Aging Final Exam – Flashcards
Unlock all answers in this set
Unlock answersquestion
            aging-in-place
answer
        Elderly people that remain in the same home and community even after their health declines
question
            Planned housing
answer
        Governmental agencies and others have planned low income or age segregated housing for older adults
question
            Independent housing
answer
        most common type of elder housing; homeowners/renters
question
            Continuous care retirement communities
answer
        provides a continuum of living options from independent living, enriched living, assisted living and skilled nursing home all in one campus
question
            Nursing home
answer
        Custodial care for people who cannot live on their own
question
            Eden Alternative
answer
        A paradigm for nursing home care that encourages active participation by residents and greater staff decision-making. It emphasizes the "home" aspect of nursing home
question
            Assisted living
answer
        A housing model aimed at elders who need assistance with personal care (e.g., bathing, taking medication) but who are not so physically or cognitively impaired as to need 24-hour attention
question
            Medicaid waivers
answer
        exceptions to state medicaid rules that allow use of medicaid funds for services that are traditionally not covered by medicaid such as chore services and home care
question
            Adult foster care
answer
        Also called adult family homes, housing options that provide an alternative to nursing homes for adults who do not need 24-hour care.
question
            Home health care
answer
        Provides nursing, therapy, personal care, or housekeeping services in patient's own home
question
            Adult day care
answer
        A program for impaired adults that attempts to meet their health, social, and functional needs in a setting away from their homes.
question
            Universal design
answer
        A user-friendly approach to design in the living environment where people of any culture, age, size, weight, race, gender, and ability can experience an environment that promotes their health, safety, and welfare today and in the future.
question
            Productive aging
answer
        any paid or unpaid activity that produces goods and services for the benefit of society- such as household tasks, child care, volunteerism, and contributing to family and neighbors, and which reciprocally benefits both elders and society
question
            Social security
answer
        (FDR) 1935, guaranteed retirement payments for enrolled workers beginning at age 65; set up federal-state system of unemployment insurance and care for dependent mothers and children, the handicapped, and public health
question
            Age Discrimination in Employment Act
answer
        This federal law was created to protect workers age 45 and over from denial of employment strictly because of age
question
            Pensions
answer
        payments made to employees after they have retired, similar to a retirement plan; regulated by the Employee Retirement Income Security Act (ERISA)
question
            Defined benefit pension
answer
        plan in which the company promises to pay a certain annual amount (defined benefit) to the employee after retirement. The company bears the investment risk of the plan assets
question
            Supplemental Security Income
answer
        A federal program that provides a minimum income to seniors and the disabled who do not qualify for social security.
question
            Spirituality
answer
        An awareness of one's inner self and a sense of higher connection to a higher being, nature, or some purpose greater than oneself. (Seeking to find understanding; can be more than just a belief in God.)
question
            Civic engagement
answer
        a sense of concern among members of the political community about public, social, and political life, expressed through participation in social and political organizations
question
            Civic ventures
answer
        provides guidance to elders seeking civic engagement opportunities and awards innovators and agencies working for common good
question
            Experience Corps
answer
        sponsors school-based programs where older adults work one-on-one with children, create before and after school programs, and receive a modest stipend for their service
question
            Senior Companion Program
answer
        trains low income adults age 60 and over to support their peers who are frail and disabled. in order to help them remain as independent as possible. (example stroke victim now handicapped and suffering from depression)
question
            Foster grandparents
answer
        A volunteer program pairing seniors with children with special needs
question
            Elderhostel
answer
        an education-travel program that offers people age 55 and older special learning experiences at universities and other locations across the US and around the world
question
            Generations united
answer
        a national intergenerational coalition of over 30 organizations, including AARP, the Child Welfare League, and the Children's Defense Fund
question
            Ethnicity
answer
        A social division based on national origin, religion, language, and often race.
question
            Culture
answer
        Beliefs, customs, and traditions of a specific group of people.
