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30 Cards in this Set

  • Front
  • Back
Social Support System definition
Network of relatives, friends, and organizations for emotional and instrumental support
Two kinds of social support
Formal social support (paid)
Informal social support (unpaid)
Ways to measure social support
Quality - satisfaction with relationships
Quantity- number of relationships
Social Integrations - (degree individual is involved with others in enviro)
Impact of social support?
contribute to healthy aging
Healthy Aging means? PCASM
-Physical and mental wellbeing
-control and autonomy, competence
-Active aging and resilience
-Reduced negative effects of -stressful events less neg impact
-mortality risk reduced
Gender and Social support men vs women
-Women have larger social networks/frequent contact
-Men more likely to live in household with social support though
social support and family (+ verticalization def)
family is major source of social support
-verticalization = more 3,4,5 generation families
Social support and family caregiving frequency?
Spouse most likely, then adult children for social support. (frequent contact actually!)
-however, <20% of adults live with children
Other sources of Social Support than family?
Sibling
Extended family
friend/neighbor
Partner (domestic)
Informal Caregiving Definition
Unpaid care from family and friends with goal of preventing institutionalization and reducing care costs
Providers of informal caregiving
Adult Children (42%)
Spouses (25%)
5 Domains of Caregiving (FEPPS)
-Financial
-Existential
-Physical
-Psychosocial
-Spiritual
Physical Domain of caregiving
-Pain/symptom management
-Assisting with ADLs
-Provision of med care and personal tasks
Psychosocial Domain of caregiving (MPG)
-Maintaining social suport
-Psychological support
-grief over losses coping (independence, body function, or loved one loss)
Spiritual Domain of caregiving
-Religious preference
-Faith Community connection
-Death preparation, acceptance
Existential Domain of caregiving
-Meaningfulness of life
-mortality accepted
-leaving a legacy
Financial Domain of caregiving
-Assist IADLs
-settling the estate
-Burial Arrangements
-Power of Attorney arranged
Caregiving trajectory
Progression from full mutual autonomgy to legal/ethical guardianship (opposite for childrearing)
Government savings but personal Costs of informal Caregiving
Saves society $200 billion
-causes *caregiver burden (physical)* and *caregiver stress (emotional strain)*
Negative Effects on Caregiver
-Physical and Mental Health
(poorer health, higher mortality
-Financial (leave job/broke sometimes)
-Emotional (stress and relationship strain, all members of family and friends)
Positive Effects of caregiving
-Confidence, pride, satisfaction
-Personal meaning
-Family relationship stronger
Caregiving and gender
-Primary caregiving mostly women
-Different tasks men vs women
-hours provided higher women
-Stress higher women
Sandwich Generation
Frail older relatives and children sandwiching middle aged women
Racial/Ethnic differences nonwhite caregivers
-Resilience and outcomes better
-Support from family more likely
Reasons nonwhite caregivers use less formal support?
-resource access limited
-social Stigma
-language barrier
Employment and Caregiving stress
Employees report stress, but not as unemployed caregivers (though those may be ppl who quit jobs/retired early)
Family Medical Leave Act of 1993 (FMLA)
employees can take up to 12 weeks unpaid leave for family related reasons with job guarantee
Support Services for Caregivers
Respite Care, Websites, Hotlings
-(women and minorities least likely to use!)
Self-care for Caregiver (PLESST)
-Physical rest
-exercise
-Social activity
-Spiritual activity
-Time out
-Learning new responsibility
Institutionalization as LTC option
-last resort
-stressful and guilt inducing
-Active care continues from family