Chapter 31: Living with Chronic Diseases Flashcards
The goal of living with chronic diseases is to maintain a high-quality, satisfying life, and not be controlled by ___
the disease
Gerontological nurses need to understand the unique __ and __ for older patients living with chronic conditions
challenges & goals
Older adults are living ___ and the life expectancy is ___.
longer
longer
__% of older adults have at least one chronic disease
80%
Incidence of chronic disease is ___ with advancing age
higher
The goals are always meant to ____
promote healing
__ implies the mobilization of the body, mind, & spirit to control symptoms
healing
Maintain or improve self-care capacity promotes ___
independence
You can boost the body’s healing abilities through ___ ___.
effective nutrition
You want to die with ___ and ___
comfort & dignity
A goal for chronic care could be to delay ___ and ___.
deterioration and decline
Nurses should create a ___ human & physical environment for their patient.
therapeutic
The nurse should facilitate the ___ ___.
healing process
The nurse’s role includes doing what 6 things for patients?
Educate, empower, reinforce, affirm, validate, & remove barriers
__ __ must be reviewed & validated with the patient & family members to develop goals for care
Care needs
A factor that promotes a positive physician-patient relationship can include:
feeling comfortable with your physician.
Role of the chronic care coach:
feedback & positive reinforcement, support, encouragement, & assistance
What are examples of a chronic care coach?
case managers, social workers, etc.
___ patients are able to manage & prevent complications
Informed
Where can chronic care patients obtain/increase knowledge?
- Newspapers
- Libraries
- Organizatioons
- Center for Disease Control
- Internet (NOT GOOGLE)
What can be located through:
Telephone directories
Local agency on aging-senior centers
National organization headquarters
support groups
Patients should make smart lifestyle choices such as:
Compliance with treatment plan Dietary practices Regular exercise Stress Management Assertiveness Development of a healing attitude & mind set
Utilization of the body’s capacity to heal itself is ____ ____.
CAM therapies
The ___ is in charge of the healing process in CAM therapies.
patient
In CAM therapies, the nurse needs to discuss therapies with the __ __ __.
health care provider
___ medication can interfere with pharmacological medicine
Herbal
Why are herbal medications not approved by the FDA?
because you don’t truly know the side effects to the medications.
If someone has difficulty sustaining treatment measures, what should the nurse do?
Ask and figure out why they are not being compliant.
___ is a huge factor in the course of chronic care.
Motivation
If someone has no ___, they won’t be effective with managing their disease.
motivation
4 Reactions as Defense Mechanisms:
Denial
Anger
Depression
Regression
What factors can impact the degree to which the patient lives effectively and lead to altered self-concept?
Psychosocial
The goal of the course of chronic care is to achieve ___ ____ ____.
optimum psychosocial health
What are 3 potential effects of the caregiving role?
- sacrifices and compromises
- disruption to health
- resources (can offer them help)
You need to realistically evaluate caregiving responsibilities & identify the options for __.
care
There is __% of chronic care patients institutionalized at any given time.
5%
At some point in lives, ___ older men & __ older women spend time in LTC (long term care)
1/3
½
The first choice of the need for institutional care is generally caregiving in __ __
the home
___ need support & assistance from the nurse when the decision for assisted living or nursing home care is needed.
Families
The nurse should always be monitoring of the __ and __ health.
patient and family
