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gero > Gero- Physical Activity/Exercise CHPTR 18 > Flashcards

Gero- Physical Activity/Exercise CHPTR 18 Flashcards

1
Q

Regular physical activity does what?

A
  • Enhances Health
  • Enhances Functional Activity
  • Decrease Chronic illnesses
  • Decreases Functional Limitations
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2
Q

Physical activity is a protecting factor against what?

A

Depression

Enhances mood level

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3
Q

What are the health benefits of physical activity?

A

-Reduce hypertension, coronary artery disease, heart attack, stroke, diabetes, colon & breast cancers, metabolic syndrome, depression

  • reduce adv blood lipid profiles
  • Prevent weight gain
  • cardiorespiratory/ muscular fitness
  • neuronal function
  • reduce risk of falls and hip fractures
  • improve sleep quality
  • Improve bone and functional health
  • Decrease risk of early death (increase life expectancy)
  • improve functional independence
  • Improve walking speed, strength, functional ability of frail nursing home residence with diagnosis ranging from arthritis to lung disease and dementia
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4
Q

How many older adults exercise regularly?

A

16%

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5
Q

What is considered a leading risk factor for global mortality?

A

Physical inactivity

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6
Q

What are the global mortalities caused by physical inactivity?

A
  • Hypertension
  • Smoking
  • High blood glucose
  • Physical inactivity
  • Obesity
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7
Q

When doing an assessment of function and mobility on an older adult, what should be considered?

A
  • What is appropriate (time/exercising)
  • What can/can’t they do
  • What will hurt them
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8
Q

What should be provided as part of the assessment of the older patients function and mobility?

A

-Exercise counseling?

***Is 30 min a day/ 5 days a week appropriate for patient

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9
Q

What does older patient that are FRAIL need more compared to an average older adult?

A

-more comprehensive assessment to adapt exercise recommendations

WHY?

**Ensure benefit w/o compromising safety.

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10
Q

What are screening/interventions that can be done for patient r/t physical activity and aging? (programs)

A

-CDC “Growing Stronger” program

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11
Q

What are older adults less likely to receive from their primary care providers compared to younger adults?

A
  • Exercise Counseling

WHY?

** The primary care provider may assume individual will not exercise.

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12
Q

What interventions can the nurse do to promote physical activity and exercise in the aging older adults within the community/long term care ?

A
  • Design/ Lead exercise and physical activity programs

HOW?

*** Letting cans of bean weighing 1 lb or small bags of flour

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13
Q

What age group does the physical activity guidelines are used for?

A
  • Adults 65 yrs or older
  • Generally Fit
  • No limiting health conditions

(Look at chart/ May list in Note Cards)

  • 18.5
  • 18.1
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14
Q

What are some ways older adults can incorporate physical activity into their lifestyle?

A
  • Doesn’t require expensive equipment
  • Group exercise in terms of social and emotional health (Benefit)
  • Muscle strengthening exercises w/o weight bearing provide joint stability
  • Swimming (low risk + aerobic exercise) water based exercises are beneficial for individuals w/ arthritis or other mobility limitations. (will not cause discomfort or pain)
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15
Q

The benefits of physical activity extends to what type of older adults?

A
  • Frail older adults
  • Non-ambulatory
  • Cognitively impaired
  • Residing in assistant living facilities/ skilled nursing facilities
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16
Q

Research suggested what will happen to older adults with cognitive impairment who participate in exercise programs will improve in?

A
  • Strength and endurance
  • Cognitive function
  • Ability to perform ADL’s
17
Q

Hospitalizations in the acute care setting are associated with significant greater loss of what?

A
  • Total, Lean, Fat mass strength in older adults.
18
Q

Why is the baseline assessment of functional ability important in the Acute care setting?

A
  • Can assist in setting appropriate goals for hospitalized patients
19
Q

What should be included in the plan of care for older adults in the Acute care setting?

A
  • Interventions

WHY?

**To maintain or improve function for all acutely ill older adults

20
Q

What type of approach is needed during Function-Focused Care (FFC) of an older adult?

A
  • Comprehensive, System-level approach that prioritize the preservation and restoration of functional capacity or what the patient already have (functional capacity)
21
Q

What is the philosophy of Function-Focused Care (FCC)?

A
  • nurses acknowledge older adults physical activities and cognitive capabilities with regard to function and integrate functional and physical activities into all care interactions.
22
Q

What are tips for function-focused care in acute care?

Box 18.8

A
  • have pt. move in bed and give them time instead of moving them yourself
  • Give step-by-step cues on how to move in bed “put your right hand on the rail and pull yourself over onto your left side”
  • Ask or encourage the individual to transfer and wait for the individual to move rather than transferring the individual yourself or automatically using lift.
  • Give step by step cues or use gestures/demonstration on how to transfer safely “plant feet firmly on floor and slide to the edge of the chair” or “move your left foot forward; now move your right foot”
  • ask or encourage individual to walk or independently propel wheelchair and give the person time to perform the activity rather than doing it yourself.
  • Assist, ask, and/or encourage use of assistive devices; provide instruction on use and ensure that device is available and appropriate.
23
Q

How much time should be devoted to moderate activity in order to improve health?

  • 30 min three times a week
  • 60 min daily
  • 45 min two times a week
  • 30 min daily 5 times a week
A

-30 min daily 5 times a week

24
Q

In order to effectively incorporate physical activity into lifestyle, a person:

  • Doesn’t need expensive gym equipment
  • Incorporates muscle strengthening exercises w/o weight bearing
  • Considers group exercise for its social and emotional health benefits
  • All of the above
A

-All of the above

gero (7 decks)

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