Cognitive Changes
Successful Aging
Death and Dying
Theories
100
The phenomena of deteriorating cognitive ability as adults approach the end of their lives is ...?
Terminal Drop
100
What are the three processes that are key to successful development in old age?
Selection- Narrowing goals and limiting domains in which we expend effort

Optimization- Finding ways to enhance achievement of remaining goals

Compensation-Finding new means to achieve ends

100
What is palliative care?
Palliative care involves services provided by caregivers from several disciplines that address pain management, emotional and spiritual care, and psychological support.
100
What are the five stages of dying/grief? Describe each stage.
-Denial:allows a person to temper the emotional impact, making it more manageable.

-Anger: hostility directed at God, others, or toward the disease itself.

-Bargaining: attempts to postpone the inevitable by making promises, usually to a divine being.

-Depression: sadness and feeling of hopelessness.

-Acceptance: The person has come to terms with her impending death.

200
Name two cognitive losses people experience in old age.
-Sensory deficits

-Fluid intelligence declines

-Short term memory loss

-Slower processing

-Decline in inhibitory functions

200
According to self-determination theory, what three needs are people motivated by?
Autonomy, competence, and relatedness
200
What is hospice?
-Patient-centered approach for people suffering from terminal illness

-Emphasizes importance of allowing patient to maintain control of their care

-Focuses on managing symptoms rather than curing the disease

200
After Sally's husband passed away, she found it easier to disconnect emotionally from her husband and the life they had, and try to establish new relationships with individuals. According to Freud, the coping approach Sally used is known as:
Decathecting - Detaching emotionally, from the former relationship and reinvesting energy into the formation of new attachments.
300
When cognitive functioning is so severely impaired that it affects our ability to relate to others and to manage our own activities we are suffering from...?
Dementia
300
Name 3 gains of late adulthood.
-Wisdom

-Crystallized intelligence

-More impulse control

-Better emotional regulation

-Different problem solving

-Selective optimization

300
Mary, an 87 year-old woman has been under hospice care for the past five years. Recently she has denied food, water, and the medical assistance that could prolong her life. Which end-of-life option is Mary demonstrating?
Refusal of treatment
300
What are the four stages of Bowlby's Theory of Bereavement? Explain the stages.
–Shock: Loss is met by disbelief at first

–Protest: Periods of obsessive yearning or searching, restlessness or irritability

–Despair: Sadness, social withdrawal, sleeping, eating, or somatic disturbances, other symptoms of depression or emotional upset

–Reorganization: Gradual adjust to the loss

400
In all forms of Alzheimer's disease, extensive brain changes include the formation of ______, clumps of insoluble protein that are damaging to neurons, and _______, twisted filaments of another protein that interfere with communication between neurons.
plaques and tangles
400
What are the two broad strategies that people use to control their destinies? Explain each one.
Primary control - attempts to affect the immediate environment beyond ourselves.

Secondary control - attempts to change ourselves

400
For many people, a good death includes.. (4 things)
-Symptom management and care (freedom from pain, being clean)

-Practical details (knowing what to expect, financial affairs in order)

-A good patient–professional relationship

-Psychological attributes (dignity, not dying alone)

400
The dual process model of grieving focuses on two approaches to coping. What are the two approaches?
Loss focused- leads to rumination or excessive preoccupation

Restoration focused- directed toward handling the practical tasks that need to be done to carry on with daily life.

M
e
n
u