Psychology Chapter 24: The Aging Individual

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Questions and Answers

What is the most common form of elder abuse reported among older Americans?

  • Physical abuse
  • Psychological abuse (correct)
  • Financial abuse
  • Sexual abuse

Which psychiatric disorder is NOT listed as a concern for later life?

  • OCD (correct)
  • Neurocognitive disorders
  • Delirium
  • Anxiety

What percentage of adults aged 65 and older live in nursing homes?

  • 4% (correct)
  • 12%
  • 10%
  • 1%

Which symptom is indicative of neglect in elderly individuals?

<p>Consistent hunger (A)</p> Signup and view all the answers

Which age group reportedly has the highest rates of suicide?

<p>45-54 (A)</p> Signup and view all the answers

What is a potential indicator of financial abuse in an older adult?

<p>Existence of unpaid bills (D)</p> Signup and view all the answers

What can increase the risk of elder abuse among caregivers?

<p>Personal experience of family violence (B)</p> Signup and view all the answers

Which of the following is a sign of physical abuse in older adults?

<p>Burns or welts (C)</p> Signup and view all the answers

What is an effective approach for a nurse when communicating with a patient who has hearing loss?

<p>Look directly at the patient's face while speaking. (D)</p> Signup and view all the answers

Which of the following is a physiological related nursing diagnosis?

<p>Risk for aspiration (B)</p> Signup and view all the answers

What outcome reflects a patient's ability to manage their self-care?

<p>Not experienced injury. (B)</p> Signup and view all the answers

Which intervention is aimed at ensuring environmental safety for a patient?

<p>Use padded side rails on the bed. (B)</p> Signup and view all the answers

How should a nurse assist a patient with diminished sensory perception?

<p>Promote adaptive compensation techniques. (B)</p> Signup and view all the answers

What psychosocial concern might a patient express?

<p>Short-term memory loss. (C)</p> Signup and view all the answers

Which outcome indicates a caregiver's effective adaptation to their role?

<p>Expresses desire to join support groups. (D)</p> Signup and view all the answers

Which strategy should a nurse NOT use when providing orientation to a patient?

<p>Frequently shout to gain attention. (D)</p> Signup and view all the answers

What is one benefit of reminiscence therapy in elderly patients?

<p>It may promote better mental health. (D)</p> Signup and view all the answers

Which method can assist a patient experiencing perception disturbances?

<p>Using large print for better visibility. (B)</p> Signup and view all the answers

What is a key role of caregivers in supporting their clients?

<p>Verbalizing methods to promote safe environments. (B)</p> Signup and view all the answers

In a one-to-one reminiscence therapy setting, what is encouraged?

<p>Sharing unresolved painful issues. (B)</p> Signup and view all the answers

Which approach is recommended for helping clients distinguish between day and night?

<p>Utilizing lighting changes. (B)</p> Signup and view all the answers

What is an appropriate evaluation question for a caregiver regarding client safety?

<p>Can caregivers explain how to create a safe environment? (D)</p> Signup and view all the answers

When assisting a patient with memory deficits, what is important for caregivers to encourage?

<p>Positive expression about past accomplishments. (C)</p> Signup and view all the answers

What is one function of support groups for caregivers?

<p>To promote engagement and expression of feelings. (B)</p> Signup and view all the answers

What is gerontology primarily concerned with?

<p>The study of the aging process (D)</p> Signup and view all the answers

What is the primary focus of geriatrics?

<p>Clinical medicine related to the elderly (A)</p> Signup and view all the answers

According to the U.S. Census Bureau, at what age is an individual classified as 'elderly'?

<p>65 years (B)</p> Signup and view all the answers

What does the Disengagement Theory describe?

<p>Voluntary withdrawal from social roles (B)</p> Signup and view all the answers

How did the percentage of women over 65 years old in the workforce change from 2000 to 2017?

<p>Increased from 9.7% to 15.7% (D)</p> Signup and view all the answers

Which aspect of memory is noted to deteriorate with aging?

<p>Short-term memory effectiveness (C)</p> Signup and view all the answers

Which of the following is true regarding the living arrangements of older adults?

<p>Many live alone or with a spouse (B)</p> Signup and view all the answers

What does the term 'young old' refer to in gerontological classification?

<p>Aged 60-74 (C)</p> Signup and view all the answers

Flashcards

Gerontology

The study of the aging process.

Geriatrics

Medical specialty focusing on elderly health issues.

Age Classification (US Census)

55-64 (older), 65-74 (elderly), 75-84 (aged), over 85 (very old).

Disengagement Theory

Aging involves withdrawal from social roles, a natural process.

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Short-term memory in aging

Short-term memory may decline with age.

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Crystallized vs. Fluid abilities

Crystallized (learned) abilities may stay stable while fluid (reasoning) abilities might decline with age.

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Age Discrimination Act (1967)

U.S. law to prevent discrimination against workers based on age.

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Epidemiology in Aging

Study of the distribution and determinants of aging in population.

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Elder Abuse

Any type of harm or mistreatment, including physical, emotional, sexual, neglect, or financial abuse, targeting elderly individuals.

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Signs of Elder Abuse

Physical or psychological indications, such as bruises, depression, neglecting basic needs, or sudden financial losses, signaling potential abuse.

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Elderly Psychiatric Disorders

Mental health issues like neurocognitive disorders, delirium, depression, schizophrenia, anxiety, substance use disorders, and sleep disorders that can affect older adults.

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Retirement Challenges

Social and economic difficulties that can arise due to retirement, encompassing social isolation and gaps in financial security.

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Long-Term Care Needs

Growing need for assisted living or care facilities as an increasing portion (4-9%) of elderly individuals over 65 years old require such services.

