AGER

Reasons for Psychoses

physical effects- infection,toxic substances, head/brain trauma biological effects- genetic/inherited diseases environmental effects- war,famine,poverty,physical and emotional abuse

Stages of grief

physical sensations feelings thoughts behaviors social disruption spiritual difficulties

Stage 8 (60-death)

reflection regret and resolution are key questions older adults need to answer to have peace. "is it okay to have been me?"

Generational Equity can be described as..

struggle between younger and older generations

In the two processes of mourning, the "loss oriented process" is when..

the individual gradually reconciles the loss

Three transitions of mourning

transitioning- able to think advancing- able to take up tasks of daily living ceasing- able to reengage and enjoy life

Snowbirds concepts and theories

widowhood - isabel becomes widow but isn't grieving socioemotional selectivity theory- janes husband didnt like george so he didn't go to miami with jane to comfort isabel

Functional model of caregiving

Multidisciplinary team of professional caregivers including the patient and the family members in the assessment process, etc.

Alzheimer's Disease

No cure. 60-80% of all dementia cases. Seven stages.

In which film do you find the quote "you can keep trimming or you can start living"

cemetery club

the films glen campbell and iris both involve which concepts

dementias and caregiving

angel of mercy concepts and theories

disengagement theory- max disengaged at the beginning of the story activity theory- made max more active (he would try to spy on her, follow her, talk to others)

Senescence

"To grow old"- refers to biological aging which is the gradual deterioration of function characteristics of most complex life forms

Erikson's Stage Theory - The 8 Stages

(0-2) Hope; Trust vs Mistrust; Mother (2-4) Will; autonomy vs shame/doubt; Parents (4-5) purpose; initiative vs guilt; family (5-12) competence;industry vs inferiority; neighbors/school (13-19) fidelity; identity vs role; peers/role model (20-39) love; intimacy vs isolation; friends/partners (40-60) care; generativity vs stagnation; houshold,workmates (60-death) wisdom; ego integrity vs despair; man kind/my kind

Loss

(action) A natural outcome stemming from our emotional engagement with life. When something/someone you love is taken away.

Grief

(reaction) An individual's initial reactions and behaviors towards loss and is the first part of the Mourning Process.

old man minick

disengagement theory- withdrawal from society activity theory- successful aging by staying active, he transitions into this once he makes friend at the park

Birth Cohorts

- Generations growing up at the same time experience some of the same cultural and social experiences - grow up, mature, and grow old in the same historical period

Positive assistance durning mourning

-cognitive tasks (help understand facts) -affective/emotional tasks (help understand their feelings) -behavioral tasks (help conduct memorial service) -valuational tasks (give value to person lost)

Erikson's Stage Theory

8 stages in which a healthy developing human should emotionally, socially and psychologically pass through from infancy to late adulthood.

Alzheimer's Disease Stages

1- attributed to age or illness 2- memory lapses 3- trouble remembering names, performing complex activities, may lose or misplace things 4- greater difficulty performing daily tasks, moody or withdrawn, *aware* of disease 5-independent but forgets address, need assistance choosing weather appropriate clothing and family names, *unaware* of disease 6-personality changes, require assistance with daily living, disturb sleep, may wander 7-need assistance with all aspects of care,rigid muscles, swallowing impaired, can't retain verbal abilities, *death imminent*

Mental Status: 6 general elements

1. general appearance (hygiene,eye contact) 2. psychomotor behavior (posture,coordination) 3. mood (anxiety level, attitude) 4. speech (volume,intensity,flow) 5. cognition (attention,memory,judgement) 6. though pattern (clarity,relevance,logic)

Phases of mourning (4)

1. shock and numbness 2. yearning and searching 3. disorganization and despair 4. reorganization

Goals of caregiving

1.Treatment or management of an underlying condition 2. assistance in performing self-care responsibilities during the period of illness 3. expressions of reassurance and concern

Aren't you happy for me?

A daughter and father have a phone convo, melanie is 22, living in chicago, and shes getting married to someone shes dated 6 months. Shes also pregnant and the father is 63. Phone call ends awkwardly. eriksons stage theory- william is 63 marrying 22 year old woman. william didnt successfully complete the 20-39 life stage where the person is trying to find love and intimacy intergenerational relationships,social norm,filial piety,family relations.

