Final Exam Review Flashcards
Health promotion for young adults
You want to educate them on STI, substance abuse, personal hygiene.
Vaccines are the biggest health promotion for young adults.
Physical exams
Every 1 to 3 years
Dental exams
Every 6 months
Tuberculosis screening
Every 2 years
Visual acuity
Age 40 and under every 3 to 5 years
Ages 40 to 64 every 2 years
Ages 65 and older every year
Colonoscopy
Every 10 years after the age of 50
Cervical cancer screening
Ages 21-65 years every 3 years
At age 30 can decrease to 5 years
After 65 no testing is needed
Breast cancer screening
Ages 20=39 every 3 years
40 - 54 annual mammogram
Blood glucose screening
Starting at age 45, minimum every 3 years
Normal aging for older adults over 65
Loss of subq fat
Decreased liver and kidney function
Slower gastric emptying
NOT COMMON process of normal aging
Dementia
Depression
Delirium
Shingles vaccine
Adults over the age of 50 should get shingles vaccine
Pneumococcal vaccine
Adults over the age of 65 should get this vaccine
Presbyopia
Is an age related change
A decrease ability to focus on objects that are close
Priority for a client with sensory deficit
Keep the clients environment free from clutter
Those with sensory deficit have an increased risk for injury. Therefore the priority is safety, by removing things that may increase clients risk for fall.
Manifestation of dementia
Difficulty problem solving
Manifestations of delirium
Difficulty maintaining attention
Agitation
Rambling speech
Hallucinations
Braden scale
Pressure ulcer risk
1. Sensory perception
2. Moisture
3. Activity
4. Nutrition
5. Friction and shear
Presbycusis
Age related hearing loss
Changes in inner ear as you age (common for older adults)
Expressive aphasia
Can occur for stroke patients
Means the absence of speech
-people with this might signal speech
-use hand motions
-communicate non-verbally
Receptive aphasia
Patient can understand
They can speak well but they dont make sense (they say a lot of meaningless words)
May get frustrated because no one can understand what they are saying
Stagnation
Occurs in middle adulthood
- this is a state of being unconcerned about the welfare of others and feeling unproductive, uninvolved in the world, and dissatisfied with one’s life.
Integrity
Occurs during late adulthood
- this is achieved if individuals accept their life choices and have little desire to relive or redo their life.
This stage can occur during earlier life stages if the person feels they are near the end of life such as receiving terminal illness diagnosis.
Gabapentin
Gabapentin
• Treats seizures by slowing down activity of the brain
** Important to know side effects include drowsiness, dizzy, blurred vision*
Acute pain
Typical manifestations are guarding, let’s say if someone’s abdomen hurts they are going to come in with their arms across their abdomen. If they’re diaphoretic their vital signs are going to be increased so tachycardia, rapid respirations, hypertension.
Chronic pain
Vital signs can level out so you might not be able to tell just based off of their vitals signs that they are having this immense amount of pain it can cause a lot of patients to go into depression, fatigue from the chronic pain. These patients are on around the clock pain medications instead of just as needed.
Foods high in potassium
Choose baked potato!
This has more potassium than bananas or avocados
Foods low in potassium
Yogurt and orange juice
- so if there is a patient on a potassium restricted diet it is good to avoid these