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