question
            Ethnogerontology
answer
        study of causes, processes, and consequences of race, national origin, and culture on individual and population aging
question
            Double Jeopardy Hypothesis
answer
        the hypothesis that aging persons of color are in jeopardy in our society due both to growing old and their racial status
question
            Crossover Effect
answer
        the lower death rates among African Americans, APIs, and American Indians after age 75
question
            Health care disparities
answer
        differences in the quality of health care provided to different populations
question
            Law of primogeniture
answer
        Common law that established the birthright of the oldest son to inherit the family estate.
question
            Cultural competence
answer
        An understanding of how a patient's cultural background shapes his beliefs, values, and expectations for therapy.
question
            Gendered nature of the life course
answer
        ways in which gender, which is socially constructed, influences women's care giving, employment, income and retirement a cross the life course
question
            Dependent care credits
answer
        a credit based on the taxpayer's cost of caring for dependents either under age 13 or physically or mentally unable to care for themselves
question
            Earnings sharing
answer
        proposed change in Social Security whereby each partner in a marriage is entitled to a separate Social Security account, regardless of employment status
question
            Entitlement programs
answer
        Government benefits that certain qualified individuals are entitled to by law, regardless of need.
question
            Age-based entitlement programs
answer
        programs only available to people of a certain age
question
            Need based entitlement programs
answer
        social programs delivered to persons who meet defined criteria of eligibility based on economic need or the ability to pay for benefits
question
            Direct benefits
answer
        monetary employee benefits (cash)
question
            Indirect benefits
answer
        nonmonetary employee benefits such as health care and paid vacations
question
            Contributory plans
answer
        programs providing benefits that require the beneficiary to contribute something toward the cost of the benefit
question
            Noncontributory plan
answer
        retirement plan funded entirely by contributions from the employer
question
            Universal benefits
answer
        benefits available as a social right to all persons belonging to a designated group
question
            Selective benefits
answer
        Goods (such as information publications, travel discounts, and group insurance rates) that a group can restrict to those who pay their annual dues.
question
            Cost-of-living-adjustments
answer
        an adjustment in wage rate paid to employees based on the consumer price index
question
            Privatization of social security
answer
        individuals should control their own retirement accounts & be permitted to make specific decisions about how the account should be invested. people are allowed to invest some portion of the social security taxes they pay in private stock market accounts.
question
            Private pensions
answer
        The major source of nongovernmental income support for retirees, in which the individual worker and the employer put a portion of each paycheck into an account to help finance retirement
question
            Title XX
answer
        (for the social services Block Grant) funding for social services (e.g. homemaking chores, adult day care) based on need, not age
question
            Older Americans Act of 1965
answer
        federal legislation to improve the lives of elders
question
            Area Agencies on Aging
answer
        offices on aging at the regional and local levels that plan and administer services to meet the needs of older adults within that area; established and partially funded through the Older Americans Act
question
            Politics of entitlement
answer
        political preferences, especially as applied to elders, for the allocation of resources based on the view of older persons as needy, worthy, and deserving of public support
question
            Politics of productivity
answer
        political preferences for the allocation of resources based on the diversity of the aging population: well-off, poor, capable of continued productive work, or ill or disabled
question
            Intergenerational inequity
answer
        the view that one generation or age-group receives benefits that are disproportional to those received by another, or are at the expense of other generations
question
            Generational investment
answer
        investments made by one generation for the benefit of another, such as the payment of Social Security taxes by the working population for the benefit of retirees, the services provided by older persons for child care, and the payment of property taxes to benefit school children
question
            Medicare
answer
        A federal program of health insurance for persons 65 years of age and older
question
            Medicare Part A
answer
        The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home health care, and hospice care.
