Chapter 12 Flashcards
(23 cards)
What makes a caring aging society?
- A society with a continuum of informal and formal care, allowing older adults to age in their homes.
- Includes family care, healthcare, volunteer services, and formal paid services.
What is the Integrated Continuum of Care Model?
A range of formal/paid services tailored to meet individual care needs across different levels of dependency.
Who provides most elder care?
- Family members (70-80%)
- Driven by sense of obligation, affection, and influenced by employment, divorce, distance, etc.
What are the public responsibilities for elder care?
- Formal support via government or private services.
- Influenced by political philosophy, economic climate, and policy priorities.
What is social support in aging?
- Includes emotional support, transportation, household help, and rehab.
- Important for maintaining independence and quality of life.
Difference between Serial vs Reciprocal Exchanges?
- Serial (one-way): Older to younger, due to responsibility and affection.
- Reciprocal (two-way): Mutual exchange like help with ADLs/IADLs, companionship.
What is informal support?
- Provided by family, friends, neighbours, or volunteers in the home/community.
- Includes companionship, shopping, transportation, personal care.
Two components of informal support:
- Subjective: Trust, importance of contact, satisfaction.
- Objective: Number of relationships, availability, actual use.
What are caregiver costs?
- Emotional/psychological: stress, guilt, depression.
- Physical: fatigue, isolation, illness.
- Financial: lost income, caregiving expenses.
What is double-duty caregiving?
- A person who works professionally in healthcare and also cares for someone at home.
- Risk of compassion fatigue.
What is formal support?
- Paid services by public/private sectors for frail adults.
- Includes home care, adult day programs, counseling, personal support, etc.
Examples of formal support services
- Home-based: meals on wheels, PSWs, home maintenance.
- Community-based: outreach, day care, transport.
- Employer-based: leave policies, flextime.
- Tech-based: mobility aids, safety apps.
What are the two types of formal home care?
- Home health care: medical needs, nurses.
- Home support care: personal and instrumental needs.
Goals of home care programs:
- Therapeutic goal: aid recovery, prevent decline.
- Compensatory goal: promote meaningful daily living despite dependence.
What is respite care?
- Temporary relief for caregivers to reduce burnout and stress.
What is elder abuse?
- Harmful acts or neglect by trusted individuals (family or workers).
- Can be physical, psychological, financial, sexual, medical, etc.
What is elder neglect?
- Failure/refusal to meet caregiving needs.
- Can be intentional or unintentional.
How is elder abuse measured?
- Interviews, classification schemes, surveys listing abusive behaviors.
How to prevent elder abuse and neglect
- Education for public and professionals.
- Support for caregivers (financial, emotional, educational).
- Regulations and oversight in care facilities.
What is palliative care / hospice care?
- End-of-life care for terminal illness.
- Focuses on relief from pain, emotional/spiritual support, and dignity.
Instrumental Activities of Daily Living (IADLs)?
- Tasks showing independence: shopping, banking, cooking, cleaning, driving.
Activities of Daily Living (ADLs)?
- Basic personal care: bathing, dressing, eating, toileting, mobility.
Why do we need to increase elder support?
- Longer life expectancy
- Rising divorce/widowhood rates
- Healthcare privatization
- Economic insecurity
