voluntary euthanasia: the health care professional administrates the medicine
MAID: either of above
(until 2019 about 5000 person received MAID; about 80% older adult (>65), no sex differences)