Generational Equity

A different and potentially deeper struggle between younger and older generations. Argued that services and programs for the aged could only be maintained "at the expense of future generations."

Lineal generation

A single family line of generations that include children, parents, grandparents, sibilings, cousins, aunts, uncles, all born in a single family lineage.

Current referenced to past

A specific generation can be identified as "second generation of immigrants" or "first to attend college"

The happy memories club

Alice Scully is a senior citizen restricted to a wheelchair and lives in a retirement community with her lover Dr. Solomon that suffers from Dementia. She comes to remind him who she is every day. Nurses dont like it. continuity theory,sociemotional selectivity theory,widowhood,caregiving

Baby boomers

Born following WW2, grew up in a time of privilege. (improvements in public health, living conditions and medical care)

Generation X

Born shortly before during or after the general intro of digital tech

Time span of generations

Can vary with different cultural expectations (marriage and child raising). -Under-developed communities (rural) - period between genrations can ne 16-29 years. - children = important economic resource. -Developed (Urban) - 30-40 years -extended education = delayed marriage

Employing assistive devices

Cane walkers, grab rails, etc.

Kubler-Ross stages of grief

DABDA Denial, Anger, Bargaining, Depression, acceptance bargaining- avoid cause of grief

Dementias

Dementia is not a specific disease, an overall term for a wide range of symptoms with a decline in memory or other thinking skills.

Cognitive impairment

Deterioration of short-term memory, long-term memory, and intellectual functioning. Symptoms: confusion, disorientation, lack of self-awareness, diminished memory, failure to recognize familiar persons and belongings.

Adaptive behaviors

Eating out so meals dont have to be prepared, online shopping instead of going out, etc.

Mental status examinations

Exam to diagnose Dementias Looks at orientation and six general elements

Silent generation

Fought in Korean War, children of the depression

Mental health

Freedom from illness that adversely affect thought, emotion and behavior.

Psychomotor behavior

Gait, posture, coordination

Giacomo

Giacomo finds father paralyzed, wasnt first time, started to regret treating father poorly, admires father's hard work, gets to see his father's "soft core" as he opens up after stroke.

Grandma

Grandma spends years travelling and visiting three children. Never satisfied or happy at any of the houses, one too demanding, one too distant, one too critical and disagreeable. Wishes she could combine all the best qualities of each visit. Happiest on train with her perfect family fantasy. Intergenerational relationships.

Good witch, bad witch

Guy used to go on xmas trips to his aunt aubrina's house w grandmother gertrude. He didnt like grandmother. Aunt's last christmas, hires black man. erioksons stage theory (65-death) regret reflection and resolution- aunt regret racist remarks, reflects by telling narrator a story of giving a black man extra $ bc his wife was in the hospital

Bud Mcmahon

Mcmahon is a husband father and war vet diagnosed w esophageal cancer. Relationship with son is strained. Decides to reconnect with his son and bring family back together again.

Mental disorder

Illness of the mental state that can be of social, psychological, or biological origin.

The mustache

Mike is a 17 year old has a mustache. Mother and girlfriend doesnt like it. Mom tells Mike to visit grandma. Grandma thinks he is her husband because of mustache. She apologizes to him and accuses him of cheating. When he gets home he shaves his mustache. disengagement- meg (grandmother) losing ability to communicate eriksons stage theory (stage 8/65-death) -megs guilt about accusing husband of cheating. mike gives resolution by forgiving her.

Generation Y

Millennials. Marked familiarity w communication, media and digital tech

Old Man Minick

Minick lived peaceful with Ma minick till her sudden death. He thought that he would go first and tried his best to comfort his wit. He is now after the care of his son that lives in Chicago where he experiences new misadventures and remembers the life he had in his younger years.

Functional disabilities

Instrumental activities of daily living (IADLs) - more *complex*. taking meds, shopping, doing laundry. Activities of daily living (ADLs) - *basic* self care. dressing, bathing, toileting.

Snowbirds

Isabel and George move to Miami beach where George dies of a heart attack. Jane visits Isabel but Isabel isnt grieving. Jane talks about her own marital status, Urn of georges ashes breaks but its not his. Jane goes back to her husband Frank.

