ch 2 - gerontological nursing (past, present, future) Flashcards
1
Q
what % of RNs and APRNs are certified in geriatrics
A
RNs = <1% APRNs = <3%
2
Q
what year did geriatrics become a specialty in nursing
A
1950
3
Q
what % of med-surg pts and ICU pts are older adults
A
med-surg: 60%
ICU: 46%
4
Q
organization started in 1992 with goal of improving outcomes of hospitalized older adults
A
nurses improving care of healthsystem elders (NICHE)
5
Q
what is an iatrogenic complication
A
complication caused by medical examination or treatment
6
Q
examples of post acute care settings
A
- long term care hospital
- skilled nursing facility
- inpatient rehab facility
7
Q
what % of older adults are readmitted to hospital within 30 days of leaving
A
25%
8
Q
most prevalent adverse event following discharge from hospital
A
medication discrepancies
9
Q
what conditions will have reduced pay by medicare in hospital readmission reduction program (6)
A
- acute MI
- HF
- pneumonia
- total hip and knee replacement
- COPD
- CABG
10
Q
components of transitional care model
A
- screening older adults who may be at r/o poor outcomes
- staffing: APRNs
- maintaining relationships
- engaging pts and caregivers
- assessing/managing risks and S+S
- educating/promoting self-management
- collaboration with other team members
- promoting continuity in changing settings
- fostering confidence
