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PSYC 357 - Ch. 12-13.docx

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PSYC 357
Wendy Thornton

Death and Dying Chapters 12 & 13 Long-Term Care ● types of institutional facilities: ○ nursing homes: medical institution providing room, meals, skilled nursing and rehabilitation care, medical services, and protective services ○ skilled nursing facilities: provide most intensive nursing care available outside a hospital ○ residential care facilities: 24-hour supportive care services and supervision to individuals who do not require skilled nursing ○ intermediate care facilities: health-related services are provided to individuals who do not require hospital or skilled nursing facility care but do require some type of institutional care beside food and a place to live ● home health services: allows old who are ill or disabled to maintain an independent life. When it simulates the types of restorative services provided in nursing homes it can help to maintain the older person in the home longer, staving off institutionalization or emergency room care ● geriatric partial hospital: daily outpatient therapy to older persons who have recently been discharged from a psychiatric facility ● geriatric continuing day treatment: less intense program ● day care centers: individuals receive supervised meals and activities on a daily basis ● continuing care retirement (CCRC): housing community that provides different levels of care based on the residents’ needs ● most nursing homes are run like a business with the goal of making a profit ○ not-for-profit nursing homes have higher quality ratings than their for-profit counterparts ● most common primary diagnosis of nursing home residents when admitted to a nursing home is cardiovascular disease ● Alzheimer’s disease found in nearly half of all nursing home residents which means that difficulties in carrying out daily living skills are a significant problem among nursing home residents ● nursing home residents have more depressive symptoms and lower self-rated quality of life ● residents who feel that they can have mastery over at least some aspects of life in the institution feel less anxious and depressed ● psychosocial needs of residents also play a crucial role ● competence-press model: predicts optimal level of adjustment that institutionalized persons will experience on the basis of their levels of competence compared with the demands of the environment Death and Dying ● death: irreversible cessation of circulatory and respiratory functions, or when all structures of the brain have ceased to function ● dying: period during which the organism loses its vitality ● anorexia-cachexia syndrome: commonly observed at the end of life. Loss of appetite and muscle mass ● final period of life can involve emotional and spiritual growth ● age-specific death rate: number of deaths per 100,000 of a particular age group ● age-adjusted death rate: weighted sum based on each age group’s death rate and size within the population ● compression of morbidity: reduction in disability prior to death ● marital status and education are two significant predictors of mortality ● relationship between social status and mortality ● sociocultural perspective of death: people
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