Giacomo Concepts and Theories

Lasting emotional conflict- giacomo has flashbacks of father being strict and not sensitive Family systems theory- individuals cant understand each other in isolation from one another filial piety- giacomo regrets not appreciating his father so he feels obligated to care for him

Mourning

Long term process of healing. Also called "Bereavement." -grief is the 1st stage of mourning

Two processes in mourning

Loss oriented process- gradually reconcile loss of the loved one. Restoration oriented process- individuals move toward effective functioning in the New World.

Marie

Marie is an old woman who carries a knife after being attacked, was forgotten at social security offices, she gets angry, college student named George starts interviewing her, she tells him everything, hates sound of her own voice. Continuity theory. continuity theorie- she felt life was chaotic as a child and carried that mentality widowhood

Angel of Mercy

Old lady Yetta has a habit of visiting terminally ill patients, people think shes mythological light calling her the Angel of Mercy. Says she decides who lives and dies. Max Shinsky spies on her. She doesnt go anywhere but home and the hospital. Yetta goes missing for a couple days appearing no-where. Max gets concerned, he speaks to landlord, landlord says he assumed shes on holiday but Max whispers thank you to the empty room. activity theory

Old man

Old man finds acceptance in his granddaughter leaving home to get married. Goes through 5 stages of grief and recieving a peace offering gift from his granddaughter and her soon to be husband. He comes to terms with her leaving. disengagement theory, family systems theory,life course theory

Socioeconomic selectivity theory

People become increasingly selective in all relationships as they get older. -maximizes positive emotional experiences and minimizes emotional risks

Mental status: orientation

Person- individual is aware of who they are. Know their name, and names of significant others. Place- aware of where they are, current address, birth place. Time- can place themselves in a historical time frame, know current date, birthday, age, historical events.

Psychoses

Personality disturbances. "A break with reality."

Medical model of caregiving

Physician is controlling the care process.

Generation Z

Pluralist Generation. Ethnic composition is the most diverse of any generation in America. "Digital natives."

National Filial Piety

Responsibility for the wellbeing of all elders in America

widow

doctor is shocked that widow hasn't had sexual relations in 2 years. lost her identity and doesn't know who she is anymore. depression stage of grief. feminist theory- gender inequality doctor stereotyping because most woman in LA that are divorced or widowed are at least dating grew up with the thought of widow being categorized as empty, *****, profane and harlot.

Examples of Neuroses

excessive anxiety unwanted fears preoccupation with diseases obsessive/compulsive behaviors

Fundamental needs of the bereaved person

Social support, nutrition, hydration, exercise, and rest.

True or False The term senescene describes the sensory process of your body

false

true or false there are more formal caregivers than informal caregivers in the U.S.

false 80% informal caregivers

bud mcmahon concepts and theories

family relations- individuals cannot be understood in isolation from one another

Lunch at the Piccadilly

Story of a man that struggles as an informal caregiver to his elderly aunt. Major plot centers on him trying to tell her she can no longer drive. Continuity Theory- aunt lil tried to maintain the same lifestyle

Formal caregiving

Technically-oriented health care and other paid physicians.

Respite care

Temporary care in a facility

grandma concepts and theories

family systems theory- she has different roles and rules when visiting each family widowhood- grandma is a widow intergenerational relationships

those who were born during the introduction of digital technology

generation x

Stage not successfully completed..

may re appear as a problem in the future (ex: harry dating someone 30yrs younger)

Caregiving

The act of providing assistance and support to family members, acquaintances or the public who have physical, psychological, or developmental needs.

Lost generation

Those who fought in WW1

a mental disorder of psycho/social origin that affects an individuals feelings about themselves and the world is:

neurosis

Neuroses

Unconsciously affect an individual's feelings about themselves and the world around them. (patient still aware of reality surrounding them)

Greatest Generation

Veterans who fought in WW2, coming of age during depression

Informal caregiving

Voluntary non-professionals. 80% of all care given.

the general elements to observe about a possible alzheimer's patient include all of the following EXCEPT: a. activities of daily living (adl) b. speech c. thought pattern d. psychomotor behavior

a. activities of daily living (adl)

informal caregiving burden includes all of the EXCEPT: a. sandwich generation issues b. respite care relief c. potential caregiver illness d. patient anger towards caregiver

b. respite care relief