Chp 15

Question 1

Chronic Illness

Answer 1

One that lasts 3 months or more

Question 2

Acute Illness

Answer 2

Medical problems develop rapidly

Question 3

Cerebrovascular Accident (CVA)

Answer 3

Stroke

Question 4

Pathology

Answer 4

The science of the causes and effects of diseases

Question 5

Congestive Heart Failure (CHF)

Answer 5

The inability of the heart to pump blood to meet the metabolic demands of the body

Question 6

Deconditioning/ disuse syndrome

Answer 6

-Decreases muscle mass and muscle strength due to decrease in activity

Question 7

Osteoporosis

Answer 7

most common bone disease in older adults; disease in which bones become fragile and are more likely to fracture

Question 8

Macular Degeneration

Answer 8

Destroys the point of maximum sight- the macula. Blindness does not result, but the person loses central vision

Question 9

Cataract

Answer 9

clouding of the eyes; blurred vision and difficulty with night time driving are first clues of formation

Question 10

Glaucoma

Answer 10

One of the leading causes of blindness and results from pressure in the eye that optic nerve. Central vision is retained, but peripheral vision is lost.

Question 11

The differences between acute and chronic diseases

Answer 11

• The person experiencing an acute problem notices symptoms for a few minutes to less than a month
• Chronic diseases can’t be prevented by vaccination but can be controlled w/ appropriate meds

Question 12

Most frequent chronic conditions in elderly

Answer 12

• Cardiovascular Disease (including hypertension)
• Arthritis
• Diabetes
• Kidney disease
• Mental health issues

Question 13

The goal with treating chronic conditions

Answer 13

This care should be focused on assisting the older adult to function at the highest possible level in the physical, social, psychological, and spiritual arenas of life

Question 14

The alternative goal with treating chronic conditions

Answer 14

Is to work with an individual to enable him or her to die with dignity; this is a realistic goal that needs to be acknowledged when working with people who have chronic illnesses

Question 15

Condition known as the “silent killer”

Answer 15

Hypertension

Question 16

3 rationales for doing a ROS (review of systems)

Answer 16

• Older people frequently have nonspecific, atypical symptoms. The review helps to identify possible causes for present problems. It is a method of defining the usual and unusual for the individuals
• Changes of aging may affect two or more body systems simultaneously. The review can help to show how an interaction between systems occurs
• Older people often have a complex history. The review can help to tie the past into the present problem