Although assisted living administrators do not serve as clinicians to older persons within their facility, understanding normal psychological changes related to the aging process allows administrators to perform their work more effectively. Understanding many of the normal aging-related changes in neurological functioning, mental health functioning, memory, and cognition can be important in understanding how elders function in assisted living communities. Furthermore, issues related to memory changes, dementia, depression, suicide risk, alcohol, and substance abuse can be commonly experienced by the elderly. An awareness and understanding of these issues can be beneficial to assisted living administrators. Many individuals associate memory changes and problems as an inherent part of the aging process. This chapter identifies and presents best practices in selected areas associated with psychological aspects of aging. Best practices can provide administrators with information and examples of strategies for approaching some of the psychological issues present in aging individuals.
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Both full-time military service members (
MSMs) and part-time Reserve and National Guard component ( RC) personnel face multiple transitions related to training, education, deployments, and reintegration to accomplish the Armed Force’s missions. This chapter’s purpose is to provide a better understanding of the complex transitional phases of deployments and/or the reintegration from the military to civilian life. It provides information about the physical, behavioral, and social impacts during the various stages of deployment for the MSM/ RC, along with their families/loved ones. The Ecological Model of Veteran Reintegration and its four levels of system factors—individual, interpersonal, community organizations, and societal effects—are used to illustrate the interchanging psychosocial and environmental aspects. The chapter presents specific reintegration challenges of employment, education, and caregiving. Nurses have a pivotal role in screening psychosocial and physical needs, while promoting healthy coping and parenting, to expand the delivery of family-centered care during these transitions.
There are positive and negative aspects of life at every age throughout the life span, and aging is no exception. This chapter presents a more balanced view of older adults’ mental health and cognitive abilities, one that moves away from the stereotypes. It focuses on mental health and cognitive abilities as people age, with a presentation of the many positive characteristics of older adults’ psychological and emotional well-being as well as difficulties some may face, such as depression and dementia. The chapter also describes how personality changes over the life span and how the creative arts can positively impact the lives of older adults. Finally, it discusses factors that can positively and negatively affect older adults’ mental and cognitive abilities. The Practical Application presented at the end of the chapter focuses on unique challenges faced by individuals currently around 80 and above due to mental health stereotypes and stigmas.
Physical activity for older adults has become a central feature of our culture. Physical activity programs intended for older adults call for an understanding of the social, psychological, and physical factors that influence their receptivity and effectiveness in supporting individual well-being. This chapter is organized into three sections, each addressing older adult social integration and physical activity in specific ways that are applicable to health professionals. Section one defines key terms, presents concepts on aging, and offers evidence to enhance well-being through social integration and physical activity. Section two provides a practical approach to working with older adults through physical activity that includes benefits, guidelines, recommendations, opportunities and barriers to physical activity, and a resource guide to best practices and approaches for older adults. In section three, two cases, based on individuals the authors have worked with, provide physical activity progressions and considerations for social integration.
- Go to chapter: Historical Perspectives on the Research of Social Isolation, Loneliness, and Social Support
Social isolation and loneliness are distinct concepts with a research history that evolved separately over many decades in the disciplines of sociology, psychology, psychiatry, and epidemiology. This chapter provides a historical overview of highlights from the research on social isolation, loneliness, and social support, and considers the implications of that research on current practice. It also explains the diversity of perspectives in the way one analyze human social engagement and allows for more personalized assessment of social needs and more targeted delivery of social programs and services. Researchers continue in their efforts to find effective interventions for social isolation and loneliness and for effective delivery of social support, and while one await further guidance, one can use the concepts and theories developed over decades to inform our practice. Awareness of the long research history will result in more targeted and effective help for individuals who need it.
