Very late adulthood theories

Question 1

activities of daily living

Answer 1

basic care activities: bathing, dressing, walking a short distance, shifting from bed to chair, eating

Question 2

instrumental activities of daily living

Answer 2

not necessary but allow individual to live independently (decrease significantly with age) light housework, laundry, transportation, finances, phone, medications

Question 3

losses accumulate in these areas

Answer 3

1. relationships
2. status and role
3. health
4. control and independence

Question 4

stages of accepting impending death

Answer 4

Kubler-Ross:

1. denial
2. anger
3. bargaining
4. depression
5. acceptance

Question 5

living will

Answer 5

describes the medical procedures, drugs, and types of treatment that one would choose for oneself if able to do so

Question 6

advance directives

Answer 6

documents that give instructions about desired health care if in the future individuals cannot speak for themselves.

Question 7

palliative care

Answer 7

a form of care focusing on pain and symptom management as opposed to curing disease

Question 8

hospice

Answer 8

one model of palliative care, available to persons 6 months or less to live who are no longer receiving care directed toward a cure.

1. patient and family are unit of care
2. interdisciplinary team
3. no longer pursuing aggressive curative care, only palliative care for symptom management
4. bereavement follow up

Question 9

loss

Answer 9

severing of attachment

Question 10

bereavement

Answer 10

state of having suffered a loss

Question 11

grief

Answer 11

normal internal reaction

Question 12

mourning

Answer 12

external expression of grief

Question 13

common reactions to grief

Answer 13

Lindemann:

1. somatic waves of distress
2. preoccupation with image, yearning, pictures or touch items
3. guilt
4. hostile reactions
5. loss of patterns of conduct, inability to carry out routine behaviors

Question 14

normal uncomplicated grief

Answer 14

high level of distress followed by relatively rapid recovery

Question 15

chronic or prolonged grief

Answer 15

high level of distress for years

Question 16

delayed grief

Answer 16

high level of stress later

Question 17

absent grief

Answer 17

no notable level of distress