1 Week Handout Flashcards

1
Q

Describe physiological and psychosocial and developmental concerns of an older adult

A

Cardiovascular Changes: Aging may lead to decreased elasticity of blood vessels, increased blood pressure, and changes in the heart’s structure, contributing to cardiovascular diseases.

Musculoskeletal Changes: Loss of bone density, muscle mass, and joint flexibility can result in conditions like osteoporosis and arthritis, affecting mobility and increasing the risk of falls.

Cognitive Decline: Older adults may experience cognitive changes, including a decline in memory, processing speed, and executive function. Some may develop neurodegenerative conditions like Alzheimer’s disease.

Alzheimer’s disease.

Sensory Impairments: Hearing and vision loss are common with aging, impacting communication and safety. Regular screenings and appropriate aids can mitigate these issues.

Metabolic Changes: Alterations in metabolism can lead to weight gain, diabetes, and changes in nutritional requirements. Monitoring and managing these changes are crucial for overall health.

Immunosenescence: The aging immune system may become less efficient, increasing susceptibility to infections and making vaccinations important for preventing illnesses.

Psychosocial Challenges: Loss of loved ones, retirement, and changes in social roles can contribute to mental health concerns like depression and anxiety. Maintaining social connections and engaging in meaningful activities are crucial.

Medication Management: Older adults often take multiple medications, increasing the risk of adverse drug interactions. Regular medication reviews and communication with healthcare providers are essential.

Functional Decline: Activities of daily living may become challenging due to physical limitations. Occupational and physical therapy can help maintain independence.

End-of-life Planning: Discussions about preferences for end-of-life care, advance directives, and hospice care become important aspects of aging.

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2
Q

What happens with nails with age

A

Thicken and brittle

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3
Q

(kyphosis)…

A

forward rounding of the back.
Hunchback (kyphosis) usually refers to an abnormally curved spine. It’s most common in older women and often related to osteoporosis.

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4
Q

3 D’s of Cognition in Elderly

A

Delirium, Dementia, Depression

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5
Q

Lewy body Dementia is…

A

a disease associated with abnormal deposits of a protein called alpha-synuclein in the brain.

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6
Q

Goals for Alzheimer’s

A

Maintain Functional Abilities:

Ensure the patient independently performs at least four out of six identified activities of daily living (ADLs), as measured by a standardized assessment, over the next three months.

Provide Safety:

Reduce the risk of falls by 20% within the next month through environmental modifications and regular safety assessments.

Promote Cognitive Function:

Increase the patient’s engagement in cognitive activities, as evidenced by a 15% improvement in scores on cognitive assessment tools within six weeks.

Ensure Adequate Nutrition:

Achieve a 5% increase in body weight over the next two months through nutritional interventions and regular monitoring.

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7
Q

Interventions for alzheimer’s

A

Cognitive Stimulation Activities:
Structured Routine:
Environmental Modifications:
Medication Management:
Family and Caregiver Education:
Nutritional Support:
Sensory Stimulation:

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8
Q

Respitory rate may (increase/decrease) with age

A

Increase

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9
Q

Dentition …

A

Arrangement of teeth

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10
Q

The Confusion Assessment Method (CAM) …

A

To recongize Delirium in patients

Is a standardized evidence-based tool that enables non-psychiatrically trained clinicians to identify and recognize delirium quickly and accurately in both clinical and research settings

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11
Q

If you suspect a client of being depressed use this Scale

A

Geriatric Depression Scale

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12
Q

If you suspect the client has delirium use this scale

A

Confusion Assessment Method

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13
Q

An overall tool to assess older adults well being. Also used to predict successful release from the hospital

A

SPICES (fulmer)

Sleeep disorder
Problem Eating / Feeding
Incontinence
Confusion
Evidence of Fallls
Skin breakdown

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14
Q

Is mild short term memory loss common in older individuals

A

Yes but can be helped by Notes, Reminders, Calanders

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15
Q

Disengagement theory states that its normal for old people to withdraw from society.

Is this finding accurate

A

No

The continuity theory is correct and says that people should continue being active

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16
Q

The final stage of Erickson is called

And deals with

A

Ego integrity vs despair

Looking back at your lifes Accomplishments (Ego Integrity) happily

Looking back at lifes Failures (Despair) negative

17
Q

Are confusion and cognitive impairment normal consequences of aging

A

No

18
Q

Gerotranscendence

A

A POV shift from material & rational to a Spiritual one

19
Q

Nursing care for older adults 2 Principals

A

Most older adults are not impaired

Older adults are more vulnerable to physical, emotional, socioeconomic problems than younger people

20
Q

Which are statements for the immunity theory of aging.

A. Chemical reactions in the body produce damage to the DNA

B. Free radicals have adverse effects on adjacent molecules

C. Decrease in size and function of thymus results in more infections

D. Vitamin supplemention is very important

E. Lifespan depeneds on a great extent on genetic factors

F. Organisms wear out from increased metabolic function

A

C, D

Vitamin E is of much importance

21
Q

Which are normal in Elderly

A. Wrinkles due to increased skin elasticity

B. Skin pigmentation caused by exposure to sun over years

C. Thinner toe nails with a bluish tint

D. Paitent healing from hip fracture due to porous and brittle bones

E. Bruising on forearm due to fragile blood vessles in the dermis

F. Decreased patient voiding due to increased bladder capacity

A

B,D,E

Wrinkles appear from decreased skin elasticity

Nails get thicker & Yellow

Elderly bladder decreases by 50% More Voiding

22
Q

Which is the most common cause of cognitive impairment in old age.

A. Stroke
B. Malnutrition
C. AD
D. Loss of cardiac reserves

A

Alzheimer’s disease (AD)

23
Q

Djjd

A

Djd

24
Q

Respite care…

A

Gives a break to the caregiver

25
Q

1 in 10 over 65 years old have Alzheimer’s

Who is more likely

Female / Male

A

Female