Social Support Flashcards
What are the 4 forms of social support
Emotional - reassurance, providing encouragement, express concern => increase self esteem, self worth
Information support - advice, access to new knowledge, skills
Social companionship
Instrumental support - financial, ADL assistance, personal care
What are the protective elements of support
Amount of social support decreases mortality, morbidity
- reduces risk of illness after adverse life events and increases rate of recovery
- encourage professional health seeking
- encourages health protective actions
- elements of other people’s behaviour can be very contagious
What are the negative elements of support
May increase stress, anxiety
May encourage smoking, poor diet (elements of other people’s behaviour can be very contagious)
But these effects are generally outweighed by the positives
How do the dimensions of our social support change as we age
As we age, we lose our social support
- drift away from distant friends
- stop working, lose contact with colleagues
- friends and family pass away
- moving house, moving away from neighbours
How would you quantitatively assess the quality of social support
Social Support Questionnaire 6 (SSQ6)
-state who they can rely on and their level of satisfaction
What is the difference between isolation and loneliness
Isolation - having few social contacts
Loneliness - experience
Both are related to mortality but isolation remains the significant factor
-stepwise dose response relationship
How can stroke impact on social support
How can social support impact upon stroke recovery
Impacts day to day function and routine
-loss or change of roles within social network and close relationships
Contributes to risk of depression, poor functioning, cognitive peformance
Increased social support => better prognosis
-emotional support
What is formal care
-how may you receive it
Trained, licensed professionals
-social care, health and medical care
Specified tasks with a schedule
Patients must meet eligibility criteria, needs
- arise/related to physical, mental impairment
- as a result, cannot do 2+ ADLs
- lack of will impact on wellbeing
What is The Care Act 2014
Standardise eligibility for services across the country
- increase emphasis on prevention and assisting people with healthy living
- protects carers and safeguards the most vulnerable
Where may you receive formal care
Home centers - support personal care, ADLs
Day care - chance to socialise, respite for informal carers
Care and nursing care - residential care
What is informal care
Provided by family, close relatives, friends, neighbours
- non professional, not always trained in care tasts
- unpaid
- wide range of tasks
- no formal limits to time spent on care
What are the impacts of caring
Impacts on activities, contacts, leisure time
Change in roles, relationships => increased dependence
Employment problems => financial issues
Social isolation
How has our ability to care changed with time
Reduced family size, greater mobility away from family
Increasing demands with multicomorbidities => increased complexity of tasks
Greater needs for care at earlier stages especially in lower SES
What are the 5 key ADLs
Personal hygiene Dressing Eating (not necasserily to prepare food) Maintaining continence (mental, physical ability to use a toilet Transferring form sitting to standing
What are the IADLs, how do they differ from ADLs
Additional tasks required to live independently in the community
- handling personal finances
- meal prep
- shopping
- travelling
- housework
- taking meds
