Unit 4 Psychosocial Flashcards

1
Q

Developmental tasks of middle adulthood - tasks relating to self

A

TASKS RELATING TO SELF

1) adjust to physical changes (changes in appearance, physical strength, health)
2) re-define self-concept and identity
3) reassess values and philosophy and life
4) develop generatively

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2
Q

Developmental tasks of middle adulthood - tasks relating to interpersonal relationships

A

TASKS RELATING TO INTERPERSONAL RELATIONSHIPS

1) live with partner’s physical changes
2) share common interest with one’s partner
3) help children become independent and help them in their new roles
4) adjust and accept responsibility of the ageing parents

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3
Q

Developmental tasks of middle adulthood - tasks relating to work and leisure

A

TASKS RELATING TO WORK AND LEISURE

1) find renewed job satisfaction
2) become a mentor
3) prepare for eventual retirement
4) expand social activities in preparation for retirement

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4
Q

Developmental tasks of middle adulthood - tasks relating to the community

A

TASKS RELATING TO THE COMMUNITY

1) become more involved in the community and civic affairs
2) act as a mediator and bridge between generations
3) act as a conserving force and moral watchdog in the community

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5
Q

Factors influencing adult development

A

On an individual level: age, gender, personality. Environmental influences: poverty vs. affluence, urban vs. rural living, cultural prescription of socially acceptable behaviour.

1) socialisation: role models, socialisation agents
2) context: political, social, civic changes. rapid changes signify instability and conflict that may result in violence.
3) gender: role prescription for males and females
4) education: level of education impacts on all domains of life. mastery of new skills determines work.
5) ecological factors: population density, geographical situation & climate influence lifestyle
6) pop. age distribution: role prescription is correlated to age distribution of the population
7) socioeconomic factors: affects health, place of residence, type of housing, standard of living, level of education, interest and a person’s influence in society.
8) Belief and values: fundamental beliefs (especially religious) affects socialisation.

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6
Q

Generativity

A

When adults seek to produce in a caring way. Erikson’s theory @ this stage: generatively vs. stagnation. w/o generativity, adult experience a pervading sense of stagnation and personal impoverishment. Satisfaction of generativity: creativity, caregiving and employment (especially employment that allows personal growth and produce goods/services that help other people)

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7
Q

Satisfaction of generativity (generativity needs)

A
  1. develop and use of personal skills
  2. express creative energy
  3. be a mentor or friend to co-workers
  4. support the education and health of family
  5. contribute to the community
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8
Q

Occupational health and safety programme

A

Aimed to tackle occupational health and safety by:

1) detailed consideration of the work environment and all work tasks
2) assessment of level of risk
3) elimination of hazard and reduce risk
4) continuous monitoring

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9
Q

Classification of hazards

A

Safety hazards: hazards that cause accidents in the workplace and may result in injury and sometimes even death.
Health hazards: results from chemicals, noise, dust, and heat. Effects may not be noticed immediately.

Five main categories of hazards:
1) chemical - caused by chemicals in the forms of gases, vapours, dusts.

2) physical - caused by the environment. e.g. extremely high/low temperatures, high levels of noise, vibration, electricity, pressure, radiation. Can also affect concentration of workers, making them prone to accidents at work
3) ergonomic - caused by working conditions. e.g. cramped working spaces, poor lighting etc. exerts strain on neck, shoulder, back, legs, feet etc.
4) biological - caused by pathogens. Can be passed human to human or animal to human. e.g Aflatoxin - associated with mould in stored peanuts, mealies and cottonseed, can cause certain cancers

5) psychological - caused by stress, e.g. work overload, long working hours, low salaries, lack of child care facilities
STRESS: 2nd largest work-related ill health

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10
Q

Socioeconomic status vs. health

A

lack of knowledge & long term goals give fewer possibilities of making maximum use of health & other resources and of taking preventative measures.

among manual labour:

1) higher rate of smokers
2) lower consumption of Vit. C, carotene and fibres. High dietary intake of sodium and potassium, lower rates of vegetable intake but elevated consumption of saturated fats
3) less exercise

Poor quality, damp housing results in higher rates of respiratory disease in children. Low SES = low pay = inadequacies in diets & dietary values

cycle of health & poverty: poor people have worse health outcomes than better-off people. Poverty breeds ill health, ill health keep the poor people poor.

