Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

N328 Gero > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

what is the goal of functional assessment screening?

A

restore/improve health

monitor changes

enhance independence

identify disabilities/risks

screen for issues needing further assessment

evaluate need to resources

avoid making a person more frail

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Screening vs. diagnostic

A

screening tools are standardized tools to identify the RISK of a problem and target at risk populations, independent nursing intervention and they may direct us toward diagnostics or nursing intervention

diagnostics tests are used to identify or diagnose a specific medical condition and are individualized to the person and requires an order by a licensed physician

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what makes a good screening tool?

A 
easy to use
inexpensive 
accurate
sensitivity
specificity 
treatable condition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what three things does a functional assessment involve?

A

physical
psychological
socio-economical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

functional assessment screening includes a systematic review of these areas

A 
vision/hearing
mobility
oral/nutrition
cognition
ADL and IADL
home environment
social support
chronic pain 
medications
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

failure to consider a client’s functional status can lead to

A

excess disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

vision screening

A

condition of glasses
Rosenbaum (reading)
Snellen chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

hearing screening

A

whisper test

finger rub

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

lower extremities screening

A

get up and go test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does DRIP stand for

A

D= delirium, depression, dementia
R= retention, restricted mobility and/or environment
I= infection, inflammation, impaction
P=pharmaceuticals, polyuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

quadruple A’s of nutrition

A

appearance
appetite
access
ability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cognitive function/screening tools

A 
Delirium, depression, dementia 
mini-mental status exam (MMSE)
mini-cog
geriatric depression scale (GDS)
cornell depression scale
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Falls

A

1 in 3 OA over 65 fall each year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the 5th leading cause of death in OA

A

accidents
deaths from falls is 2/3
most occur at home
more health problems=greater fall risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

fallers vs nonfallers

A

used mobility devices more

lower functional independence

rated the usability of their homes lower

cane users

person-environment fit model better predictor than environmental hazards adaptations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what causes falls? (person factors)

A

postural hypotension

weakness

functional cognitive, and sensory changes

medication

pain

poor balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what causes a fall? (environmental factors)

A

poor lighting

slippery or uneven flooring

unexpected objects

restraints

lack of structural support

18
Q

Prevention of falls (at home)

A

secure or eliminate loose rugs

remove clutter

assess for adequate lighting

assess bathroom for grab bars

emergency alert system

obtain referrals for OT and PT

19
Q

screening for falls

A

get up and go test
morse fall scale
tinetti balance screen
hendrich fall assessment

20
Q

Nursing role in fall prevention

A

primary in fall prevention are the INTERDISICPLINARY team and coordination between setting

21
Q

what patients and families need to know about falling

A

it is not a normal part of agin

the risk of falling can be minimized

falling may be an early sign of illness

22
Q

osteoporosis and falls

A

osteoporosis has a greater impact than cancer of disability and death

bone mass loss

prevention is goal (screen with bone density)

effective treatment (complexx medication regimens, calcium, vit D, biphosphonates)

23
Q

prevention and treatment for osteoporosis

A

weight bearing excerise

balancing exercises

healthy diet- rich in calcium and vitamin D

start prevention in the 20s

24
Q

Tinetti Fall Assessment- Balance

A 
sitting balance
arises
attempts to rise
immediate standing balance
standing balance 
nudged
eyes closed
turning 360 degrees
sitting down
25
Q

tinetti balance assessment-gait

A 
indication of gait
step length and height
foot clearance
step symmetry
step continuity 
path
trunk
walking stance
26
Q

changes in sleep with aging

A

more naps

increased sleep latency (longer to fall asleep)

increased awakenings and arousal

decreased stage 3 and 4 (slow wave deep sleep)

decreased rem sleep

reduced sleep efficiency

decreased melatonin levels

27
Q

poor sleep can lead to

A

decreased attention, vigilance and memory

increased depression

increased problems with balance

increased car accidents

increased HTN, CVD morbidity and mortality in those with sleep apnea

28
Q

common sleep disorders

A

insomnia

chronic pain

obstructive sleep apnea

restless leg syndrome/periodic limb movement disorder

29
Q

what is insomnia (assessment included)

A

the inability to fall asleep or stay asleep as long as desires

assessment involves obtaining sleep history (naps?, coffee, alcohol, pain?) and tools are epworth and pittsburgh sleep quality and index

30
Q

causes of insomnia

A

depression

anxiety/PTSD

dementia

parkinsonism

31
Q

managing insomnia

A

help elder adjust to changing sleep rhythms

manage health conditions

cognitive therapy for depression/anxiety

gentle yoga/stretching exercises

32
Q

what is obstructive sleep apnea

A

most common

cessation/reduction in airflow for greater than 10 sec

caused by obstruction/collapse of airway

leads to oxygen desaturation

loud, chronic snoring

lack of dreaming

33
Q

causes of sleep apnea

A 
obesity
family history of OSA
men>women
small airways (allergies, trauma, anatomy)
smoker
34
Q

risks of sleep apnea

A

dementia
cardiovascular disease
poor blood sugar control
day time sleepiness

35
Q

treatment for sleep apnea

A

identify it

weight loss

stop aggravating factors (alcohol, smoking, etc.)

CRAP machines

surgery

36
Q

restless leg syndrome/periodic limb movement disorder

A

repetitive movement of legs during sleep

common in parkinsonism, renal disease, diabetes and spinal disease

medications may exacerbate problem (antidepressants, antipsychotics, alcohol)

worse in the evening

onset during inactivity

nighttime leg twitching

helps to move

37
Q

supplements that may help restless legs

A

iron
magnesium
folic acid/B-complex

38
Q

RLS home remedies

A

OTC pain meds

warm baths and massage

warm or cool packs

relaxation techniques

exercise

improve sleep hygiene

39
Q

Sleep hygiene

A

consistent sleep and wake schedule

create a regular, relaxing bedtime

sleep-conductive environment

comfortable mattress and pillows

used bedroom only for sleep and sex

finish eating at least 2-3 hours before bed

exercise regularly

avoid caffeine

limit alcohol

40
Q

Pain

A

the most common reason for seeking health care services

41
Q

Nocioceptive Pain

A

occurs when pain receptors are stimulated during injury or trauma

caused by active illness, injury, and/or inflammatory process

lasting less than 6 months (acute pain)

N328 Gero (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions