Life Course Chapter 10: Very Late Adulthood

Question 1

Fastest growing population

Answer 1

85 and older

Question 2

centenarians

Answer 2

people who reach 100 years ld

Question 3

Activities of Daily living

Answer 3

Bathing, dressing, walking short distance, from bed to chair, eating

Question 4

Instrumental Activities of daily living

Answer 4

light housework, laundry, transportation, finances, telephone, taking medications

Question 5

instrumental activities of daily living IADLs

Answer 5

activities that are not necessary for fundamental functioning but do allow an individual to live independently

Question 6

activities of daily living

Answer 6

basic care activities

Question 7

primary agin

Answer 7

changes that are a normal part of the aging process, slowing of motor responses, sensory responses, intellectual functioning

Question 8

secondary aging

Answer 8

cause by health compromising behaviors or environmental factors, smoking pollution access to nutrition, etc.

Question 9

5 major components of intimacy

Answer 9

commitment: feeling of cohesion and connection
affective: deep sense of caring, compassion and positive regard
cognitive intimacy: thinking about and awareness of another, sharing values and goals
physical intimacy: sharing physical encounters ranging from proximity to sexuality
mutuality: a process of exchange or interdependence

Question 10

overtime, losses accumulate in the following areas:

Answer 10

relationships, status and role, heath, control and independence

Question 11

stages of accepting impending death

Answer 11

denial, anger, bargaining, depression, acceptance

Question 12

denial

Answer 12

the person denies death will occur. Thisis not true it can’s be me. Denial succeeded by temporary isolation from social interactions

Question 13

Anger

Answer 13

Why me: projects his/her resentment and envy onto others and directs anger toward a supreme being, caregivers, famillly and friends.

Question 14

bargaining

Answer 14

bargaining in an attempt to postpone death, proposing a series of deals with god, self or others.

Question 15

depression

Answer 15

a sense of loss follows, individuals grieve about their own end of life and about the ones that will be left behind. withdraw from close and loved persons

Question 16

acceptance

Answer 16

person accepts that the end is near and the struggle is over

Question 17

advance directives

Answer 17

documents that give instructions about desired health care if in the fugure individuals cannot speak for themselves

Question 18

living will

Answer 18

th emedical procedures, drugs and types of treatment that one would choose for oneself if able to do so in certain situations, artificial means or heroic measures if condition is such that there is no hope for recovery

Question 19

palliative care

Answer 19

focuses on pain an symptom management as opposed to curing disease

Question 20

key ideas of hospice care

Answer 20

unit of care: patient and the family
interdisciplinary team: physician, nurse’s aide, social worker, clergy, volunteer, biopschosocial and spiritual needs
no longer pursuing aggressive curative care
bereavement follow-up

Question 21

end of life signs and symptoms

Answer 21

lowered temperature and slowed circulation
longer periods of sleep
decreased vision and hearing
congestion saliva increase
incontinence
restlessness and confusion
reduced need for eating and drinking swallowing
irregular and interruped breathing
increased signs of pain

Question 22

signs death has occurred

Answer 22

breathing stops, heat stops beating, bowel/bladder lost, no response to verbal or shaking, eyelids open fixed, mouth sllightly open

Question 23

loss

Answer 23

the severing of an attachment an individual has wiht a loved one, a loved object or aspect of one’s sself or identity

Question 24

bereavement

Answer 24

state of having suffered a loss

Question 25

grief

Answer 25

the norml internal reaction of an individual experiencing a loss

Question 26

mourning

Answer 26

external expression of grief: mental work following the loss of a loved one, cultural traditions and tiruals that guide behavior after a death

Question 27

grief work

Answer 27

necessary period

Question 28

common reactions to loss

Answer 28

somatic distress in waves from 20 minutes to an hour, tightness in throat, shortness of breath, need for sysing, empty abdomen, intense subjective distrerss; preoccupation with image, yearnin gfor the lost oe to return, wanting to see photos or touch items; guilt, hostile reactions; loss of patterns of contact, ability to carry out routine behaviors

Question 29

Lindemann stages of grief

Answer 29

shock and disbelief, accute morning, resolution

Question 30

Kubler Ross stages of grief

Answer 30

dental and isolation, anger, bargaining, depression, acceptance

Question 31

bowlby stages of grief

Answer 31

numbness, yearning, disorganization, despair, reorganization

Question 32

rando stages of grief

Answer 32

avoidance, confrontation, accommodation

Question 33

typical stages of grief

Answer 33

disbelief and feelilngs of unreality, painful and disorganizing reactions, a king of getting over the loss

Question 34

normal or uncomplicated grief

Answer 34

high level of distress, broad range of feelings and behaviors, relatively rapid recovery

Question 35

chronic or prolonged grief

Answer 35

high level of distress continuing over a number o fyears wihtout satisfactoy conclusion

Question 36

delayed grief

Answer 36

little distress in first fw months, higher levels of distress at some later point

Question 37

absent grief

Answer 37

no notable distress soon or later