Final exam Ebersole & Hess Healthy Aging
Types of grief - (ANSWERS)anticipatory - when you know you're about to
have a loss of some kind (not just death - moving, amputation, whatever)
Acute
Shadow - chronic, normal - intermittent sadness often triggered by events
Complicated - acute that doesn't lessen, equilibrium remains elusive - guilt,
anger, ambivalence toward lost person unresolved
Disenfranchised - loss can't be openly mourned - eg capital punishment or
relationship not socially accepted (used to be v common in era when
LGBT+ not accepted)
What is palliative care - (ANSWERS)focus is on providing comfort and
increasing QOL
Prevent/minimize suffering
Can be offered concurrently with life-prolonging/stabilizing care, or can be
purely comfort-related with no curative measures taken
(hospice care provides palliative care)
Hospice guidelines - (ANSWERS)- palliative
- 6 mo or less prognosis (can be on hospice longer than 6 months with
documented decline)
,Final exam Ebersole & Hess Healthy Aging
- lots of misconceptions
- people can seek tx, just not for s/s related to their hospice diagnosis
- hospice meds tend to include a med for secretions (eg scopolamine), a
benzo, and morphine
- people may need education that morphine in hospice is not just for pain
- lots of services available on hospice eg music, massage, chaplain, aide
Grief models - (ANSWERS)Kubler-Ross
Disequilibrium
What is a living will - (ANSWERS)a type of advance directive
Specifically for EOL care in terminal illness for when pt becomes unable to
voice their wishes
Includes designation of a proxy
What is spiritual care - (ANSWERS)assisting pts in...
Finding meaning, reconciliation
Transcendent reality
Strengthen their spiritual life
Identify and address pts in spiritual distress
What is wellness - (ANSWERS)- multidimensional
- adaptation to internal/external conditions
,Final exam Ebersole & Hess Healthy Aging
- individualized
- is a continuum, not a condition
Aspects of wellness... - (ANSWERS)biological
Environmental
Functional
Intellectual
Psychological
Spiritual
Social
Levels of cultural skill - (ANSWERS)destructive
Blind
Precompetent
Competent
Barriers to culturally sensitive care include - (ANSWERS)cultural
destructiveness/blindness/incompetence
Stereotyping
Ethnocentrism
Older adult learning: cognitive functions that *remain stable* -
(ANSWERS)attention span
Language/communication skills
Comprehension
Visual perception
Overall cognitive ability
, Final exam Ebersole & Hess Healthy Aging
Older adult learning: cognitive functions that *decline* -
(ANSWERS)verbal fluency
Logical analysis
Selective attention
Object naming
Complicated hand-eye stuff
Fluid vs crystallized intelligence - (ANSWERS)fluid:
- what's inborn, not based on experience
- logic, problem solving
- "street smarts"
- declines c age
Crystallized:
- acquired knowledge, learning
- "book smarts"
- long lasting, improves c experience
- stable c age
Memory problems with aging...normal? - (ANSWERS)no - not expected
age-related change - should be evaluated
Maintaining neuroplasticity... - (ANSWERS)"use it or lose it"
Learn new things, do something outside of routine
Therapeutic comm c elderly - (ANSWERS)- don't use elderspeak
Types of grief - (ANSWERS)anticipatory - when you know you're about to
have a loss of some kind (not just death - moving, amputation, whatever)
Acute
Shadow - chronic, normal - intermittent sadness often triggered by events
Complicated - acute that doesn't lessen, equilibrium remains elusive - guilt,
anger, ambivalence toward lost person unresolved
Disenfranchised - loss can't be openly mourned - eg capital punishment or
relationship not socially accepted (used to be v common in era when
LGBT+ not accepted)
What is palliative care - (ANSWERS)focus is on providing comfort and
increasing QOL
Prevent/minimize suffering
Can be offered concurrently with life-prolonging/stabilizing care, or can be
purely comfort-related with no curative measures taken
(hospice care provides palliative care)
Hospice guidelines - (ANSWERS)- palliative
- 6 mo or less prognosis (can be on hospice longer than 6 months with
documented decline)
,Final exam Ebersole & Hess Healthy Aging
- lots of misconceptions
- people can seek tx, just not for s/s related to their hospice diagnosis
- hospice meds tend to include a med for secretions (eg scopolamine), a
benzo, and morphine
- people may need education that morphine in hospice is not just for pain
- lots of services available on hospice eg music, massage, chaplain, aide
Grief models - (ANSWERS)Kubler-Ross
Disequilibrium
What is a living will - (ANSWERS)a type of advance directive
Specifically for EOL care in terminal illness for when pt becomes unable to
voice their wishes
Includes designation of a proxy
What is spiritual care - (ANSWERS)assisting pts in...
Finding meaning, reconciliation
Transcendent reality
Strengthen their spiritual life
Identify and address pts in spiritual distress
What is wellness - (ANSWERS)- multidimensional
- adaptation to internal/external conditions
,Final exam Ebersole & Hess Healthy Aging
- individualized
- is a continuum, not a condition
Aspects of wellness... - (ANSWERS)biological
Environmental
Functional
Intellectual
Psychological
Spiritual
Social
Levels of cultural skill - (ANSWERS)destructive
Blind
Precompetent
Competent
Barriers to culturally sensitive care include - (ANSWERS)cultural
destructiveness/blindness/incompetence
Stereotyping
Ethnocentrism
Older adult learning: cognitive functions that *remain stable* -
(ANSWERS)attention span
Language/communication skills
Comprehension
Visual perception
Overall cognitive ability
, Final exam Ebersole & Hess Healthy Aging
Older adult learning: cognitive functions that *decline* -
(ANSWERS)verbal fluency
Logical analysis
Selective attention
Object naming
Complicated hand-eye stuff
Fluid vs crystallized intelligence - (ANSWERS)fluid:
- what's inborn, not based on experience
- logic, problem solving
- "street smarts"
- declines c age
Crystallized:
- acquired knowledge, learning
- "book smarts"
- long lasting, improves c experience
- stable c age
Memory problems with aging...normal? - (ANSWERS)no - not expected
age-related change - should be evaluated
Maintaining neuroplasticity... - (ANSWERS)"use it or lose it"
Learn new things, do something outside of routine
Therapeutic comm c elderly - (ANSWERS)- don't use elderspeak
