ch8

Page 1: Learning Objectives

Objectives Overview

After reading this chapter, students will be able to:

• Identify and describe the four major knowledge categories used to examine the biopsychosocial context of an older client’s life, including biological, psychological, sociological, and legal aspects.

• Explain demographic trends showing why the older population is increasing significantly and will continue to rise through 2030, highlighting factors such as increased life expectancy, lower birth rates, and the aging baby boomer generation.

• Discuss cultural strengths inherent to nondominant groups that gerontological social workers can utilize, recognizing the wealth of knowledge and resources that these communities possess.

• Compare critical public policies affecting older individuals including Medicare, Medicaid, Social Security, and Supplemental Security Income (SSI), detailing their eligibility criteria, benefits, and the role of advocacy in preserving these essential programs.

• Articulate ethical issues concerning the practice of physician-assisted suicide for the terminally ill, emphasizing the complexities surrounding consent, autonomy, and societal values on life and death decisions.

• Explain key points on critical issues impacting older adults, such as elder abuse, Alzheimer’s disease, and depression, noting the prevalence rates and the importance of early intervention and supportive services.

Page 2: Case Studies of Older Adults

Profile of the Bradys

• Tresca Brady (70) and James Brady (74): Married for 45 years, feeling fulfilled through active engagement in family, volunteering, and community involvement. They express a growing dissatisfaction with cultural perceptions of the elderly, advocating for a more positive narrative regarding aging that highlights their capabilities and contributions.

Thomas Wayne's Situation

• Thomas Wayne (72): A veteran and amputee due to diabetes complications, struggles with alcoholism, and currently homeless. He faces significant challenges post-discharge from the hospital, including a lack of social support, financial instability, and barriers to accessing mental health and rehabilitation services.

Conchita Alvarez's Experience

• Conchita Alvarez (82): Diagnosed with Alzheimer’s disease, she retains some memories but has moments of forgetfulness leading to confusion and distress. Living with her daughter, who is increasingly concerned about her safety and ability to perform daily activities, illustrating the need for effective caregiving techniques and community resources for families.

The Howes' Dilemma

• Barbara (80) and Sam Howe (81): Although living independently, they face challenges related to aging, particularly when Barbara is diagnosed with Parkinson’s disease, necessitating assistance for daily living activities. They opt for a continuing care retirement community (CRC) to ensure access to appropriate levels of care as they age.

Page 3: Ageism and Social Work

Understanding Ageism

• Definition: Prejudice based on age that can manifest in stereotypes, discrimination, and harmful practices affecting older adults in various aspects of life, including healthcare, employment, and social engagement.

• Social Work Commitment: A vital role of social workers is to combat ageism through education, advocacy, and implementation of best practices that uplift older individuals and promote their dignity and worth.

Vulnerable Populations

• Certain older individuals, such as Thomas Wayne and Conchita Alvarez, face multi-faceted vulnerabilities, often requiring additional social work interventions due to poverty, health-related challenges, or social isolation that impede their quality of life.