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Gero Final > Assessment of Older Adults > Flashcards

Assessment of Older Adults Flashcards

1
Q

What special Nursing skills does the assessment of the older adult require?

A

Listen patiently, allow for pauses, ask special questions, observe minute details, recognize normal changes of later life that may be abnormal in younger adults.

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2
Q

What is the overall goal of the assessment of an older adult?

A

The assessment provides the nurse with the critical information needed to create a plan of care that will enhance personal health status, decrease potential or severity chronic illness, encourage self-efficacy and empowerment for self care.

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3
Q

What is involved in a health history for the older adult?

A

Profile and review of symptoms, medication history, and social history, report of functional abilities, and advance care planning.

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4
Q

What is involved in the social history of the older adult?

A

Current living status, economic resources, support systems, community resources available or used.

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5
Q

What factors influence the collection of a health history on the older adult?

A

Dexterity, language barriers and availability of an interpreter, cognitive functioning level, visual and auditory acuity.

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6
Q

What is a review of symptoms on the older adult and when is it performed?

A

A review of each body system and the problems the patient has with it. it is performed before the physical examination.

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7
Q

True or False, it may be difficult to complete a physical exam in one setting depending on the patients stamina.

A

True

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8
Q

What are two key physical assessment tools to assess the older adult?

A

FANCAPES, fulmer SPICES

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9
Q

Define FANCAPES.

A 
F- Fluids
A- Alteration
N- Nutrition
C - Communication 
A - Activity 
P - Pain
E - Elimination 
S - Socialization and social skills
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10
Q

Define SPICES

A 
S - Sleep disturbances 
P - Problems eating
I - Incontinence 
C - Confusion 
E - Evidence of falls 
S - Skin Breakdown
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11
Q

As we age how do we respond to temperature change?

A

we are less tolerant of temperature change

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12
Q

How should the older adult be positioned?

A

Positioning should be adjusted to position of comfort and changes in position should be minimized.

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13
Q

Older adults have increased or decreased sensation to deep pain palpation?

A

Decreased

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14
Q

What does exercise do for us as we age?

A

Enhances health, decreases number of chronic illness, protective against depression, improves bone function.

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15
Q

What does the assessment of physical activity entail?

A

assessment of Function and mobility

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16
Q

What does the functional assessment entail?

A

Evaluates the ability to carry out basic tasks for self care and those important for independent living.

17
Q

What are IADL’s

A

Tasks needed for independent living, cleaning the yard, shopping and money management

18
Q

What do IADL’s require above ADL’s?

A

Higher level of cognitive and physical functioning

19
Q

What is one of the biggest fears associated with aging?

A

Loosing Independence

20
Q

What do functional assessment tools do?

A

Provide caregivers a common language and therefore have the potential to increase quality of care

21
Q

What are some functional assessment tools?

A

Katz Index, Barthel Index, Lawton & Brodys IALD tool, Timed up and go test

22
Q

What are the benefits of group exercise for the aging individual?

A

Social and emotional improved

23
Q

Why are water based exercises particularly beneficial for the aging adult?

A

Low - risk with an aerobic benefit

24
Q

What is function focused care?

A

Previously Restorative care, it is a comprehensive systems level approach that prioritizes the preservation and restoration of functional capacity.

25
Q

What four components are included in sexual health?

A
  1. personal and social behaviors in agreement with gender identity
  2. comfort with range of sexual role behaviors and involvement in an effective interpersonal relationship with both sexes with a long term commitment
  3. response to erotic stimulation that produces positive and pleasurable results
  4. Ability to make mature judgements about sexual behavior that is culturally and socially acceptable.
26
Q

What % of people in the USA over 50 yro are infected with HIV?

A

37%

27
Q

The largest increase in HIV diagnoses was from 2008 to 2010 among what age group?

A

65 +

28
Q

What makes older people more susceptible to HIV?

A

Compromised Immune system

29
Q

Changes in vaginal tissue allows for what?

A

easier entry of a virus

30
Q

A through sex and drug assessment screening should be conducted with attention to what?

A

HIV risk factors

31
Q

At what age does routine screening for HIV/ADIS usually stop?

A

65 yro

32
Q

Does medicare cover annual screenings for HIV?

A

Yes

33
Q

What does the comprehensive geriatric assessment provide?

A

a basis for a detailed plan of care

34
Q

The comprehensive geriatric assessment combines what?

A

Physical, functional, and psychosocial components into one instrument.

35
Q

What are all skilled nursing facilities required to perform if they receive compensation from either medicare or medicaid?

A

Resident assessment

36
Q

The Resident assessment incorporates how many items into a minimum data set?

A

450

37
Q

What is the goal of the resident assessment?

A

Assist the person to move along the wellness trajectory toward health aging, regardless of care setting to health status.

38
Q

Dressing, bathing, toileting, and feeding are examples of what?

a. Functional markers
b. IADL’s
c. Cognitive markers
d. ADL’s

A

d. ADL’s

39
Q

In order to effectively incorporate physical activity into lifestyle, a person:

a. doesn’t need expensive gym equipment
b. incorporates muscle strengthening exercises without weight bearing
c. Considers group exercise for its social and emotional health benefits
d. All of the Above

A

D. All of the Above

Gero Final (4 decks)

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