Chapter 11: Older

Question 1

the young old are ages ____ , middle old are ages _____, and the old old are ages _______

Answer 1

65-74; 75-84; 85+

Question 2

people 90+ often referred to as:

Answer 2

frail old

Question 3

3 main factors for aging population:

Answer 3

baby boom after WW2, low birth rate, increasing life expectancey

Question 4

any attitude, action, policy, institutional structure that subordinates or oppresses person or group on basis of age

Answer 4

ageism

Question 5

term used to describe long term occupation of hospital bed, mostly by elderly cuz of shortage of suitable care elsewhere

Answer 5

bed blockers

Question 6

3 tiers of Canadian pension system?

Answer 6

old age security and guaranteed income supplement, canada pension plan, private pension plans

Question 7

process where normal behavioural, emotional, physiological conditions become viewed as med probs

Answer 7

medicalization

Question 8

now moving away from medicalization to____

Answer 8

self-empowerment and social engagement

Question 9

can’t have MAID if:

Answer 9

mentally ill, mature minor

Question 10

what is principles based approach to physician assisted death?

Answer 10

importance of pt consent/capacity, respect for autonomy, respect for physician ethics/values

Question 11

causes of elder abuse

Answer 11

stress of situation, violence a learned behaviour, lives intricately intertwined, effects of discriminatory attitudes, addiction

Question 12

most common form of elder abuse

Answer 12

financial

Question 13

systemic institutional abuse often stems from:

Answer 13

policies, procedures, processes that appear to be designed to maximize care and/or safety

Question 14

the It’s Not Right! campaign encourages community members to:

Answer 14

see it, name it, check it

Question 15

home care involves these services:

Answer 15

health promotion, curative meds, end of life care, rehab, support/maintenance, social adaptation/integration, support for informal caregivers, link home with community

Question 16

two tiers of home care workers:

Answer 16

professionals and unregulated workers

Question 17

temporary relief for informal caregiver is called:

Answer 17

respite care

Question 18

most common form of dementia

Answer 18

Alzheimer’s

Question 19

__ cases of Alzheimer’s are attributable to preventable risk factors (smoking, inactivity)

Answer 19

1 in 3

Question 20

SW with older adults relies initially on thorough:

Answer 20

biopsychosocial assessment

Question 21

major domains of assessment for older adults:

Answer 21

physical health, competence in ADLs, psycho-emotional wellbeing, social fxn, spirituality, sexuality, enviro safety

Question 22

what is life course theory?

Answer 22

focus on how ppl take various distinct paths thru life as move thru diff periods (each period has particular benefits, limitations, characteristics), focus on life events and not age

Question 23

4 principles of life course theory:

Answer 23

shaped by historical/geographical placement, impact of transition/event depends on when occurs in person’s life, lives lived interdependently, individuals construct own life course through choice, action, and constraints, opportunities

Question 24

strengths based approach focuses on client:

Answer 24

respect+dignity, empowerment/self determination, full/equal citizenship, resilience, capacity to heal and benefit from social engagement, potential for positive possibilities

Question 25

technique used to encourage clients to summon memories involving positive affect in order to moderate negative emotional states

Answer 25

therapeutic reminiscence

Question 26

one of the fastest-growing and most innovative approaches to working with older adults:

Answer 26

engage spirituality

Question 27

4 phases of LTC:

Answer 27

pre-admission, admission, residency, discharge/transfer/death

Question 28

examples of palliative interventions?

Answer 28

NG tube feeding, pain meds, oxygen, anti nausea meds, anti anxiety meds, psychosocial support, spiritual support

Question 29

2 categories of palliative interventions that have potential to cause death:

Answer 29

opioids and terminal sedation