Chapter 24 LECTURE 9 PART I Flashcards
Older Adult
Who is considered an older adult?
People who are 65 and older
Older adults are _____ longer & _____ longer
living; working
-Numbers of older adults is (increasing/decreasing) dramatically
-Who is aging and retiring?
-increasing
-“Baby Boomers” (1946-64)
What is a significant issue for many older adults?
Poverty
More older adults are ____ in the community
“aging in place”
Older adults use the most what?
Health care dollars in the last 7 years of life
When is Medicare available?
Beginning at age 65
HEALTHY PEOPLE 2030 GOALS FOR THE ELDERLY
-What are the two overarching goals of Healthy People 2030?
- Attain high quality, longer lives free of preventable disease, disability, injury, and premature death
- Achieve health equity, eliminate disparities, and improve the health of all groups
HEALTHY PEOPLE 2030 GOALS FOR THE ELDERLY
-Healthy People 2030 aims to create ____ and ____ environments that promote what?
-social
-physical
-good health for all
HEALTHY PEOPLE 2030 GOALS FOR THE ELDERLY
-Healthy People 2030 aims to promote what 3 things?
- Quality of life
- Healthy development
- Healthy behaviors across all life stages
BIOLOGY & GENETICS
-Is health promotion beneficial at any age?
Yes
BIOLOGY & GENETICS
-What is one of the biggest challenges for older adults?
-There is a large variability in what?
-Differentiating normal age-related changes from pathology
-age-related changes within each individual
BIOLOGY & GENETICS
-There is a large prevalence of what?
-This limits daily ___ for __% of individuals who are older than ___ years old
-It impairs ____/____ to learn ____ ____
-Most limitations are due to what?
-chronic diseases
-activities; 50; 65
-ability/motivation; health behaviors
-physical changes with aging
BIOLOGY & GENETICS
-What are factors that can contribute to this? (4)
- Self-perception
- Cultural background
- Economic resources
- Access to health providers
HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN
-What is an important factor in maintaining health?
Motivation
HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN
-What is the nurses role?
To help older adults understand the importance of health factors
HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN: Health Promoting Activities
1. Maintaining what?
2. Staying ____
3. ____ prevention
4. Maintaining _____
5. Keeping regular ____ ____
-What two things are beneficial?
- Healthy weight/diet
- Active
- Fall
- Relationships
- Medical appointments
-preventive screening & services
MOBILITY DEVICES FOR THE ELDERLY
-What do mobility devices greatly enhance?
The lifestyle of the elderly with a mobility deficit
MOBILITY DEVICES FOR THE ELDERLY
-What do mobility devices facilitate? (5)
- Travel
- Visiting family and friends
- Activities of daily life
- Independence
- Socializing
NUTRITIONAL-METABOLIC PATTERN
-Nutrition plays an important role in preventing what 3 things?
- Cancer
- Gastrointestinal disorders
- Obesity
NUTRITIONAL-METABOLIC PATTERN
-What do energy levels require?
Adequate intake
NUTRITIONAL-METABOLIC PATTERN
-Poor nutrition increases what?
Health costs
NUTRITIONAL-METABOLIC PATTERN
-What is a problem for many adults?
Food insecurity
NUTRITIONAL-METABOLIC PATTERN
-Normal aging causes a decline in what?
-Nutritional _____ and _____ issues can occur
-Deterioration of what three things?
-What two kinds of problems can occur?
-gastrointestinal function
-absorption & elimination
-vision, smell, and taste
-dental and swallowing
ELIMINATION PATTERN
-What two things decrease?
- Bladder capacity
- Gastrointestinal mobility
ELIMINATION PATTERN
-______ is a major problem for seniors
-What are 4 things that can cause this?
-Constipation
1. Medications
2. Sedentary lifestyle
3. Diet
4. Diseases
ELIMINATION PATTERN
-What are 3 things that can help?
- Increased fluid and fiber intake
- Exercises
- Prunes are effective for preventing constipation
ELIMINATION PATTERN
-Incontinence affects what percent of older adults?
50%
ACTIVITY-EXERCISE PATTERN
-Only what percent of older adults meet the exercise guidelines?
20%
ACTIVITY-EXERCISE PATTERN
-Exercise is important to ____, ____, or _____ what?
-reduce, stop, or reverse
-physical decline
ACTIVITY-EXERCISE PATTERN
-Nurses should teach about what?
The benefits of exercise and the gradual increase of it
ACTIVITY-EXERCISE PATTERN
-What does the CDC recommend?
A combination of aerobic exercise and muscle-strengthening activities every week
ACTIVITY-EXERCISE PATTERN
-What are three popular activities?
- Walking
- Water aerobics
- Chair yoga
ACTIVITY-EXERCISE PATTERN
-What is important to do prior to beginning exercise?
Pre-exercise health evaluation
ACTIVITY-EXERCISE PATTERN
-A goal of Healthy People 2030 is to increase what?
exercise
SLEEP-REST PATTERN
-There is a(n) (increase/decrease) in total hours of sleep required
-There is a(n) (increase/decrease) in _____ awakenings and (longer/shorter) periods of sleep
-a decrease
-an increase; nocturnal; shorter
SLEEP-REST PATTERN
-There is a high prevelance of what?
Sleep disorders
SLEEP-REST PATTERN
-What are common sleeping problems? (3)
- Sleep apnea
- Daytime sleepiness
- Insomnia
SLEEP-REST PATTERN
-Healthy People 2030 has ____ sleep health goals from what?
-Sleep is necessary for what?
-retained
-2020
-cognitive function
SLEEP-REST PATTERN
-What do nursing homes or acute care facilities present?
-Why?
-Challenges to sleep
-Lights, noise, schedule
SLEEP-REST PATTERN: Nursing Interventions
-What should be taught?
Normal changes in aging sleep
SLEEP-REST PATTERN: Nursing Interventions
-What should be increased?
Physical activity
SLEEP-REST PATTERN: Nursing Interventions
-What two things can be helpful?
- Pain management
- Sleep rituals
SLEEP-REST PATTERN: Nursing Interventions
-What kind of adjustments can be made?
-Such as what?
-Environmental
-Lights, sound, noises
SLEEP-REST PATTERN: Nursing Interventions
-Sleep-medications should be short-term or long-term use only?
-Why is this?
-Short-term
-There is an increased risk of cognitive decline, falls, and dependency with long-term medications
SLEEP-REST PATTERN: Nursing Interventions
-What should be evaluated?
-What can be either beneficial or problematic?
-Whether daytime napping is causing problems for nighttime sleeping
-Napping