The management of psychosocial effects begins with a sound plan to mitigate the adverse impact of the disaster on the emotional, cognitive, and behavioral capacity of the individual. Involvement of mental health professionals, such as psychiatric nurse practitioners and clinical nurse specialists, should begin with the development of the community or agency disaster plan. Management of the psychosocial effects of disaster will continue long after the initial impact. Psychological first aid is an evidence-informed approach designed to reduce distress in the immediate aftermath of a disaster and foster adaptive functioning and coping. Major depression and PTSD can be disabling consequences of exposure to disaster among those of any age group, thus, early diagnosis and treatment are critical to the prevention of future disability. There is a growing body of research identifying that effective treatment for PTSD and cognitive behavioral approaches along with exposure therapy are most likely to be beneficial.
Mental health workers need to be members of the disaster response team from the onset and take mental health services to survivors. A range of psychological and emotional responses to disaster are normal and should not be “pathologized” or “medicalized”. This chapter helps the reader to identify the psychosocial effects likely to occur in various types of disasters, identify the elements of a community impact and resource assessment, and describe the normal reactions of children and adults to disaster. It provides brief description on bioterrorism and toxic exposures, community impact and resource assessment, normal reactions to abnormal events, special needs popluations, and community reactions and responses. The psychosocial impact of a disaster and the resources that will be needed to respond to the disaster can be estimated based on data from past experiences with a variety of natural and man-made disasters.
This book is intended as an approachable reference guide for one of the most common neurological conditions, Parkinson’s disease and the spectrum of Parkinson-like syndromes. Parkinson’s disease is a slowly progressing neurodegenerative disease that primarily affects older adults. The book outlines the new advances in the management and treatment of the Parkinson patient, comparing risks and benefits as well as efficacy of new and older anti-Parkinson’s disease drugs. The task of diagnosing Parkinson’s disease and providing comprehensive guided treatment requires a multidisciplinary approach. Those involved in the diagnosis and care of the patient include neurologists; nurse practitioners; nurses; physical, occupational, and speech therapists; sleep medicine specialists; neuropsychologists; psychiatrists; radiologists; nutritionists; and social workers. The book is divided into seventeen chapters spread across four sections. The first section, Parkinson’s Disease, describes the following: neurobiology of Parkinson’s disease, patient exam, idiopathic Parkinson’s disease, imaging and advanced studies, neuropsychological analysis, and additional evaluations. The second section, Parkinsonisms, discusses Parkinson-plus syndromes and other Parkinsonisms. The third section, Treatment of Motor and Non-Motor Symptoms in Parkinson’s Disease, describes treatment of motor symptoms and non-motor symptoms such as autonomic dysfunction, sleep disturbances, disturbances of thought, and neuropsychiatric symptoms. The final section, Alternative Therapies and Other Considerations, talks about exercise, complementary and alternative therapies, nutrition, and caregiver burden. The book provides additional details such as Hoehn and Yahr Scoring scale, drugs that should be avoided in patients with Parkinson’s disease, patient-prepared information, standardized intake questions for evaluating a Parkinson’s patient, standardized questions for evaluating the patient in a follow-up visit, and resources in the appendices.
This book differs from most others related to teaching online because it takes a how-to approach with the twin goals of answering the call to transform nursing education and benefiting from research in cognitive psychology. Each chapter includes relevant concepts, theories, and models to guide course design and teaching online, as well as templates that can be downloaded to save precious time. The focus in the book is on the RN-BSN, master’s, DNP, and PhD programs, as they comprise most of the online programs in nursing, but the contents are applicable to teaching any level of nursing online. Teaching and assessment are one when teaching online; they are not individual activities and cannot really be separated. This is an important concept to grasp, especially if people are a seasoned classroom instructor accustomed to creating separate assignments that add to one’s workload. The book explores how this interconnected approach works. Grading is an important function that drives learning and deserves some attention, as the author thinks people have lost their way to some degree when assessing what constitutes academic achievement. Rubrics have replaced other grading strategies, but not all meet the expectation of greater objectivity in grading, which is their initial intent. A hot topic in online education that relates to workload is the expectation of faculty presence in an online course from both faculty’s and the student’s perspective. This topic is explored in the book. Converting a classroom-based course to the online environment can be a time-consuming task without some guidance as to where to start. Online education is more than uploading one’s classroom lectures into the Learning management systems. The book provides a step-wise approach with some additional tips on converting a classroom course to the online environment.