Chapter 5 Flashcards

(49 cards)

1
Q

What is Person–Environment Interaction?

A

Refers to the fact that behavior (B) is a function of both the person (P) and the environment (E).

However, the person’s perception of the environment is most important.

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2
Q

What are the five domains of competence?

A
  1. Biological health
  2. Sensory-perceptual functioning
  3. Motor skills
  4. Cognitive skills
  5. Ego strength
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3
Q

What is Environmental Press?

A

Refers to the physical, interpersonal, or social demands that environments put on people.

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4
Q

What is the Adaptation Level?

A

The area where press level is average for a particular level of competence; behavior and affect are normal.

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5
Q

What is the Zone of Maximum Performance Potential?

A

A slight increase in press improves performance.

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6
Q

What is the Zone of Maximum Comfort?

A

A slight decrease in press allows people to live happily without worrying about environmental demands.

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7
Q

What does Lawton and Nahemow’s model suggest?

A

Behavior depends on one’s competence level in an environment with a particular level of environmental press.

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8
Q

What is Proactivity?

A

Choosing new behaviors to meet new desires or needs.

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9
Q

What is Docility?

A

Allowing the situation to dictate the options.

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10
Q

What is the continuum of behavior?

A

Behavior is placed on a continuum from positive to negative and is either manifested as observable behavior and affect or feelings.

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11
Q

What results in adaptive behavior and positive affect?

A

Adaptive behavior and positive affect result from many different combinations of competence and press levels.

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12
Q

What is the adaptation level?

A

The adaptation level is a point of balance between environmental press and level of competence.

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13
Q

What is an implication of the adaptation level model?

A

The less competent a person is, the more impact the environment has.

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14
Q

How can older adults maintain good adaptation levels?

A

Older adults need to lower press or increase competence.

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15
Q

What is the Preventive and Corrective Proactivity (PCP) Model?

A

The PCP model explains how life stressors and lack of good congruence in person–environment interactions result in poor life outcomes.

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16
Q

What are the two types of proactive adaptations?

A

Preventive adaptations avoid stressors and increase social resources; corrective adaptations are responses to stressors facilitated by resources.

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17
Q

What does cross-cultural research in China indicate?

A

It shows the importance of proactivity.

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18
Q

How does Schooler apply the Stress and Coping Framework?

A

Schooler claims that older adults’ adaptation depends on their perception of environmental stress and their attempts to cope.

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19
Q

What role do social systems and institutions play in stress?

A

They may buffer the effects of stress.

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20
Q

What was the outcome of training in the Stress and Coping Framework for CNAs?

A

It resulted in better care for residents, better cooperation between staff members, and less turnover.

21
Q

What is the focus of the theories discussed?

A

The focus must be on interactions between the person and the environment.

22
Q

What is everyday competence?

A

Everyday competence is a person’s potential ability to perform a wide range of activities considered essential for independent living.

23
Q

What factors influence everyday competence?

A

It is influenced by the complex interaction of a person’s physical, psychological, and social functioning.

24
Q

What should researchers consider regarding everyday competence?

A

Researchers need to pay heed to cultural and contextual differences.

25
What model has Willis developed?
Willis has developed a model that incorporates key ideas including antecedents, components, mechanisms, and outcomes.
26
What are the antecedents in Willis's model?
Antecedents involve individual and sociocultural factors.
27
What do components in Willis's model involve?
Components involve intraindividual and contextual factors.
28
What do mechanisms in Willis's model involve?
Mechanisms involve factors that moderate the way in which competence is expressed.
29
What are the outcomes of everyday competence?
Outcomes include psychological and physical well-being.
30
What is the Ecology of Aging?
Seeks to understand the dynamic relations between older adults and the environment they inhabit.
31
What does Aging in Place reflect?
1. A balancing of environmental press and competence through selection and compensation. 2. Being able to maintain independence 3. Feeling "at home" is a major aspect of aging in place 4. Cluster housing
32
How do they decide on the best option for living?
1. Cognitive or physical impairment 2. Severity of the impairment 3. Ability of family and friend support or care
33
What is an accessory dwelling unit (ADU)?
An emerging home modification that allows for structural change.
34
What is the purpose of Adult Daycare?
To provide support, companionship, and certain services during the day.
35
What is Congregate Housing?
Includes a range of living options, commonly apartment complexes of older adults that provide some support.
36
What are Assisted Living Facilities designed for?
Provide supportive living arrangements for people who need assistance with personal care but do not need 24-hour care. 1. Designed to be like single-family housing 2. Emphasizes personal control, choice, dignity, and autonomy 3. Meets residents’ routine services and special needs 4. These facilities are generally smaller and cost less than nursing homes 5. There are gaps in service and a lack of regulations over assisted living 6. Sense of well-being is higher with control over decisions and stronger relationships
37
What percentage of adults over 65 are in long-term care facilities at any given time?
Only about 5% of adults over 65 are in long-term care facilities.
38
What is the likelihood of someone turning 65 today receiving long-term nursing care?
Someone who turns 65 today has a nearly 70% chance of receiving some long-term nursing care.
39
What are the four types of nursing homes?
The four types of nursing homes are intensive skilled, skilled nursing and rehabilitation, intermediate care, and custodial care facilities.
40
What characterizes nursing homes in terms of care provided?
Nursing homes house the largest number of older adults in long-term care, provide 24-hour nursing and medical care, and are strictly regulated by states.
41
What is the typical profile of a nursing home resident?
The typical nursing home resident is very old, European American, female, financially disadvantaged, widowed or divorced, possibly without living children, and has lived in the nursing home for more than a year.
42
What is the average cost of care in nursing homes?
The cost of care averages over $80,000 per year, with only part of this covered by Medicare, Medicaid, and insurance.
43
What is the trend regarding minority group members in nursing homes?
The number of minority group members in long-term nursing care is increasing.
44
What percentage of nursing home placements are due to health issues?
More than 80% of placements in nursing homes are due to health.
45
What is the goal of nursing homes?
To find the optimal level of environmental support for people who have relatively low levels of competence.
46
What is Person-centered care planning?
Considered best practice today 1.Based on promoting residents’ well-being through increasing their perceived level of personal control and treating them with respect 2. Focus on the individual 3. Involves a team that knows and cares 4. Residents show an improvement in well-being and activity level, live longer, and decrease in the need for certain medications and soft restraints with this approach
47
What is the Patient Self-Determination Act (PSDA)?
Requires people to complete advance care planning when admitted to a healthcare facility that receives Medicare and Medicaid funds.
48
What is the Eden Alternative?
Views skilled care environments as habitats for people rather than as facilities for the frail.
49
What does the Green House Project aim to provide?
A small home-like environment for older adults who need skilled nursing care.