Chapter 8 Flashcards

(44 cards)

1
Q

Does universal medical care eliminate health inequality? Why or why not?

A

No. Medical care is only one part of maintaining health. The main issue lies in social determinants of health, not just access to care.

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2
Q

What does “aging in place” mean?

A

Supporting older adults to live safely and independently in their own home or community for as long as possible.

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3
Q

What are the three factors influencing the rate of care for the elderly?

A

Structural (e.g., gender), Enabling (e.g., absence of spouse, rural living), and Need (e.g., diagnoses).

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4
Q

Do older adults misuse the healthcare system?

A

No, older people do not misuse or overuse healthcare services.

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5
Q

What is home care, and what are its goals?

A

Home care includes social and medical services provided at home to help older adults recover, remain independent, and prevent injury or illness.

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6
Q

What is residential care?

A

A regulated facility providing 24-hour care and supervision for individuals with chronic illness, disabilities, or cognitive impairments.

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7
Q

List four challenges to long-term care in Canada.

A

1) Inadequate attention to resident complexity, 2) Underfunding, 3) Lack of system integration, 4) Poor workforce support.

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8
Q

What influences quality of life in aging populations?

A

Physical and social environments, and public policy that incorporates older adults’ perspectives.

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9
Q

What are typical living arrangements for older Canadians?

A

Most live with a spouse or alone, not in institutions. Varies by ethnicity and immigration status.

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10
Q

What are the two meanings of community?

A

Defined by geography or by social relationships (social capital). Can be age-integrated or age-segregated.

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11
Q

What is the person-environment interaction?

A

How personal traits and environmental conditions interact, and the meaning environments hold for individuals.

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12
Q

What is the Ecological Model of Aging?

A

A framework that sees adaptation as a balance between personal competence and environmental demands (press).

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13
Q

What are common environmental challenges for older adults?

A

Falls/injuries, transportation loss, victimization, tech access, and homelessness.

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14
Q

What are three types of risk factors for falls?

A

Personal (e.g., balance), Home (e.g., poor lighting), and Community (e.g., icy sidewalks).

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15
Q

Why is transportation a major issue in later life?

A

Losing driving ability affects independence. Alternatives must balance safety and autonomy.

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16
Q

Are older adults often crime victims?

A

No, but they fear crime more and are often victims of fraud or financial abuse.

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17
Q

How does technology impact older adults?

A

Tech can improve life quality and safety but isn’t accessible to all; digital divide exists.

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18
Q

What causes homelessness among older adults?

A

Often rooted in lifelong issues or triggered by recent trauma. Disadvantaged groups are at higher risk.

19
Q

What are the three housing choices for older adults?

A

1) Stay in family home, 2) Move within same community, 3) Move to another community.

20
Q

What factors influence a decision to move in later life?

A

Health needs, being closer to family, better housing or services.

21
Q

What is institutionalized living, and what are its challenges?

A

Long-term residential care for frail elders; it’s stigmatized and often seen as a loss of autonomy. Care staff also face structural and emotional challenges.

22
Q

What are examples of supportive housing?

A

Retirement homes, home-sharing, accessory apartments, or paid companions offering meals and care.

23
Q

What does environmental gerontology study?

A

The behavioural, social, and psychological implications of encounters between older adults and their environments.

24
Q

According to the WHO, what defines an age-friendly community?

A

One with policies, services, and structures in the physical and social environment that support older adults to age actively with security, health, and societal participation.

25
What is social capital, and how does it relate to community?
Social capital refers to trust and cooperation developed through social relationships, fostering a sense of community.
26
What is the difference between age-integrated and age-segregated communities?
Age-integrated communities include all age groups living together, while age-segregated communities are dominated by older adults.
27
What are the disadvantages and advantages of rural living for older adults?
Disadvantages include poor transportation, fewer services, and lower incomes; advantages include fresh food access and long-standing social ties.
28
How does gentrification affect older adults?
It displaces elderly and low-income residents from urban cores as young professionals resettle and redevelop these areas.
29
What is environmental press?
The demand that environments place on individuals, which interacts with their competence to affect adaptation.
30
What are the five types of environments in Lawton’s model?
Personal, group, supra-personal, social, and objective physical environments.
31
What is the docility hypothesis?
As competence increases, individuals can handle higher environmental press, but those with low competence are more affected by it.
32
What does environmental proactivity mean?
Older adults actively modify their environment in anticipation of needs, rather than passively adapting under stress.
33
What are the three environmental domains in the multi-level person-environment model?
Structural resources (housing), social support (relationships), and service support (health/home care).
34
What is residential normalcy?
A model explaining residential stability or moves, considering the psychological, social, and practical dimensions of aging in place or relocating.
35
Why can giving up a driver's license lead to depression, especially in men?
It represents a loss of independence and mobility, affecting self-esteem and mental health.
36
What is the "digital divide" in older populations?
Age-related disparities in access to and ability to use digital technology.
37
Why are homeless older women often less visible in shelters?
They avoid shelters due to fear of assault or violence.
38
How do cultural values influence older adults’ living arrangements?
Familial cultures (e.g., Asian) favor multigenerational households, while individualistic cultures (e.g., European) value privacy and independence.
39
What distinguishes independent/supportive housing from institutional care?
It combines independent living with supportive services without the loss of privacy or autonomy typical in institutions.
40
What is principlism in bioethics?
An ethical framework based on principles such as autonomy, justice, dignity, and the obligation to tell the truth.
40
What is a major concern in transitioning to institutional living?
Loss of personal autonomy and adapting from a private home to a small, shared space.
41
What is the most common type of relocation in older age?
Local moves, often within the same city or neighborhood.
42
What are the two types of international migration in older adulthood?
Assistance migration (due to disability or hardship) and amenity migration (seeking a better lifestyle or climate).
43
What are the four motivators of amenity migration?
Destination appeal, social connections, affordability, and ease of travel.