question
            Medicare Part B
answer
        -Pays for hospital outpatient physician and other professional services including OT services provided by independent practitioner
question
            Medicare Part D
answer
        Medicare prescription drug reimbursement plans
question
            Medicaid
answer
        A public assistance program designed to provide healthcare to poor Americans. (Compare to Medicare)
question
            Medicaid spend down
answer
        seniors or disabled people whose incomes exceed the medicaid limit qualify if their medical bills equal or are greater than their 'excess' income
question
            Medigap supplemental insurance
answer
        private supplemental insurance to help with the catastrophic costs of intensive care, numerous test, or extended hospitalization
question
            Long term care insurance
answer
        Insurance coverage that provides a daily monetary benefit to people who are chronically ill and who require living assistance either at home or in a residential facility
question
            Health Maintenance Organizations
answer
        group insurance that entitles members to services of participating hospitals and clinics and physicians
question
            Caregiving
answer
        informal and unpaid care provided to a dependent person by family members, other relatives, or friends
question
            Objective burden
answer
        daily physical demands and behavioral phenomena of caregiving
question
            Subjective burden
answer
        the caregiver's experience of caregiver burden; differential appraisal of stress, feelings
question
            Sandwich generation
answer
        Group of people who are caring for both their parents and their children.
question
            Family and Medical Leave Act
answer
        Passed after concluded proper child-raising,family stability, & job security require that employees get reasonable work leave for family, & medical reasons
question
            National family caregiver supply program
answer
        prog provides a means of addressing the nation's growing needs of caregivers
question
            Elder mistreatment
answer
        includes abuse, neglect, exploitation or abandonment of older patients. Depression, dementia, and malnutrition are independent risk factors.
question
            Elder neglect
answer
        acts of omission in the care and treatment of the elderly
question
            Self neglect
answer
        Failure to provide for the self because of lack of ability, or lack of awareness, most common type of mistreatment
question
            Respite care
answer
        A type of temporary health or medical care provided either by paid workers who come to the home or by a nursing facility where a patient stays to give a caregiver a short rest.
question
            The dying process
answer
        pain, delirium, terminal restlessness, dyspnea and noisy respirations, nausea and vomiting, constipation, anorexia, fatigue are the signs, this is what elderly adults are most scared for, not actual death
question
            Dying person's bill of rights
answer
        affirms a person's right to dignity, privacy, informed participation, and competent care
question
            Palliative care
answer
        Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family.
question
            Hospice care
answer
        Dying patients at home or in-patient, Nurses, Social Workers, Chaplains, Volunteers, Doctors, (PT and OT is optional), Medicare and Medicaid require that at least 80% of hospice care be provided at home, Eligibility for reimbursement includes: Medicare eligibility, certification by physician for terminal illness (less than or equal to 6 months of life)
question
            Hastened death
answer
        It means ending one's life earlier than would have happened without intervention. It involves speeding up the dying process, which can entail withholding or withdrawing treatment or life support.
question
            Informed consent
answer
        A written agreement to participate in a study made by an adult who has been informed of all the risks that participation may entail.
question
            Passive euthanasia
answer
        A situation in which a seriously ill person is allowed to die naturally, through the cessation of medical intervention
question
            Active euthanasia
answer
        A situation in which someone takes action to bring about another person's death, with the intention of ending that person's suffering.
question
            Assisted suicide
answer
        Providing a seriously ill person with the means to commit suicide.
question
            Advance directive
answer
        A DNR order; instructions written in advance of an event
question
            Living will
answer
        A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.
question
            Patient self determination act
answer
        A federal law passed in 1990 that requires hospitals and other health care providers to provide written information to patients regarding their rights under state law to make medical decisions and execute advance directives.
question
            Uniform health care decision act
answer
        Promotes autonomous decision making by acknowledging individuals' right to make health care decision in all circumstances
question
            Durable power of attorney
answer
        a legal agreement that allows an agent or representative of the patient to act on behalf of the patient
question
            Medical power of attorney
answer
        gives another person the power to make healthcare decisions for you if you can't
question
            Guardianship
answer
        occurs when someone legally has the authority to make decisions for and care for and control all of the property of someone
question
            Compassion and Choices
answer
        formed in 2005 when several national end-of-life organizations; merged to become the largest and most comprehensive organization of its type.
question
            Bereavement
answer
        Loss, due to death, of someone to whom one feels close and the process of adjustment to the loss
question
            Widowhood
answer
        A label applied to both men and women who survive the death of a spouse
question
            Elders in suburban communities
answer
        are likely to have higher income, better functional health, not live alone, and lower access to public transportation
question
            percent of the population age 65 and over occupied a nursing home.
