Ptolemy has experiences many forms of mistreatment. Elder mistreatment, which are actions perpetrated by a trusted other, intended or not, that risk harm to a vulnerable older adult (Phillips, et al., 2010, p. 79). Elder Abuse is a term that was apparent because people might take advantage of him because of his mental state. Hilly was one individual that stole his money and admitted that he thought Ptolemy would not notice. At the beginning of the book, we assume that maybe Ptolemy did miscount his money because of his mind. Later in the book, Hilly confirms that he did take advantage of Ptolemy’s vulnerability. (Phillips, Ajrouch & Hillcoat-Nalletamby, 2010, p 83). We get a sense of how Ptolemy acted in his environment before Robyn came was in the picture. When Robyn became a new family member presented in Ptolemy’s life this was a test to his overall environmental gerontology. It was presented that
Religion and spiritualty is expressed as multidimensional concepts that reference connections to a higher power Phillips, Ajrouch & Hillcoat-Nalletamby, 2010, p 181). Spirituality and religion play an important role during the end of an individual’s life. Ptolemy is always discussing The Devil or God in many ways. Religion and spirituality is mentioned frequently in the book and the readers can depict that Ptolemy has a strong feels towards his doctor. He expressed that the doctor is the devil giving him devil injections with the mention of fire that is comparable to a fever. The last shot of the devils medicine. He also says that the fire had been loaned by Satan .and errant angel undo coveted men’s souls” (p. 216). Ptolemy explains that since he is seeking treatment he has sold his soul to the Devil.
Social Relations- is defined as social integration processes and mechanisms with distinct , multidimensional aspects, including networks, support types and exchanges , and support quality. (Phillips, Ajrouch & Hillcoat-Nalletamby, 2010, p. 195) It seems that the only support system that Ptolemy had was with Reggie. After Reggie’s death, many family members become more supportive in managing Ptolemy’s health and home environment. He does encounter some unpleasant individuals along the way, but he gets to develop a deep relationship with Robyn and Shirley. Ptolemy admits his love for Shirley because she was the only person, besides Robyn, that would help him remember and love him before the money and medicine. Without Robyn in Ptolemy’s life, I doubt that he would ever be resisting to treatment.
Palliative care is a term that means care that is provided at the end of life. This type of care involves attention to and control of the symptoms that causes the individual pain. (Phillips, Ajrouch & Hillcoat-Nalletamby, 2010, p. 161) Palliative care was a term that was not yet discussed but I believe that towards the end of Ptolemy’s life he received this time of care. When he was treated for his dementia, the doctors discussed that his disease cannot be cure but the overall quality of life can be improved by maintaining the symptoms that come with dementia. He had a nurse coming to the house to give him injections for his dementia. Ptolemy’s memory does come back towards the end of his time and he has a time to remember all the people in his life that brought him to where he is. Ptolemy describes how he thinks that watching TV was closes thing to revisiting his previous state of dementia. I think this was the first time the author actually stated that Ptolemy has a debilitating illness not just “old age”.