geriatrics Flashcards
geriatric
age over 65
old old adults
age 85 and older
young old adults
65-74
causes of aging
genetics
diet
environment
common chronic conditions
osteoarthritis/osteoporosis
HTN
heart disease
cancer
DM
caratracts
macular degeneration
define frailty
three or more of the conditions met
conditions for frailty
- unplanned weight loss >10lbs in past year
- weakness (grip strength)
- poor endurance/energy (self reported)
- slowness walking
- low activity level
elder abuse affects what % of elderly
2-10%
define neglect
a failure or refusal to provide basic life needs or companionship
define abandonment
desertion by an individual who has assumed responsibility for care
signs of abandonment
pt reports being abandoned
signs of financial abuse
living situation below resources, sudden change in finances
signs of neglect
pt reports, untreated pressure injuries, malnutrition, dehydration, poor hygiene, agitation, ambivalent behavior
signs of physical abuse
bilateral injuries, repeated injuries in various stages of healing, burn marks, over-sedation, use of several ED’s
signs of psychologic abuse
depression, withdrawn, agitation, ambivalent attitude
signs of sexual abuse
pt reports, unexplained vaginal or anal bleeding, bruised breasts
signs of violation of personal rights
sudden inexplicable changes in living situation, confusion
bible verses given in class on ageism
Isaiah 46:4
Leviticus 19:32
Significant early S&S
changes in mental status
unexplained falls/dizziness
dehydration
loss of appetite
incontinence
major areas of concern
INSPIRE
Intellect
Nutrition
Self-concept
Physical activity
Interpersonal functioning
Restful sleep
Elimination
interventions for intellect
keep family involved, keep pt stimulated
common conditions of intellect
dementia, delirium, depression
Common concerns in Nutrition
SCALES
sadness or mood change
cholesterol
albumin
loss or gain of weight
eating problems
shopping or cooking problems
self concept nursing care
encourage hobbies, support care givers, screen for depression
physical activities concerns
temp regulation
falling
instrumental activities of daily living (IADLs)
interpersonal functioning concerns
women are more likely to live alone on a low income and chronic health problems
restful sleep concerns
tend to have shorter REM cycles
insomnia
how to promote good sleep habits
encourage regular bed times
avoid caffeine and exercise 4 hours before bed
may benefit from mid afternoon nap
interventions for elimination struggles
establish realistic expectations
increase fluid and fiber
avoid gas forming foods
maintain dignity
adult day care
Community based supervision involving social and recreational services
adult day health care
Similar to day care but with a higher level of health care
home health care
HCW come to pts home to provide care
assisted living facility (ALF)
in-patient care
skilled nursing inpatient facility
typical nursing home
24 hour care
community senior centers
for seniors living alone but in need of community
medicare is for who
people over 65 or w certain disabilities
people with ESRD requiring HDY or kidney transplant
what medicare doesnt cover
long term care
ADL care
dentures/dental
hearing aids
glasses
medicaid is for who
low income individuals
who pays for the majority of long term care in the US
medicaid
