GERO Final Flashcards
Gero review is complete with all four reviews
Define social security
Intended to supplement other sources of income but is how the MAIN source of income for older adults
Define medicare
Health insurance program for older adults
Define Federal old-age insurance law
1st significant step in improving the lives of older americans ; provided some financial security for the elderly
What should nurses consider when planning & developing care plans or programs for older population
Increasing diversity of this group means developing appropriate care plans should meet the needs of older population; optimal planning- includes both life expectancy the increasing % of people over the age 65 in the coming years
How does financial status of the older adults population influence their overall health & their lives?
“asset rich & cash poor”, High prevalence of home ownership % of older adults living below poverty level has declined to aid programs
Nurse Advocacy: how can nurses connect client with needed resources
if a pt cant afford supplies like a walker, refer them to social services
what phenomena about older women is different when compared to males
females are more likely to live longer & be widowed
What is the impact of chronic illness on the older population
Chronic illness is a major, leading cause of death. Hypertension is leading chronic condition; highest priority! other chronic conditions: High cholesterol, asthritis, diabetics, heart failure, depression, ischemic heart disease, chronic kidney disease, COPD & alzheimers disease. dementia
Define Error theory of aging
genetic DNA mutations, causing organ decline as a result of self perpetuating cellular mutations
Define Biogerontology
the study of the connection between aging & disease
Define disengagement theory
Process of gradual disengagement between societys interepts & those of the indiviual interests (beneficial for both parties)
Define free radical theory
Oxidative metabolism & effects of free radicals; damage proteins, enzymes & DNA & replace normal processes: causes genetic disorder
Define Anatgnostic pieiotrophy
Accumulated & mutant genes that have NEGATIVE EFFECTS IN LATE LIFE, may have beneficial effects in early life but how harmful late in life
Define continuity theory
Personality & basic patterns of behavior will remain unchanged as the individual ages
Define activity theory of aging
older adults should continue a middle-aged lifestyle & should be treated as if they are still middle-aged adults
Define empowerment
To make informed decisions about health; leads to positive health outcomes
Tasks of EGO vs despair
Ego integrity- to accept & find meaning in life lived
Task of ego vs DESPAIR
Despair integrity- feelings of anger, bitterness, depression or inadequancey
Nurse role in discussing death & dying with older clients
Listen to pt & encourage to share their feelings
How dow a failing immune sx affect body sxs or overall health
Increases the incidence of cancer; body recognizes aged cells as foreign & attacks them
Define Ethnogeriatrics
the effects of ethnicity & culture on the health and well being of older adults
Developing culturally competant care
Nurses role: increase knowledge base about different cultures & ethnicities, practices, behavior & views; understanding cultural & ethnic differences help eradicate stereotypes & biases; recognization will increase appreciation for unique characteristics of each individual
what health issues should be considered when providing care for different ethnic groups & developing programs to increase positive health outcomes?
Black americans: hypertension, heart diease, cancer, diabetes, higher death rates from heart disease, stroke, asthma, cancer, flu, pneumonia, HIV/AIDS, homicide (higher risks. of smoking, obesity or cancer
what health issues should be considered when providing care for different ethnic groups & developing programs to increase positive health outcomes?
Asian americans: may not report pain; Hispanic americans: less likely to visit physician, more likely to have difficulty obtaining care; Native americans: high prevalance & risk in preventable diseases: stroke, diabetes, hypertension, heart disease, cancer ,cirrohsis , chronic lower respiratory disease
Identify different ways to learn about cultural influences & ethnic diversity
Ensure cultural, religious, & sexual differences of older adults are understood, appreciated or respected; find ways to increase cultural competance; try to understand what cultural influences dictate a clients health care pracitces, needs & what is allowed/denied
Define Old age
A lot of things changing, this aging process requires stamina, ability & flexibility
Define widowhood:
loss of a spouse, alters family roles, adjustment to changes
Independent vs Depencdency
Older adults have fears associated with dependency illness or disability may cause them to loss their independence
The older adult & sexuality
Older adults still may be sexually active
Define preretirement:
preparation phase; planning; fantasy regarding retirement role
Define retirement
Belief that work is dues paid for being an active member of a productive society “honeymoon period”
Define Disenchantment
Persons whole identity or form of social interaction; significiant void is felt; a letdown or disappointment; depression
Body changes related to advanced aging & how they impact the body
shift in self concept, body image & roles; difficulty in acceptance of physical changes, things they could do before, they are not able to how; illness & disability, development of chronic disease
Is memory loss/ intelligence decline a normal process of aging?
