CH 5, 6, 7 Flashcards

1
Q

Holistic Definitoni of health

A

“an individually
defined state or process in which the individual (nurse, client,
family, group or community) experiences a sense of
well-being, harmony, and unity such that subjective experiences
about health, health beliefs, and values are honoured; a
process of becoming an expanded consciousness”

ie.

the ability of older adults
to function at their highest capacity despite the presence of
age-related changes and risk factors,

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2
Q

holistic nursing definition of wellness

A

“integrated, congruent functioning aimed toward
reaching one’s highest potential

ie.
wellness is an outcome for older adults whose well-being and quality of life are improved by nursing interventions

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3
Q

Health Promotion

A

programs or interventions that
focus on behaviour changes directed toward improved
health and well-being of individuals, groups, communities
and nations in relation to their environments.

Emphasis on personal responsibility and self care actions

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4
Q

health-related quality of life

A

measured by a standard set of questions, called
“Healthy Days Measures,” addressing one’s perception of
physical and mental health and functioning

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5
Q

the management and delivery of
health care to Canadians is the responsibility of

A

Provinces/territories

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6
Q

geriatric care manager

A

serves as the primary care
coordinator who is responsible for implementing immediate
and long-term plans as the needs of the older adult change.
Care management services involve comprehensive assessment,

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7
Q

Skilled home care

A

services address
the needs of people who are recovering from an illness or
injury and have potential for returning to their previous level
of functioning.

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8
Q

Nonmedical home care

A

services
address needs of people with chronic or declining conditions
who do not qualify for skilled care.

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9
Q

Telehealth

A

is the use of electronic information and communication
technologies to provide and support health care
when the patient and provider are not in the same proximity.

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10
Q

Resident-centred care,

A

care that emphasizes personal choices and quality of life,
is a core component of the culture change movement.

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11
Q

Transitional care

A

“[T]ransitional
care encompasses both the sending and the receiving
aspects of the transfer is based on a comprehensive plan of
care and includes logistical arrangements, education of the
patient and family, and coordination among the health professionals
involved in the transition”

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12
Q

A continuum of care perspective

A

Designed to meet the changing needs of the older adult through connecting home,
community and long-term care services so that an older adult
can move seamlessly through levels of care.

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13
Q

Complexities to assessing health in older adults

A
  • Often have at least one chronic condition on top of the acute problem they are seeking help for
  • Illness are often less predictable in older adults
  • Treatments are often towards symptoms because cause is often obscure
  • Cognitive impairments can make description of illness difficult
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14
Q

What is the difference of focus bw gerontology and geriatirics

A

Geriatircs shifts focus from curing to caring (QOL)

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15
Q

 Functional Consequences

A

Inherent physiological processes that
increase vulnerability of older adults

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16
Q

Why would an older adult move to a nursing home

A

Needs 24hr assistance with ADLs

17
Q

What is a nurses goal in home care

A

Rehab

Meal preps, personal care errands, light housekeeping

18
Q

How does a nurse know what type of care an older adult needs

A

Nursing assessment

19
Q

What types of assessments are their for older adults

A

Physical Assessment
 Functional Assessment
 Mental Status Assessment
 Comprehensive Geriatric Assessment
 Environmental and Safety Assessment
 Other Assessment

20
Q

Tips for inerviewing older adults

A

Brief interactions less than 30
minutes each
 Avoid medical jargon
 A summary or restatement
 Prepare the older person for the
end of the interaction

21
Q

Which intervention most closely aligns with the practices of health promotion?

A

Leading a flexibility and mobility class among older adults

Increasing their physical functing

22
Q

Which older adult is most likely to require care management?

A

an older adult who lives alone with no family

23
Q

Which health problem in older adultsis most likely to precipitate admission to long-term care?

A

Dementia

24
Q

Which statement most accurately captures the complexity involved in assessing the older adult?

A

Signs and symptoms of illness are often obscure and less predictable among older adults.