Chapter 14 LECTURE 12 PART IV Flashcards
Advanced Old Age and Geriatrics
MOTIVATION
-Motivation is the key to maintaining what?
-What are some ways to maintain motivation?
-health
-Make sure they are eating well, sleeping well, etc.
MOTIVATION
-Dispel ____
-What is an example?
-misconceptions
-saying they can’t participate in things because they are old
MOTIVATION
-What can be used for declining memory?
-What are some examples?
-memory aids
-putting signs around the house, pill boxes, and circling expiration dates
DEPENDENCY
-Many older adults become increasingly….
-What may this cause them to feel?
-What kinds of places can this happen in?
-dependent on others
-guilt, shame, and depression
-nursing homes or assisted living facilities
DEPENDENCY
-(Increased/Decreased) risk of elder abuse
-___ in ___ report elder abuse
-(Increases/Decreases) in cases of ___ or ____ ____
-Increased
-1 in 10
-Increases; dementia, physical limitations
DEPENDENCY
-____ ____ for activities of daily living (ADL) can be helpful
-What are some examples?
-What should be done to the home?
-Assistive devices
-Medical alert, shower seat/safety bars
-elder proof home
ACTIVITIES OF DAILY LIVING (ADL)
-What are 6 ADLs that older adults may have trouble with?
- Eating
- Bathing
- Dressing
- Transferring (from chair to bed, for example)
- Toileting
- Walking or moving around
ACTIVITIES OF DAILY LIVING (ADL)
-What do we need to make sure we do?
Check the environment for older adults
CONCERNS RELATED TO LIVING ARRANGEMENTS
1. Access to ____ ____ and ____
2. Individual’s _____ of move as “_____” or as _____
3. Control of patient’s _____
4. _____ _____ allowed
5. Accomodation of _____ _____
6. _____ or _____ room
7. _____-_____ activity
8. _______ and _______ are available
- health care and assessment
- perception; “dumping”, assistance
- fiances
- Personal space
- special needs
- Privacy, shared
- Peer-group
- Rehabilitation, therapies
CONCERNS RELATED TO LIVING ARRANGEMENTS
-With peer-group activities, the nurse should do what?
Make sure to engage the older adults in social activities
OLDER ADULTS & TECHNOLOGY
-Technology is becoming ____ to…
-imperative
-function in society
OLDER ADULTS & TECHNOLOGY
-What are three things that technology does
- facilitates everyday tasks
- Enables older adults to live independently longer
- Assists with monitoring & maintaining health
OLDER ADULTS & TECHNOLOGY
-___% of adults older than 65 live ____
-90%
-independently
OLDER ADULTS & TECHNOLOGY
-Older adults are remaining in the _____ (longer/shorter)
-workforce
-longer
OLDER ADULTS & TECHNOLOGY
-We want to ensure that the older adults have access to what?
-What do we want to teach them?
-technology
-how to use it
COPING-STRESS TOLERANCE PATTERN: Ability To Cope
-What is the ability to cope a key factor in?
Self-concept and integrity
COPING-STRESS TOLERANCE PATTERN: Ability To Cope
-What is something that they are going through at this stage?
Ruminating and catastrophizing vs. positive reappraisal
COPING-STRESS TOLERANCE PATTERN: Depression
-Who is at the highest risk for depression?
Older adults
COPING-STRESS TOLERANCE PATTERN: Depression
-What can contribute to older adults becoming depressed? (3)
- Medical conditions
- Losses
- Physical Changes
COPING-STRESS TOLERANCE PATTERN: Suicide
-Suicide is highest in who?
The elderly
COPING-STRESS TOLERANCE PATTERN: Suicide
-What can contribute to suicide? (4)
- Serious illnesses
- Social isolation
- Alcohol abuse
- Bereavement
COPING-STRESS TOLERANCE PATTERN: Suicide
-What are two challenges in older adults?
- Promoting value in life
- Alleviating suffering
DEPRESSION
-This is a continuation from what?
Young/middle adulthood
DEPRESSION
-Aging can cause what, which may affect mood, memory, or emotions?
Changes in the brain
DEPRESSION
-Symptoms are the same in older adults (T/F)?
-FALSE; symptoms may differ in the older adult
DEPRESSION
-Medication side effects may mimic what?
Signs of depression
DEPRESSION
-What are risk factors for depression? (3)
- Chronic poor health
- Reduced activity
- Fewer social interactions
DEPRESSION
-What can be used to screen for depression?
-This is specific for who?
-Geriatric Depression Screening (GDS) Tool
-Geriatric patients
ALCOHOL USE
-What can cause an increased toxic effect of alcohol?
Decreased organ size & function
ALCOHOL USE
-Depression increases the risk of what?
Alcohol abuse
ALCOHOL USE
-What three things can be used to assess alcohol abuse?
- CAGE questionnaire
- Short Michigan Alcoholism Screening Test-Geriatric Version (SMAST-G) –> specific for geriatric patients
- AUDIT (Alcohol Use Disorder Identification Test)
DEVELOPMENTAL TASKS
1. Adjusting to ____
2. Adjusting to and accepting…..
- retirement
- the frailties of aging and the accompanying changes in physical appearance and lifestyles
ERIKSON: PSYCHOLOSICAL DEVELOPMENT
-What ages are advanced old age/elderhood?
75+
ERIKSON: PSYCHOLOSICAL DEVELOPMENT
-What is the stage according to Erikson?
Immortality vs. extinction
ERIKSON: PSYCHOLOSICAL DEVELOPMENT
-At this point, what are they coping with?
-What are the preparing for?
-physical changes of aging
-death
ERIKSON: PSYCHOLOSICAL DEVELOPMENT
-What is the basic virtue?
Confidence
ERIKSON: PSYCHOLOSICAL DEVELOPMENT
-What is the central process? (what is the main way the person works through the challenges?)
Social support
ERIKSON: PSYCHOLOSICAL DEVELOPMENT
-If they have successfully passed this stage, they will appraoch death with…
dignity and confidence rather than fear