No it is not
Family education regarding periods of solitude for older adults
Periods of solitude allows for life analysis for family concerns of parent being “alone/lonely”; reflection & understanding
How will one determine the emotional well-being & self concept of the client?
by what roles they accept & what roles they reject
Changes in the urinary body sx
reduced bladder capacity, frequent urination, urgency, nocturia, urinary incontience( not a normal part of aging)
Changes in the cells of body
Extracellular fluid remains constant, but intraceullular fluid decreases = less body fluid (risk for dehydration)
changes in the respiratory sx
Risk for aspiration, assessment: swallow test, lung sounds, cough/choking; loss of elasticity & increased rigidity in tissues, prescence of serous fluid in or around lung or tissues could indicate a pathologic process
Changes in the GI sx
Decreased esophageal motility (presbyesophagus, food remains in the esophagus longer); increased risk for aspriation, indigestion & constipation; tooth loss not normal part of the aging process, decreased stomach motility (peristalsis)
Changes in the immune sx
decrease immune response (immunosenescence), decreased serum activity of the thymic hormones; almost undectable in older adults; risk for INFECTION
changes in the musculoskeletal
kyphosis, increased risk for fractures & falls = reduced bone minerals & mass, diminished calcium, bones more brittle, most common in hip, spine & femur fractures; sarcopenia: age related loss of muscle mass
changes in sensory organs; auditory
presbycusis: progressive loss of hearing, changes in structures of inner eat
changes in sensory organs; vision
presbyopia: inability to focus on close objects clearly; catacts & glaucoma, night blindess (nyctalopia); Arcus Senilis: white, gray, or bluish ring around eye
Why is a digitial rectal exam important
prostate enlargement in men, risk of being malignant, follow up is vital
Define family centered care
this improves client & family outcomes by providing needed support and or resources
Define educator
share knowledge & skills related to care of older adults in all areas, use effective communication
Define advocate
aid individuals in asserting their rights & obtaining required services, facilitate communities or other groups efforts to effect change & achieve benefits & promote gerontological nursing
Define evidence based practice (EBP)
best practices aare evidence based & built on their expertise of the nurse
Define American Nurses Association (ANA)
the only set of standards developed by & for gerontological nurses, used as a guide to direct nursing care for this population
Nurses role as an educator
organize material before teaching, avoid medical jargon, speak on a level & language that is understandable & provide written materials to complement verbal instruction; should be able to address knowledge defecits & find out how much they know & teach from there
Define cost effective care
family inclusion “helping hands” treatment options & various resources ex family member feeding, dressing client
Holistic model of gerontological care
perform an assessment 1st, integration & quality of life, considers mind, body & spirit. considers a state of wholeness & considers the unique physiologic , psychiatric, social & spiritual challenges IN EVERY PHASE OF NURSING PROCESS
Nursing actions to promote inner resources for self care & attain optimal health & wholeness
eliminate/minimize selfcare limitations; provide direct services when demands can not be met independently; promote maximum independence for positive outcomes; evident by active participation in their own care on a regular basis; increasing autonomy & empowerment
Define coaching
to improve compliance & motivation
define education
for understanding; knowledge deficit
define coordination
multidisiplinary care from entire health care team
Define empowerment
involving client in their care; needed any time a care plan is developed, need responsible & active participants in their care
Define prescence
giving patients full, undivided attention, actively listen, protect interactions with patients from distractions
define availability
provide time & space for patients to express, explore & experiences, convey openness & interest, allow patient a safe space
Willingness to form connections
offer insights, commitments to learning & engage with openness, respect, acceptance & nonjudgemental attitude
Modeling holism
Starts with good self care practice, attentive & physical emotional spiritual well being, behave as you desire others to behave
inner resources & empowerment
meet lifes challenges, need inner resources to meet self care needs; active client participation on a regular basis, empowerment, promotes normalcy, independence & individuality
What is the goal of gerontological nursing What does that mean?
Goal is to address maximize the quality of life when one possess an incurable illness or disability. This means to help the older adult transition to death with comfort, peace, and dignity as death approaches
Define consent
granting permission to have an action taken or procedure performed
define durable power or attorney
allows competent individuals to appoint someone to make decisions on their behalf if they become incompetent
define privacy legislation
law protects the clients rights & confidentiality & health information from being released without their consent
define negligence
failure to conform to the standard of care by nurses actions