Module 9 Flashcards
long term care
refers to a range of services that help people with chronic conditions and disabilities to continue to live independently
common activities of daily living
- Bathing
- Toileting
- Mobility
- Eating
- Getting dressed
instrumental activités of daily living
- Managing finances
- Taking medications
- Shopping
- Using the telephone
- Household tasks
formal care and informal care
care provided by paid workers
Informal care: refers to care provided by family and friends
family care
- Most often care for the elderly is provided by their family
Almost all older adults reciving publicly funded home care have a primary caregiver
gendered neutral care-giving
- Women normally take on the role of primary care-giving and daughters are the most common primary care givers
- Changing roles in society and changing employment patterns of women, however may affect their socially prescribed roles as caregivers in the future
- Daughters more likely to provide help with personal care
- Sons are more likely to help with arranging servuces, finances and maintence/repairs
- Division of labour tends to break down when spouses are caring for each toher
impacts of caregiving
- Caregiver burden: refers to the management of tasks
- Caregiver stress: refers to the strain felt by caregivers
- In canada about 60% of caregivers reguarly providing care to elderly parents reported symptoms of psycological distress
Allostatic load: refers to the wear and tear that occurs in the body due to chronic stress
caregiver stress has been linked to
- High blood pressure
- Depression
- Physical exhaustion
- Detoriation of health
- Weakening of immune system
caregiver respite
- Key to supporting caregivers and preventing stress and burnout
- Four key themes of respite were identified: stolen moments, connections releif, and mental and physical stimulus
employment and caregiving
- Caregivers expereince greater stress at work and more work family conflicts
- Employees may rearrange their schedule reduce their hours or take time off and catch up on work outside of regular hours
Some wuit their job to focus on caregiving
- Employees may rearrange their schedule reduce their hours or take time off and catch up on work outside of regular hours
parent-child relationships
- When children become caregivers a role reversal occurs as suddenly the parent changes from guide to dependant
- Children tend to be more aware and accepting of this while parents have a hard time accepting this
three types of caregiving
Mutuality: both sides see this as rewarding
Ambivalent: there are rewards and costs to relationship
Conclficted: few rewards, many costs to caregiving
sibling relationships
- Caregving can create tension
- Primary caregivers feel as though siblings don’t help enough or don’t appreicte their efforts
Can also have positive impacts and increase closeness between siblings
- Primary caregivers feel as though siblings don’t help enough or don’t appreicte their efforts
marital relationships
- Can reduce the time spuses spend togther
- Long term caregiving does have a negative impact on martial quality
relationships with grandchildren
- May feel stress and resentment and expereince disruption of social life as a result of caregiving
Can also increase the empathy of children towards older adults
home and community based services
- Services provided in the home and community
- Designed to help older adults live in independantly for as long as possible
Case management is provided by a health or allied health professional to coordinate home and community based services and other medical and social services for frail older adults and their families
- Designed to help older adults live in independantly for as long as possible
shifting care to the community
- Increasing demand for wider array of home and community based services
- Due to the desire to avoid ististuionilzation
- If home and community care services were expanded family and friends would continue to provide informal care, and these services would likely fill the unmet need for care in the community
nursing homes
- In the past nursing homes were the most common site of care for the elderly but this has changed with emphaisis on alternative forms of care
- Chllenges to living in nursing home enviorment
○ Severing ties to their home and neighborhood
○ Adjusting to rigid daily routines
○ Having to get rid of possessions
○ Losing autonomy
○ Langage and cultural barriers
- Chllenges to living in nursing home enviorment
institutional nature of nursing homes
○ Total insutions are beurocratuc organizations where there is no seperation between sleep, work, and play
○ Bed and body work
○ In this enviorment workers are prasied for being effient, and orderly and usually have little time to offer emotional support and comfort
quality issues in nursing homes
○ Staffing issues
○ Unsanitary condtions
○ Poor food
○ Lack of enforcement of safety regulation
○ Poor health care services
- Poor quality of care linked to bed sores, malnutrion and weight loss
- Key factors that influcne quality of care are: staff to redient ration, whether the home is for profit or not for profit, and working condtions and staff turnover
