Final Exam Flashcards
resilience
successfully adapts to difficult and challenging life experiences
hardiness
accepts events in life as challenges to overcome
what can lead to cognitive problems?
physical health
what is less acetylcholine at risk for?
alzheimer’s
what is less dopamine and norepinephrine at risk for?
parkinson’s
what is less serotonin at risk for?
depression
what are some ways to maintain brain function?
reading, conversation, writing, video games, cross-word puzzles, scrabble, maintaining a stable environment
the 3 d’s
dementia
delirium
depression
delirium
sudden, abrupt with decline over hours or days, where mental status may fluctuate
dementia
progressive decline, slow, over years; often unrecognized until deficits obvious
is delirium a medical emergency?
yes
what is good to assess in someone with dementia?
cognition
function
behavior
what does the FAST scale help with?
patients with alzheimer’s
what can be shown in stage 7 of the FAST scale?
- ability to speak is limited to 6 words or fewer
- speech is limited to use of a single intelligible word used over and over
- cannot walk
- loss of ability to smile
ABC’s of behavioral analysis
A = antecedent
B = behavior
C = consequence
major problem in patient’s with dementia
weight loss and falls
most prevalent mental health disorder in older adults
depression
is depression a normal part of aging?
no
part A medicare
helps with hospitalization fees, there are deductibles
part B medicare
helps with physician, NP, PA services
part D medicare
prescription drug plan
how would you question and elder patient about possible abuse?
“I notice there are several bruises on your arms. tell me about what happened”
phases of retirement
remote
near
honeymoon
disenchantment (if planning hasn’t been done)
compressed morbidity
when one lives a long life with a very short period of ill health before death
what is important about palliative care?
to improve QOL instead of quantity of life; treat symptoms rather than the disease
hospice care
program of care that supports patient and family through dying process
6 C’s approach in hospice care
- care
- control
- composure
- communication
- continuity
- closure
grief
individual’s response to loss
anticipatory grief
response to real or perceived loss before it occurs
acute grief
is a crisis; most intense in months immediately following loss
shadow grief
old memories never go away completely
complicated grief
can come in form of a acute grief that doesn’t significantly lessen over months and even years after loss
disenfranchised grief
if loss cannot be openly acknowledged or publicly mourned
how would you know a surviving spouse is showing positive grief?
- maintaining functioning
- honoring
- doing something they used to enjoy; moving forward
characteristics of self-actualized person
- courage
- altruism
- humor
- continuous moral development
- self-renewal
