Chapter 14 LECTURE 12 PART V Flashcards
Advanced Old Age and Geriatrics
VERY OLD AGE
-What age does this consist of?
75 until death
VERY OLD AGE
-What is the psychosocial crisis?
Immortality vs. Extinction
VERY OLD AGE: Extinction
-They fear that the end of life is what?
the end of all continuity
VERY OLD AGE: Extinction
-What is reflected in the public health concern about suicide among the elderly?
The possibilty of ending one’s life with a sense of extinction
VERY OLD AGE: Extinction
-How do they feel?
-What can this feeling increase?
-Like no one cares
-Their risk for suicide
VERY OLD AGE: Immortality
-What is immortality?
When a person transcends death through a sense of symbolic continuity
VERY OLD AGE: Immortality
-One may live on through who?
-They sense _____ and ____ to the future through what?
-one’s children
-connection
-attachment
-one’s life and the lives of one’s offspring
VERY OLD AGE: Immortality
-One may believe in what?
an afterlife or in a spiritual plane of existence that extends beyond one’s biological life
VERY OLD AGE: Immortality
-One may achieve a sense of immortality through what? (2)
- Creative achievements
- Their impact on others
CHALLENGES
-What are the 5 challenges that they face?
- Menopause
- Retirement and redirection of goals and energy
- Decreased income
- Grandparenting
- Reentry into the job market
HEALTHY PEOPLE 2030 GOALS: Occupational Activities
-In terms of occupational activites, what is important?
-What are some examples? (3)
-Finding fulfillment & self-worth outside of their employment
-Volunteer activites, hobbies, traveling
HEALTHY PEOPLE 2030 GOALS: Nutrition
-In terms of nutrition, what is it important to maintain?
-What can be some challenges? (3)
-adequate nutrition
-dental issues, slowed digestion, constipation
HEALTHY PEOPLE 2030 GOALS: Prevention of Illness
-What should older adults have?
-regular checkup & follow ups for abnormal symptoms
HEALTHY PEOPLE 2030 GOALS: Prevention of Illness
-What are three immunizations they should be getting
- Flu shot
- Pneumococcal vaccine
- RSV vaccine
HEALTHY PEOPLE 2030 GOALS: Mental Health
-What is the most common mental health problem in the geriatric age group?
Late-life depression
HEALTHY PEOPLE 2030 GOALS: Mental Health
-Late-life depression is typically brought on by what?
Social isolation
HEALTHY PEOPLE 2030 GOALS: Mental Health
-What is also common in this age group?
Suicide
HEALTHY PEOPLE 2030 GOALS: Environmental Controls
-What can be achieved by providing a safe environment?
Reduction of risks of falls and fractures
HEALTHY PEOPLE 2030 GOALS: Elder Abuse
-What is the definition of elder abuse?
The intentional infliction of mental, sexual, emotional, or physical pain or the failure to provide necessary care
HEALTHY PEOPLE 2030 GOALS: Elder Abuse
-As nurses, what are we?
Mandated reporters of elder abuse
HEALTHY PEOPLE 2030 GOALS: Polypharmacy & Medication Errors
-What is polypharmacy?
The use of many medications prescribed for different chronic illnesses
HEALTHY PEOPLE 2030 GOALS: Polypharmacy & Medication Errors
-What contributes to a delay in excretion of drugs from the body?
Decreased organ function
HEALTHY PEOPLE 2030 GOALS: Placement Alternatives
-What is a growing movement?
-What does it mean?
-Aging in place
-the ability to live in one’s own home and community
HEALTHY PEOPLE 2030 GOALS: Placement Alternatives
-What are two other places where the geriatric population can reside?
- Long-term residential care
- Nursing home
ROLE OF THE HEALTH-CARE WORKER
-Health-care workers should focus on what?
the positive aspects of aging, not the negative aspects
ROLE OF THE HEALTH-CARE WORKER
-What can enhance the ability of the older adult to function?
-Example?
-minor changes in the environment
-Putting in a side rail in the bathroom (this will boost their self-esteem since they can now shower by themselves)
ROLE OF THE HEALTH-CARE WORKER
-It is important to observe what?
-Examples?
-Family interactions
-Does it look like the family is a source of the abuse? Do they have a good social support sytem?
ROLE OF THE HEALTH-CARE WORKER
-What principles are important to implement?
Principles of Elder Care
PRINCIPLES OF ELDER CARE
1. Encourage ____
2. Raise ____
3. Provide _____
4. Demonstrate ____, _____ manner
5. Identify and include ____ and ____-____ ____
6. Actively ____
7. Integrate _____, ____, and ____
8. Assist in setting _____ _____
9. Monitor _____ and _____
10. Follow-up on ______ concerns
- confidence
- self-image
- empowerment
- kind, caring
- family, social-support systems
- listen
- spirituality, hope, and faith
- personal goals
- exercise and nutrition
- health
PRINCIPLES OF ELDER CARE
-What type of goal can they set?
-What should you make sure?
-Walking for 15 minutes
-That the goals are realistic
PRINCIPLES OF ELDER CARE
-With exercise, you should make sure that what?
That it is within their capacity
