Life Course Chapter 10: Very Late Adulthood Flashcards
Fastest growing population
85 and older
centenarians
people who reach 100 years ld
Activities of Daily living
Bathing, dressing, walking short distance, from bed to chair, eating
Instrumental Activities of daily living
light housework, laundry, transportation, finances, telephone, taking medications
instrumental activities of daily living IADLs
activities that are not necessary for fundamental functioning but do allow an individual to live independently
activities of daily living
basic care activities
primary agin
changes that are a normal part of the aging process, slowing of motor responses, sensory responses, intellectual functioning
secondary aging
cause by health compromising behaviors or environmental factors, smoking pollution access to nutrition, etc.
5 major components of intimacy
commitment: feeling of cohesion and connection
affective: deep sense of caring, compassion and positive regard
cognitive intimacy: thinking about and awareness of another, sharing values and goals
physical intimacy: sharing physical encounters ranging from proximity to sexuality
mutuality: a process of exchange or interdependence
overtime, losses accumulate in the following areas:
relationships, status and role, heath, control and independence
stages of accepting impending death
denial, anger, bargaining, depression, acceptance
denial
the person denies death will occur. Thisis not true it can’s be me. Denial succeeded by temporary isolation from social interactions
Anger
Why me: projects his/her resentment and envy onto others and directs anger toward a supreme being, caregivers, famillly and friends.
bargaining
bargaining in an attempt to postpone death, proposing a series of deals with god, self or others.
depression
a sense of loss follows, individuals grieve about their own end of life and about the ones that will be left behind. withdraw from close and loved persons
acceptance
person accepts that the end is near and the struggle is over
advance directives
documents that give instructions about desired health care if in the fugure individuals cannot speak for themselves
living will
th emedical procedures, drugs and types of treatment that one would choose for oneself if able to do so in certain situations, artificial means or heroic measures if condition is such that there is no hope for recovery
palliative care
focuses on pain an symptom management as opposed to curing disease
key ideas of hospice care
unit of care: patient and the family
interdisciplinary team: physician, nurse’s aide, social worker, clergy, volunteer, biopschosocial and spiritual needs
no longer pursuing aggressive curative care
bereavement follow-up
end of life signs and symptoms
lowered temperature and slowed circulation longer periods of sleep decreased vision and hearing congestion saliva increase incontinence restlessness and confusion reduced need for eating and drinking swallowing irregular and interruped breathing increased signs of pain
signs death has occurred
breathing stops, heat stops beating, bowel/bladder lost, no response to verbal or shaking, eyelids open fixed, mouth sllightly open
loss
the severing of an attachment an individual has wiht a loved one, a loved object or aspect of one’s sself or identity
bereavement
state of having suffered a loss
grief
the norml internal reaction of an individual experiencing a loss
mourning
external expression of grief: mental work following the loss of a loved one, cultural traditions and tiruals that guide behavior after a death
grief work
necessary period
common reactions to loss
somatic distress in waves from 20 minutes to an hour, tightness in throat, shortness of breath, need for sysing, empty abdomen, intense subjective distrerss; preoccupation with image, yearnin gfor the lost oe to return, wanting to see photos or touch items; guilt, hostile reactions; loss of patterns of contact, ability to carry out routine behaviors
Lindemann stages of grief
shock and disbelief, accute morning, resolution
Kubler Ross stages of grief
dental and isolation, anger, bargaining, depression, acceptance
bowlby stages of grief
numbness, yearning, disorganization, despair, reorganization
rando stages of grief
avoidance, confrontation, accommodation
typical stages of grief
disbelief and feelilngs of unreality, painful and disorganizing reactions, a king of getting over the loss
normal or uncomplicated grief
high level of distress, broad range of feelings and behaviors, relatively rapid recovery
chronic or prolonged grief
high level of distress continuing over a number o fyears wihtout satisfactoy conclusion
delayed grief
little distress in first fw months, higher levels of distress at some later point
absent grief
no notable distress soon or later