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Suicide Risk in Seniors

Elderly individuals, particularly those between 45-54 and over 85, face elevated suicide rates compared to the general population

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Assessment of Elderly

Considering age-related changes, mental state, sensory loss, and various other factors for proper evaluation of elderly conditions or health status.

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Reporting Elder Abuse

A crucial step for elder abuse prevention, encouraging individuals to report concerning behaviors or conditions to appropriate authorities if suspected.

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Sensory Capabilities Assessment

Evaluating a patient's ability to perceive and interpret sensory information (like sight, hearing, touch).

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Nursing Diagnosis (Physiological)

Identifies potential health problems related to physical function, such as risk of injury, breathing problems, or nutrition issues.

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Nursing Diagnosis (Psychosocial)

Identifies potential emotional or mental health problems, like confusion, grief, or low self-esteem.

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Patient Outcome (Self-care)

Patient's ability to manage their own care, with or without assistance.

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Caregiver Outcome (Coping)

Caregiver's ability to manage the stress and emotional demands of caregiving.

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Environmental Safety Interventions

Measures to ensure a safe environment to prevent injuries, like moving items out of reach and providing assistive devices.

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Orientation Strategies

Techniques used to help patients maintain awareness of their surroundings, such as using clocks, calendars, and clear communication.

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Self-Care Interventions

Support and encouragement to maintain routine activities and self-sufficiency.

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Caregiver Assessment

Evaluating a caregiver's ability to meet the patient's unmet needs, and providing support and information for these responsibilities.

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Caregiver Support

Encouraging caregivers to attend support groups and express their emotions, particularly anger or frustration, which is common in this role.

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Boosting Self-Esteem

Helping patients express their feelings about losing previous status due to aging and assisting them with coping mechanisms for memory deficits.

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Perception Distortions

Incorporating assistive devices, using large print, and providing meaningful sensory stimulation to help patients with sensory impairments.

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Clock System for Food

Using a clock face analogy to help patients locate food on a plate, ensuring proper food intake.

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Reminiscence Therapy

Engaging in discussions about past experiences, memories, and significant events to promote positive mental health in older adults.

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One-to-One Reminiscence

Conducting individual sessions to allow patients to work through unresolved past issues in a safe and private setting.

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Group Reminiscence

Facilitating group discussions where seniors share past experiences with peers, acknowledging both positive and negative aspects of their lives.

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Study Notes

Chapter 24: The Aging Individual

  • Gerontology: Study of the aging process
  • Geriatrics: Branch of medicine specializing in elderly population issues
  • Geropsychiatry: Focuses on the psychopathology of the elderly
  • Age Classifications:
    • Older: 55-64
    • Elderly: 65-74
    • Aged: 75-84
    • Very old: Over 85
    • Young old: 60-74
    • Middle old: 75-84
    • Old-old: Over 85

Epidemiology

  • Application of Psychological Theories:
    • Personality Theory: Suggests similarities between personality traits in older age and earlier life. Some genes may link conscientiousness to neurodegenerative diseases.
    • Developmental Task Theory: Concept of transcendence, withdrawal from societal roles (inevitable and necessary).
    • Disengagement theory: Withdrawal is a predictable, systematic, and necessary societal process.

Psychological Aspects of Aging

  • Memory: Short-term memory declines, and memory retrieval times are longer.
  • Intellectual Functioning & Learning: Crystallized intelligence remains consistent; fluid intelligence might decline slightly.
  • Adaptation to Aging: Losses, grief, attachment to others, personal identity maintenance, and facing death.

Psychiatric Disorders in Later Life

  • Neurocognitive Disorders, Delirium,
  • Depression, Schizophrenia,
  • Anxiety, Substance Use Disorders, Sleep disorders

Special Concerns

  • Social Implications: Economic implications related to Medicare/Medicaid.
  • Long-Term Care: 4% of individuals over 65 live in nursing homes, with suicide rates highest for those 45-54 and 2nd highest for those over 85.
  • Elder Abuse: One in ten older Americans (but only 45% report) are victims of physical, sexual, emotional, neglect, or financial abuse. Oftentimes the abuser is a related family member. White women over 70 are the most common victims.

KNOW Identifying Elder Abuse:

  • Recognizing warning signs is crucial for identifying potential elder abuse situations

Psychological Abuse

  • Increased confusion, agitation, depression, withdrawal, anxiety, sleep disruption.

Physical Abuse

  • Bruises, welts, bites, bumps, lacerations, burns, fractures, dislocations.

Neglect

  • Consistent hunger, poor hygiene, fatigue, lack of supervision, and unattended medical needs.

Sexual Abuse

  • Pain, itching, bruising, bleeding in genital areas, and unexplained STDs.

Financial Abuse

  • Disparity between available assets and satisfactory living arrangements or sudden lack of funds.

Assessment of Older Adults

  • Evaluate the normal aging process in individuals
  • Assessing thought process, orientation, state of confusion, sensory (hearing) capabilities, and functional capabilities.

Nursing Considerations

  • Sensory Capabilities: Hearing loss is common in older adults; speak clearly and lower your voice. Consider communication strategies like eye contact, face-to-face interaction and appropriate lighting.

Psychological and Physiological Assessment

  • Adapting to sensory limitations and functional limitations
  • Observing for risk of trauma associated with physical injuries and sensory problems.
  • Monitoring for potential depression, anxiety, or other mental health concerns.

Evaluation of Caregivers:

  • Ability to troubleshoot and adjust care plans for older adults.
  • Evaluate caregiver coping strategies associated with the strain of caring for a long-term care recipient.
  • Open expression of caregiver feelings and resources available

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