Part 2 Flashcards
Developmental transitions
- Achieving career success
- Achieving social and civic responsibility
- Achieving career success
● Financial terms
● Providing service
● Making a contribution to others
In jewish, nurse should, Recognize commmitment to maintaining .. throughout labor, delivery and postpartum
religious laws, customs, and practices
is a time that is highly influenced by culture and beliefs. Jewish
Childbirth
Value voluntary contributions to the community. For the GOOD SOCIETY
American and Canadian
A. Factors Influencing Older Adult Response in Seeking Healthcare
Societal Factors
Cultural Influences
Individual level
Socioeconomic factors
Community resources
affect the affordability and accessibility of health care options for acute, chronic, and long-term care.
Societal Factors
Client’s income and financial levels affect eligibility for assistance to pay for insurance
Societal Factors
Changes to control medical
expenditures force shorter hospital stays
Societal Factors
Gaps in health care services put greater burdens on older patients for home and community based care
Societal Factors
The older adult’s cultural values, practices, patterns of caregiving, as well as available community resources (informal and formal sources of help) will influence when and where older clients interact in the biomedical health care system or other systems
Cultural Influences
Different cultural values influence patterns in caring for older adult family members as they age and require more assistance
Cultural Influences
The older adult is also influenced by his or her nuclear and extended family evident in diverse lifestyles and patterns of health-promoting or risk-taking behavior, coping behavior to manage acute and chronic conditions, and decision making about care and services.
Individual level
SOCIOECONOMIC FACTORS
● Chronic illnesses
● Long-term care is expensive
● Varying degrees of social support (discrimination on the basis of gender, race, social class)
● Retirement Savings
COMMUNITY RESOURCES
● Homemakers
● Adult day care
● Transportation
● Short-term institutional care
B. Theories of Aging
Disengagement Theory
Activity Theory
Continuity Theory
Developmental Theory
Focuses on explaining that older adults whose status is linked to employment perceive less self-worty in retirement when reliefed of their roles and responsibilities
Disengagement Theory
older adults may substitute
recreational and
meaningful opportunities to take the place of previous occupations and careers.
Activity theory
focuses on to remain
engaged by adapting patterns of behavior
from their younger
adulthood to keep them involved into older adulthood
Continuity theory
Older adults may struggle with the tension between maintaining the integrity of their experience while facing the reality of declining physical and mental functions.
Developmental theory
Traditional Beliefs or Practices
● Restoring harmony & balance in the body & spirit
● Folk Medicine ● Magical/Religious elements ● Burning a candle ● Offering cornmeal to the spirits ● Wearing an amulet ● Reciting a prayer
To assess the older adult’s cultural beliefs and practices, the nurse can
demonstrate a
nonjudgmental attitude and develop culturally appropriate communication
illness is caused by spirit possession
Somali
Illness may be caused by evil spirit if one’s own spirit has left the body
Hmong
sickness is caused by karma
Hindu and Sikh
(spices and herbs for colds, congestion, diabetes and health problems)
Ayurveda
herbal medicine, massage, acupuncture or dietary therapy for muscle pain and headaches
Older chines
may use traditional medicine but will not disclose it
Vietnamese
Informal Support
● Preferences of older persons and his/her family members
● Capacity of the older adult for self-care and willingness
● Capabilities of families to offer support and assistance with care
Formal Support
● Home Health Workers
● Hospice Care
● Visiting nurses
The developmental tasks that older
adults achieve include the satisfaction of basic needs, such as
safety, security, and dignity, and the fulfillment of integrity and self-actualization.
is a developmental experience for individuals who are in a stage of reflecting on life experiences and finding meaning in their lives.
Aging
Older adults respond differently to these spiritual development tasks as influenced by their culture, life experiences and individual qualities
Faith and spirituality
Many older adults will require care and assistance to manage chronic conditions; a public health goal is to encourage adults to adopt and follow health promoting actions in their earlier years to minimize the occurrence of chronic condition.
B. Decisions on a Continuum of Care
3 Types of Care required to Older Adults
Intensive personal health service
Health maintenance and restorative care,
Coordinated nursing, social services, and ancillary service
depending on the presence of acute and chronic conditions
Intensive personal health service
depending conditions; chronic condition
Health maintenance and restorative care
that may be provided on an episodic basis for older clients in the community.
Coordinated nursing, social services, and ancillary services
