Chapter 13 LECTURE 9 PART II Flashcards
Late Adulthood
HEALTH SCREENINGS
-What two checkups should continue to be done?
Dental and eye checkups
HEALTH SCREENINGS
-What does physical evaluation include? (5)
- Weight
- Blood pressure
- Thyroid levels
- Blood glucose levels
- Lipid levels
HEALTH SCREENINGS
-What 4 things should nurses asses their older adult patients for?
- Substances abuse
- Over medication
- Sexual dysfunction
- Urinary incontinence
HEALTH SCREENINGS
-What does your body use to get rid of medications?
-What happens to their function?
-What can this lead to?
-Liver and Kidney
-Their function decreases with age
-Overdosing
HEALTH SCREENINGS
-A mammography should be done until what age?
-When should it start?
-When should it be done?
-74
-Around 40, but can be done earlier if there is a greater risk
-Annually
HEALTH SCREENINGS
-Colorectal cancer should be screened for until what age?
-When should it start
-75
-45
HEALTH SCREENINGS
-What should be a screening for women who are 65+?
Bone mass/osteoporosis
HEALTH SCREENINGS
-What should be screened for to prevent falls?
Fall risk and need for exercise interventions
HEALTH SCREENINGS
-Screen for risk factors for ____ disease
Cardiovascular
HEALTH SCREENINGS
-In terms of emotional and physical, what three things should be screened for?
- Depression
- Elder abuse
- Intimate partner violence
HEALTH SCREENINGS
-What is one thing nurses/health-care workers can do to prevent elder abuse?
They should observe interactions between older adults and the caregivers
SEXUALITY
-What is the most common cause of sexual dissatisfaction in older adults?
Lack of a partner
SEXUALITY
-What may men develop?
Erectile dysfunction
SEXUALITY
-What is painful intercourse called?
-In women, what may this result from?
-dyspareunia
-from atrophy of vaginal wall and decrease in natural lubrication
SEXUALITY
-What is still a sexual health problem at this age?
STIs
MEMORY LOSS
-What can be associated with aging?
-Examples?
-Normal memory loss and changes
-Having trouble with remembering names and faces of people
MEMORY LOSS
-What can temporary memory loss be caused by?
Depression or anxiety
MEMORY LOSS
-What kind of causes can confusion have?
Metabolic causes
MEMORY LOSS
-Dementia is an inevitable outcome of aging (T/F)
-What is necessary for it?
-FALSE; Dementia is NOT an inevitable outcome of aging
-Dementia screening
MEMORY LOSS
-What is the Mini-Mental State Exam (MMSE) used for?
-What specific thing can it be used to screen for?
-It is used to check for cognitive impairments
-Dementia
WARNING SIGNS OF PROBLEMATIC MEMORY DECLINE
1. Memory loss that affects what?
2. Difficulty remembering ____ in _____ _____
3. ________
4. Lack of awareness of what?
5. Decrease in what? This means increased need for _____
6. Associated problems with what?
- Job functioning
- Steps; familiar tasks
- Disorientation
- Time, place, or date
- Abstract thinking; concreteness
- Mood, language, or personality changes
WARNING SIGNS OF PROBLEMATIC MEMORY DECLINE
-What is disorientation?
-Not knowing where they are in terms of person, place, time, and sometimes situation (what happened)
PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are the six preventable causes of memory problems?
- Drug toxicity
- Depression
- Metabolic problems
- Sensory problems
- Nutritional deficiencies
- Illness
PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are 3 metabolic problems?
- Kidney dysfunction
- Liver dysfunction
- Hypoglycemia
PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are 3 sensory problems?
- Difficulty hearing
- Difficulty seeing
- Difficulty sensing information
PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are 3 common nutritional deficiencies?
- Dehydration
- Vitamin B12 deficiency
- Iron deficiency
PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are common illnesses?
Pneumonia and other infections
DEPRESSION
-Older adults have an increased risk of experiencing what?
Depression
DEPRESSION
-Depression should automatically be expected to appear in the older adult (T/F)
FALSE; depression should NOT be automatically expected to appear in the older adult
DEPRESSION
-Side effects of medications may do what?
Mimic depression
DEPRESSION
-What can depression trigger?
Physical illness
DEPRESSION
-What are 4 causes of depression?
- Loneliness
- Social isolation
- Declining health
- Loss of significant other
CLINICAL DISEASE
-What is good health in older people defined as?
The absence of disease or disability
CLINICAL DISEASE
-What results from aging?
Normal body changes
CLINICAL DISEASE
-What are 5 examples of normal body changes that happen with age?
- Thinning & graying of hair
- Muscle & bone density loss
- Wrinkling & thinning of the skin
- Shrinking
- Presbyopia → issues with seeing close as a part of aging
CLINICAL DISEASE
-Most older adults have what?
At least one chronic condition
CLINICAL DISEASE
-What are comorbidities?
The simulatenous presence of two or more diseases
PHYSICAL ACTIVITY
-What can significantly slow the aging process?
Excerise
PHYSICAL ACTIVITY
-How many hours per week should be dedicated to exercise?
2 1/2
PHYSICAL ACTIVITY
-What decreases with age?
-What does this mean?
-resting metabolic rate
-fewer calories are burned during a resting state
PHYSICAL ACTIVITY
-What can muscle-strengthening exercises do?
Increase the amount of metabolically active tissue
PHYSICAL ACTIVITY
-What are regular balance exercises?
-What can doing these result in?
-practicing walking backward and sideways
-fewer falls
PHYSICAL ACTIVITY
-What can physical activity have a protective effect on?
Cognitive function
TEACHING TECHNIQUES
-The learner must be what?
Motivated to learn
TEACHING TECHNIQUES
-Teaching must be relevant to what?
-It must be appropriate to what?
-learner
-the developmental stage and abilities of the learner
TEACHING TECHNIQUES
-What should be considered when teaching? (3)
- Visual & hearing issues
- Short sessions
- Keep it simple
TEACHING TECHNIQUES
-If the older adult has hearing issues, what should the nurse do?
Maintain eye-contact, talk slowly, and do NOT scream
TEACHING TECHNIQUES
-If the older adult has vision issues, what can the nurse do?
Make sure they have glasses, increase font size on their phone
TEACHING TECHNIQUES
-How is learning enhanced?
If mutual respect exists between the teacher and learner