EXAM 1 Flashcards
Medicaid
“title 19”, income based insurance used to pay for SNF. qualify only if less than $2000 in assets.
Medicare
federal insurance, all pts over 65 are eligible. there is a premium. does not cover longer than 100 day long term care stays
Social Security
major source of income for those over 65 years of age or with disability
SPICES
Sleep disorders
Problems with eating
Incontinence
Confusion
Evidence of falls
Skin breakdown
IADLs assessment
Lawton-Brody
laundry, telephone, finances, housekeeping, shopping, transportation, meds, food prep
best score= 8
ADLs assessment
KATZ
bathing, transferring, dressing, continence, feeding, toileting
best score= 6
3 components to assessment
Interview and health history,
Physical exam,
Functional assessments
MDS
minimum data set, under RAI, in assisted livings
OASIS
outcome and assessment info set. mandated in home care
OBRA
responsible for reform in nursing facilities. contains resident bill of rights. survey and certification
comorbidities
when an older adult experiences multiple chronic conditions/illnesses
IADL
instrumental activities of daily living (shopping, telephone use, laundry, transportation, food prep, finances, housekeeping)
ADL
activities of daily living (brushing teeth, bathing, dressing, toileting)
Neglect
refusal or failure to fulfil obligations to an older adult
Exploitation
illegal or improper use of an older adult’s finances, property, or assets
Sarcopenia
age related changes to muscle. decreased tissue mass, decreased strength + stamina, increased twitching + spasms
arteriosclerosis
normal. hardening of arterial wall
atherosclerosis
abnormal. plaque buildup inside artery wall
risk factors for falls
gait and balance
kyphosis
hump at thoracic area of spine, hunchback
xerosis
dry skin
pressure ulcer assessment scales
Braden scale and Norton risk assessment scale
risk factors for interviewing older adults
visual deficit
hearing deficit
pain
anxiety
multiple health problems
reduced energy
tendency to reminisce
risk factors for venous ulcers
pregnancy, obesity, varicose veins, previous DVT
risk factors for arterial ulcers
diabetes, hypertension, smoking, previous vascular disease
risk factors for neuropathic diabetic ulcers
diabetes, neuropathy, trauma, prolonged pressure
risk factors for pressure ulcers
limited mobility, shearing, friction, moisture, protein deficiency
ptosis
loss of eyelid tone
myopia
nearsighted, can see close
hyperopia
farsightedness, can see far
delirium
acute confusion, common w stimulus overload
RN: ORIENT
strabismus
weak eye muscles
arcus senilis
ring of fat deposits in cornea, turns it yellow
presbyopia
decreased focus on close objects
normal visual change
functional assessments
environmental
physical
psychological
socioeconomical
xerosis
dry skin
pruritis
itching