  • higher income = more frequent & intensive use of health services
  • poor = travel further for health facilities
  • knowledge & literacy influences household decisions
  • poor tends to die earlier
  • poor children = less likely to be immunised
  • diarrhoea = higher among poor
  • dietary & child-feeding practices improve w/ higher levels of income, and sanitary purposes too
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11
Q

Age of retirement

A
women = 60
men = 65
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12
Q

Factors affecting the adjustment of retirement

A
  1. Financial security
  2. Voluntary retirement & health
  3. Attitude of others
  4. Attitude towards work
  5. Preparation for retirement
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13
Q

Process of retirement

A
  1. Pre-pretirement (remote phase vs. near-retirement phase)
  2. Honeymoon phase
  3. Disenchantment phase
  4. Reorientation phase
  5. Stability phase
  6. Termination phase
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14
Q

Developmental tasks of the elderly

A
  1. Adjustment to physical changes
  2. Maintaining intellectual vitality
  3. Adjustment to retirement & changes in income
  4. Establishment of satisfactory housing and physical life circumstances
  5. Rechanneling energy to new roles and activities
  6. Establishment of affiliation with peers
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15
Q

Cognitive development of the elderly

A
  1. Aesthetic sense & creativity: methodical parts of the brain become weaker, allowing previously suppressed sense of creativity to come to force
  2. Life review: older people become more reflective and philosophical. Assessment of own achievements and failures, examination of own life. (Erikson: integrity vs. despair)
  3. Wisdom: knowledge of life that enables a person to make excellent judgements and to give advice regarding important and uncertain matters of life
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16
Q

Stratification theories

A

Stratification by age: social forces limit individual choices and direct life at all stages of life.

1) disengagement theory: ageing is accompanied by a decline in role activity and gradual physical and psychological withdrawal from other people. Process of withdrawal is mutual between the elderly and community. This withdrawal leads to psychological wellbeing and satisfaction.

This theory keeps with the decline in the elderly’s level of energy; and coincides with their greater tendency to reflect on their past & decline of emotional involvement with people & events

2) activity theory: developed to contend disengagement theory. States that successful again his dependent on a high level of activity & the continuing reciprocal involvement of the individual and community. This can be achieved through:
- continuing education
- volunteering work
- religious involvement
- political activism

17
Q

Three ways of caring for the elderly

A
  1. Family care - cared by relatives
  2. Respite care - cared by a professional caregiver
  3. Nursing homes
18
Q

Myths of ageing

A
  1. Getting old is a dead end - older people are depressed and their mental function declines
  2. Ageing and life satisfaction - elderlies are obsessed with youth and are unwilling to be old
  3. Ageing and family relationships - old people are abandoned by their families
  4. Ageing and sexuality - older adults are asexual and sex is equated with youthfulness
  5. Ageing and physical appearance - older people are unattractive
19
Q

Define spirituality and explain why it is an important part of holistic care

A

Spirituality provides meaning in the day-to-day chores of life and sustains the person through personal hardships. It strives for meaning and purpose of existence, the transcendence beyond the here and now in search of some higher power or God. It also inspires, motivates and hopes in directing the individual toward the value of love, truth, beauty, trust and creativity.

Without spiritual wellbeing, the other dimensions of life may not be functional or be developed to their full capacity. In terminally ill patients, spirituality helps them to come to terms with their death and achieve harmony between the body, mind and spirit. Spirituality is heightened as the individual confronts spiritual pain and ultimate death of the human body, therefore it is important that health care workers respond to the spiritual needs of their patients.

20
Q

5 Stages of dying (Kubler-Ross)

A
  1. Denial - buffer against reality
  2. Anger - overwhelmed with bitterness & anger
  3. Bargaining - beg with God or health care workers for a cure or delay their death
  4. Depression - realise that death is inevitable. Become despondent and cry a lot. Should not try to cheer up the patient.
  5. Acceptance - patient had the time and help to work through the previous stages and has come to terms with death
21
Q

Two forms of sorrow

A
  1. Grief - personal emotional response to bereavement

2. Mourning - culturally/religiously prescribed behaviour for bereaved people