Unit 1: Institutional Ageism and Culture + ADLs/IADLs

Question 1

What is institutional Ageism?

Answer 1

discrimination in health care

Question 2

What are some examples of institutional Ageism? (4)

Answer 2

• changes in function are dismissed as a normal part of aging
• excluded from clinical trial
• may use ageist terms such as bed blocker
• Viewing older patient sympathetically as “poor old dears” places little value on their abilities

Question 3

what is culture?

Answer 3

Learned and transmitted knowledge, beliefs, values, and guidelines about living within a social group

Question 4

What are difference types of culture? (4)

Answer 4

Age positive culture vs. age negative
individualism vs interdependence
seen in social media
- negative stereotypes are internalized an increased risk at a population level

Question 5

what are some impacts of ageism? (4)

Answer 5

1. Associated with a shorter lifespan, poor physical and mental health, slow recovery from disability and cognitive decline
2. reduced quality of life
3. Increases social isolation and loneliness
4. Reduces commitment to the workplace
   see page 49

Question 6

What is the international classification of functioning, disability, and health model? (ICF MODEL)

Answer 6

• guides the collection of information enables the health professional to know what is impacting on the functional ability
• see page 50 for model

Question 7

how can we encourage a shift to wellness? (3)

Answer 7

1. Recognizing wellness with an illness improve peoples functional ability
2. Takes away from the loss associated with some chronic medical conditions
3. Interventions
   - people need time to adapt to their circumstances (grieving)
   - recognize when people shift towards wellness

Question 8

Why is it called the shifting model perspective?

Answer 8

• not always ecstatic

Question 9

What does the shifting model perspective ask the nurse to recognize?

Answer 9

• communication

Question 10

How do activities of daily living (ADL) and instrumental activities of DL related to functional ability?

Answer 10

• They help measure it

Question 11

What is the difference between activities of daily living and Instrumental ADLs?

Answer 11

ADL - measure tasks to do self care
IADLs - Measure tasks related to being able to live independently

Question 11

Why do we need to recognize the ability of the older adult to manage their ADLs and IADLs? (4)

Answer 11

1. Risk that older adults cannot manage their care independently (self-care of the ability to live independently)
2. Functional assessment - understand current function to determine what is needed to help
3. Developing interventions that address the individual’s needs
   - rehabilitation or restoration of function
4. Avoid excess disability

Question 12

What are activities of daily living?

Answer 12

• ability of a person to do self care

Question 13

Give some examples of ADLs? (5)

Answer 13

• telephone
• travelling/driving
• shopping
• preparing meals
• medication

Question 14

Using answering the phone as an example, use IADL concept to describe the level of care (3)

Answer 14

Independent - able to look up numbers, dial, receive and make calls without help

Assistance needed - Able to answer phone or call operator in an emergency, but needs a special phone or help in getting number or dialing

Dependent - unable to use phone