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NURS 212 > Chapter 1 & 2 > Flashcards

Chapter 1 & 2 Flashcards

1
Q

Aging

A

A universal processs begining at birth that applies equally to young and old people

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2
Q

Gerontoligists view of aging

A

Complex process involving both losses and gains

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3
Q

Perceived age

A

Other people’s estimation of someone’s age

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4
Q

Chronological age

A

Length of time that has passed since birth

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5
Q

Functional age

A

Physiological health and psychological well-being, spiritual wellbeing etc.

Ability to participate in desirable activities

whether individuals can contribute to society
and experience personal quality of life

associated with
higher levels of well-being and with more positive attitudes
about aging.

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6
Q

Institutional ageism

A

Underlying assumptions within a culture and society, biases within policies, and protocols, that are unseen, unquestioned or dismissed

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7
Q

Effects of ageism

A

Aging anxiety
Age attribution
Anti-aging movement

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8
Q

Age attribution

A

The tendency to point to physiological problems as the result of aging instead of a pathological process

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9
Q

Ageism in healthcare

A

People often receive less aggressive treatment for common ailments, which are dismissed as a natural part of aging

Older adults and health care providers mistakenly attribute symptoms to aging rather than identify and address the contributing factors that are reversible and treatable

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10
Q

Gerontology

A

The scientific. study of the effects of time on human development

The study of aging

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11
Q

Geriatrics

A

A subspecialty of internal medicine or family practice that focuses on the medical problems of older people

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12
Q

Cultural Awareness

A

Recognizing the cualues of the client and self

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13
Q

Cultural Sensitivity

A

Recognizing cultural differences exist

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14
Q

Cultural recognition

A

recognizing that clients from different
cultures may have different customs and behaviors

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15
Q

3 components to successful aging

A

an active engagement with life, high
cognitive and physical function, and low probability of disease
and disability

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16
Q

Negative affects of ageism

A

In medical care: older people often receive less aggressive
treatment for common ailments, which are dismissed as a
natural part of aging.
@ In the workplace: older job applicants are rated less positively
than younger ones, even when they are similarly
qualified and despite considerable research showing that
job performance does not decrease in older adults.
® In nursing homes and home settings: elder abuse and neglect
is underreported.
® In media: older adults are underrepresented and stereotyped.

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17
Q

ethnogeriatrics,

A

the component of geriatrics
that integrates the influence of race, ethnicity and
culture on health and well-being of older adults,

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18
Q

Health disparities

A

significant differences with regard
to the rates of disease incidence, prevalence, morbidity, mortality
or life expectancy between one population and another.

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19
Q

Largest visible minority in Canada

A

South Asian Canadians

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20
Q

Are elderly men or women, married or single more likely to live below the poverty line?

A

Single women

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21
Q
A
22
Q

How to give oral med

A

Sit patient upright
Provide water
Stay with pt until med is taken
Discard med if it falls on floor
Place container lid on counter with open end up
Do not estimate meds by breaking unscored tabs
Never alter form of med without pharmacy consultation

23
Q

How to measure liquid medication

A

Measure at bottom of meniscus
Read at eyelevel
Pour from side opposite to avoid distorting label

24
Q

How to meausre out tablets

A

Pour out into cap of bottle first then into med cup without touching it with hands or glvoes

25
Q

Goal of Geriatrics

A

Shifted its focus from curing to caring (Medical interventions)
 Emphasis on quality of life

26
Q

Functional Consequences of aging

A

Inherent physiological processes that
increase vulnerability of older adults.

27
Q

 Age-Related Changes

A

Inevitable profressive and irreversile changes that happen to everyone
- Physically degenerative
- Psycological and spiritual potential for growth

28
Q

what are Positive Functional Consequences

A

Those that facilitate highest level of
functioning, least dependency and best
quality of life.

29
Q

Functioning for the purpose of geriatrics

A

Affecting the whole way a person lives

30
Q

Risk factors

A

Factors that increase vulnerabiltiy

  • Diseases
    Environment
    Lifestule
    Support systems
    Psychosocial circumstances
    Adverse medication effects
    Attitudes
31
Q

Ways an Older Adult stays well

A

Health promotion activities
- Prevention and screening programs
Risk reduction interventions
Environmental modifications
Health education

32
Q

Example of a risk reduction intervention in the last decade

A

No smoking on health care vicinity

33
Q

Environmental modification example

A

Railings in hallways
Non-skid surfaces

34
Q

Health education

A

Giving people all the info they need to maintain their own health

35
Q

How Does a nurse know which type of care an older adult needs?

A

Nursing Assessment, gathering data to make a decision
Physical assessment
Functional Assessment
Mental status Assessment
Comprehensive Gereiatirca ASsessment
Environmental and safety assessment
Other assessment

36
Q

IADLs

A

Not usually done by people in log term care facilities (There bc they cannot do them)

37
Q

Common function assessment tool

A

KATZ
48/6 (done within 48 hours of admission over data of 6 areas)
FHA Nursing Assessment Tool
Screening document for older adults
Screening document for older adults 70+ years

38
Q

The most common mental status assessment

A

Mini-mental state examination (MMSE)

Most liked (Confusion Assessment Method): CA<

39
Q

Comprehensive Geriatric Assessments (examples)

A

SPICES (example)
Minimum Data Set (MDS)

Monitors changes and spits out mini report

40
Q

Examples of environmental and safety assessment

A

Fall Risk Assessment
Braden scale

41
Q

Why are health assessments in older adults more complicated

A

It is common to have more than one chronic acute issue

Manifestation of illnesses or adverse medication effects tend to be obscure less predictable

For ever change there may be multiple possible causes

Treatments often directed at symptoms not source of problem,

Cognitive impairment affet accurate reporting

42
Q

In what setting do older adults experience the most function decline

A

Hospital because of

Communication gaps
Poor client education
Unique patient characteristic
Incomplete transfer of info
Poor medical rec procedures
Low staffing

43
Q

4 different ways of defining age

A

Subjective
Perceived
Chroological
Functional

44
Q

What is significant about hidden biases

A

Unseen, unquestioned or dismissed in policy and protocols

45
Q

nurse’s questions addresses an important contributor to successful aging?

A

“Do you feel like you actively engage with life?”

46
Q

Where do older adults mainly live?

A

Assisted living arrangements have become increasingly common.

47
Q

A nurse interviews a centenarian, gathering data for a large study. In the interview, the centenarian says, “You’re only as old as you feel, some days I feel like ‘I’m 50.’” To which definition of aging does this response

A

Subjective aging

48
Q

Who is mostt likely to be living below the poverty line

A

Old single women

49
Q

What is a fact about older indiginelous Cnadians

A

More likely to live alone than any other canadian

50
Q

How should the nurse interpret the information that is available about cultural groups?

A

Cultural generalizations can be useful and accurate, but they do not replace individualized assessment and care.

51
Q

A nurse plans culturally competent care for a variety of clients. Which culture is most strongly tied to the low health status?

A

Low socioeconomic status

NURS 212 (15 decks)

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