Week 9 Flashcards

1
Q

What makes age a dynamic variable?

A

influenced by current and past events

multidimensional
- biological, cognitive, socioemotional, behavioural changes and environmental shifts

multidirectional

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2
Q

What types of things are incorporated within mental plasticity?

A

resiliency mechanisms
coping resources
continued cognitive engagement

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3
Q

What is aging?

A

biological process of becoming older

accumulation of molecular and cellular changes over time

decrease in mental and physical capacity, increasing risk of disease and death

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4
Q

What types of social changes happen in older aging?

A

retirement
housing relocation
loss of friends and partner

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5
Q

What are the 3 categories of “senior”?

A

young old: 65-74
middle old: 75-84
old old/elderly: 85+

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6
Q

What is gerontology?

A

a field of science seeking to understand the process of aging and the challenges encountered as seniors grow older

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7
Q

What is primary vs. secondary aging?

A

primary

  • predictable
  • occurs in absence of disease, no matter what you do this will happen
  • affects all systems of an individual

secondary
- “normal aging” accelerated by stress, disease, trauma, poor behaviours, etc.

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8
Q

What are the effects of the aging population?

A

charts evening out, vast majority of the population no longer under 15, now encountering more older individuals

previously had far more people contributing to the job market

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9
Q

What are some common health concerns associated with aging?

A
hearing loss
cataracts
chronic pain
osteoarthritis
COPD
diabetes
depression
dementia
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10
Q

What are geriatric syndromes?

A

multiple underlying factors

frailty
incontinence
falls
delirium
pressure ulcers

better predictor of death than number of diagnoses/conditions

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11
Q

What factors influence healthy aging the most?

A

SDOH
then health behaviours
then genetics

cumulative impact of these health inequities across the life course

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12
Q

What are some stereotypes of older people? What can this lead to?

A

assumed to be frail, dependent, a burden to society

ageist attitudes can lead to discrimination

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13
Q

What were some results of the Canadian Longitudinal Study on aging?

A

90% rated general health as good or better

only 25% reported adequate physical activity

loneliness, depressive symptoms, psychological distress greater in women than men
- higher in LGBTQ+ participants, but they still report high ratings of general and mental health

participants 45-54 expressed greatest mental health concerns

driving most common form of transportation regardless of any other factors

employment rate for adults 55+ has increased, average retirement rate increasing

44% were caregivers, highest rates in 55-64 age group

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14
Q

Who are sandwich generation caregivers?

A

individuals caring for children and older adults at the same time

typically women aged 45-65, working full or part time

28% of Canadians identify as sandwich generation caregiver

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15
Q

What does “palliative” mean?

A

individuals with serious, life-limiting/terminal illness

in their last days, weeks, months, or years of life

interdisciplinary care required that addresses physical, psychosocial, cultural, and spiritual needs

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16
Q

What is a hospice for?

A

type of health care that treats terminally ill people when cure-oriented treatments are no longer an option

associated with high QOL in the last bit of life

17
Q

What is the difference between primary and secondary caregiving?

A

primary = most responsible, performs the majority of tasks

secondary = provides additional support to primary caregiver

18
Q

What is the difference between formal and informal caregiving?

A

formal = trained, paid for their services

informal = unpaid, untrained, offer services free of charge

19
Q

What is family caregiving?

A

provide regular care or assistance

a friend, family member, or neighbour

care related to many things such as frailty, physical or mental disability, palliative care, long-term illness, etc.

20
Q

According to studies, how supported do caregivers feel?

A

1/5 report coping poorly

invisible in the health care system

costs of caregiving are growing, majority wished for more financial support from government

most found the process difficult

21
Q

What are some common caregiving roles?

A
household task manager
activities of daily living
emotional soundboard
health and medical aid
advocate and care coordinator
decision making
22
Q

What are the costs of caregiving?

A
decreased well-being/QOL
loss of social life
depression
compromised health behaviours
work-family conflict
chronic stress
burnout
23
Q

What are some positives of caregiving?

A

development of compassion and empathy

deepened bond with care recipient

financial compensation

sense of fulfillment

24
Q

Who is most likely to have a disability?

A

women
unemployed
older

25
Q

What are some of the problems faced by those caregiving for someone with disability?

A

incredibly time-consuming

more likely to experience negative effects (psychological consequences, social isolation, financial pressures, career consequences, declined health, etc.)

26
Q

Why do caregivers for people with disabilities face more problems?

A

complex care needs

people with disabilities are living longer

1 in 10 could not even estimate their hours spent caregiving

often live at home

lack of support from other sources

27
Q

What are the contraindications of caring for a spouse or child?

A

more psychological distress

spend more time caring

28
Q

What are the most and least common supports provided to caregivers? What happens when support needs go unmet?

A

most common: social support

least common: government and financial support

unmet support needs -> lower well-being
- dissatisfaction with life, stress, fair or poor mental health

29
Q

What is the caregiver burden?

A

extent to which caregivers perceive that caregiving has an adverse effect on their social, emotional, physical, financial, and spiritual functioning

change in attitude, exhaustion

may result in fatigue, stress, anxiety, depression

30
Q

What are some risk factors for experiencing caregiver burden?

A
female
low SES
living with patient
multiple comorbidities
high hours of care
no choice in caregiving
employment issues
changing care needs
mental health
financial resources/assets
31
Q

How important are caregivers to Ontario’s health care system?

A

3/4 of all patient care

enables patients to remain in their home

would cost $66 billion a year for these people to be cared for in the health care system

need support from the government, system, and community