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36 Cards in this Set
- Front
- Back
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Crisis of health care is fed by
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population aging
Rapidly rising health care costs |
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Cost-Benefit Analysis vs. Cost-Effectiveness Analysis
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Cost Benefit - how much a treatment costs compared to benefit that will be created if patient lives
Cost-Effectiveness - Which treatment provides desired outcome for least cost. |
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Myths of Families
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The world we have lost - all families live under the same roof
Social Isolation - most older people ARE connected to their families |
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Norms of Caregiving: Spousal Responsibility
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If your spouse is sick, you are expected to take care of them
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Norms of Caregiving: Filial Responsibility
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Children are expected to care for their parents when they age
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Nursing Home Costs: Spending Down
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90% paying for nursing home will be impoverished
Honestly spending money for care |
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Nursing Home Costs: Divestment Planning
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Hiding money in order to get medicaid
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Nursing Home Costs: Woodwork Effect
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People are very concerned with how they're going to pay
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Civil Commitment
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Commited to psycatric place (physically) and doesnt want to be
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Gaurdianship of the Person
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Someone else determines your decisions
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Gaudianship of the Estate - Conservatorship
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Someone manages your property
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Sex in Later Life
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Menapause for women
Adapting to sterotype that your too old to do it If you like it when your young you will probably like it when you are old More intamate and satisfying at older age; lower quanity |
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Crime in Later Life
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More frequently victimized by fraud
Fear crime more but they tend to avoid it more |
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Elder Abuse: Phsyical Abuse
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Use of physical force that results in injury, phsical pain, or impairment
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Elder Abuse: Sexual Abuse
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Non-consensual sexual contact with elderly person
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Elder Abuse: Emotional Abuse
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Anguish, pain, or distress through verbal or non verbal acts.
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Elder Abuse: Financial Exploitation
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Illegal use of elders funds, property, or other assests
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Elder Abuse: Active Neglect
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Willfull failure to provide care
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Elder Abuse: Passive Neglect
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inadequate knowlege; non willfull failure to care
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Elder Abuse: Self-Neglect
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Failure of an elder to take care for him/herself
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Elder Abuse: Abandonment
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desertion of an elderly person
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Elder Abuse Risk Factors
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Drug or Alcohol Abuse
Family history of violence Dependence on others for financial support Caregiving Burdens Social Isolation Recent stressful life events Cultural issues |
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How to Prevent Elder Abuse
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Education
Respite Care Social contact and support counsleing Elder Justice Act - 1st federal legislation to precent elder abuse |
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Euthanasia means _____ ?
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Good Death
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Voluntary Euthanasia
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Patient wanting off of machine assisted living
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Passive Euthanasia
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Withhold or withdraw treatment for the hopelessly ill
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Active Euthanasia: Mercy Killing
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Loved one taking anothers life to prevent suffering
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Active Euthanasia: Suicide
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Suicide happens more proportionately among older adults
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Active Euthanasia: Physician Assisted Suicide
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Physician chooses to end life
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Karen Ann Quinlan Case
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California Natural Death Act - previously fill out form saying what you want in situation will be honered
Hospitals ethics committees formed |
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Nancy Cruzan
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Supreme Court supports advanced directives
Had others testify that Nancy wouldn't want to live on life support |
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Terri Schiavo
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Who should choose? Parents or Spouse?
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Substituted Judgement vs. Best Interest Standard
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Substituted - What would a particular person have wanted
Best Interest - What would a reasonable person want |
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Advanced Directives: Living Wills
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Should I become in a certain situation I would want this
Specifically details what you want |
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Advanced Directives: Durable Power of Attorney for Health Care
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Give person legal rights to make any healthcare decision for them if they are incapable
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Patient Self Determination Act of 1991
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Anytime you go to the hospital or doctor they are required to offer you advanced directive forms
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