answer
        4-5%
question
            Older people are more likely than any other age group
answer
        to occupy houses that they own free of a mortgage
question
            Mandatory retirement age in the U.S.
answer
        none
question
            A person aged 65-74 with income of >$40,000, and in a rural community is most likely to live
answer
        in their own home
question
            The average Social Security benefit is about
answer
        $955 per month
question
            The most common type of housing for older adults is
answer
        traditional independent housing as 93% of those 65 and older live in such housing.
question
            The timing of retirement is affected by
answer
        adequate retirement income, family and gender roles, ethnic and minority status
question
            72% of nursing home clients are
answer
        women
question
            Employment Retirement Income Security Act
answer
        enacted in 1974 to strengthen private pensions by being the first comprehensive effort to reform them
question
            Older persons in rural areas interact more with neighbors and friends than do those in
answer
        urban settings
question
            The percentage of men 65+ who are remaining in the workforce today, compared to the 1950s is
answer
        lower
question
            Females who serve as family caregivers usually report lower levels of
answer
        depression and anxiety, and higher life satisfaction than do their male counterparts.
question
            Caregiver stress is increased by
answer
        the availability of formal services
question
            Over 80% of older adults with limitations in three or more activities of daily living are able to
answer
        live in the community, primarily because of informal assistance
question
            Widowed women are more likely than widowed men to
answer
        experience financial hardships
question
            Adults daughters typically provide more
answer
        direct care for older parents than do adult sons
question
            Older widows are generally worse off than widowers in terms of
answer
        finances, years of education, legal problems, and prospects of marriage
question
            African American caregivers
answer
        ethnic groups is least likely to report stress, burden, and depression in the caregiver role
question
            Over 80% of respondents in Gallup polls believe that ill patients should be able to
answer
        request that doctors terminate treatment
question
            Indian Health Service (IHS)
answer
        A federal program that provides health care for Native Americans and Alaskans of all ages through hospitals and community clinics
question
            This is the poorest group among older adults
answer
        Older women of color
question
            American indians
answer
        may have the poorest health of all older adults due, in part, to inadequate housing conditions and the isolation of many of their communities.
question
            A major reason that some Hispanics do not seek out social services such as Social Security or Medicare is
answer
        they may have been illegal immigrants
question
            Although African Americans are the largest population of color, only about
answer
        8% of them are over age 65, compared to 15% of the white population
question
            Older American Indian elders who live in urban areas tend to have
answer
        better health than those on reservations
question
            Women are les likely than men to
answer
        receive private pensions
question
            Today, ethnic minorities comprise ___ of the population over age 65
answer
        17%
question
            Women comprise over
answer
        70% of the nursing home population
question
            A major source of social and emotional support for African Americans, outside of family, is
answer
        the church
question
            Among older women, the risk of poverty is greatest among
answer
        women of color
question
            the major reason that older women have less access to group health insurance of their own is because they
answer
        were less likely to be employed when they were young
question
            The average age of widowhood for women is ___ years
answer
        59
question
            In 2007, over 33% of federal spending went toward
answer
        senior benefits
question
            On average, Social Security's older recipients receive about ___ percent of their working income
answer
        40%
question
            Social Security payroll taxes have risen from a combined 3% on employer and employees in the 1950s to
answer
        12.4% now
question
            New proposals to privatize Social Security are characterized by
answer
        expectations that individuals can invest more wisely then the government
question
            Which of the following statements is true about the funding of the current long-term care system
answer
        It focuses on acute care and is dominated by institutional care.
question
            Supplemental Security Income (SSI) benefits the population on a(n) ___ basis.
answer
        noncontributory
question
            societal values have influenced the development of public policy for aging Americans
answer
        Individual welfare is the person's own responsibility, The community should help with individual welfare, Citizens are universally entitled to have their needs met.
question
            Medigap policies fill which of the following gaps in Medicare coverage
answer
        items and services not covered by medicare
