Gero- Physical Activity/Exercise CHPTR 18 Flashcards
Regular physical activity does what?
- Enhances Health
- Enhances Functional Activity
- Decrease Chronic illnesses
- Decreases Functional Limitations
Physical activity is a protecting factor against what?
Depression
Enhances mood level
What are the health benefits of physical activity?
-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
How many older adults exercise regularly?
16%
What is considered a leading risk factor for global mortality?
Physical inactivity
What are the global mortalities caused by physical inactivity?
- Hypertension
- Smoking
- High blood glucose
- Physical inactivity
- Obesity
When doing an assessment of function and mobility on an older adult, what should be considered?
- What is appropriate (time/exercising)
- What can/can’t they do
- What will hurt them
What should be provided as part of the assessment of the older patients function and mobility?
-Exercise counseling?
***Is 30 min a day/ 5 days a week appropriate for patient
What does older patient that are FRAIL need more compared to an average older adult?
-more comprehensive assessment to adapt exercise recommendations
WHY?
**Ensure benefit w/o compromising safety.
What are screening/interventions that can be done for patient r/t physical activity and aging? (programs)
-CDC “Growing Stronger” program
What are older adults less likely to receive from their primary care providers compared to younger adults?
- Exercise Counseling
WHY?
** The primary care provider may assume individual will not exercise.
What interventions can the nurse do to promote physical activity and exercise in the aging older adults within the community/long term care ?
- Design/ Lead exercise and physical activity programs
HOW?
*** Letting cans of bean weighing 1 lb or small bags of flour
What age group does the physical activity guidelines are used for?
- Adults 65 yrs or older
- Generally Fit
- No limiting health conditions
(Look at chart/ May list in Note Cards)
- 18.5
- 18.1
What are some ways older adults can incorporate physical activity into their lifestyle?
- 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)
The benefits of physical activity extends to what type of older adults?
- Frail older adults
- Non-ambulatory
- Cognitively impaired
- Residing in assistant living facilities/ skilled nursing facilities
Research suggested what will happen to older adults with cognitive impairment who participate in exercise programs will improve in?
- Strength and endurance
- Cognitive function
- Ability to perform ADL’s
Hospitalizations in the acute care setting are associated with significant greater loss of what?
- Total, Lean, Fat mass strength in older adults.
Why is the baseline assessment of functional ability important in the Acute care setting?
- Can assist in setting appropriate goals for hospitalized patients
What should be included in the plan of care for older adults in the Acute care setting?
- Interventions
WHY?
**To maintain or improve function for all acutely ill older adults
What type of approach is needed during Function-Focused Care (FFC) of an older adult?
- Comprehensive, System-level approach that prioritize the preservation and restoration of functional capacity or what the patient already have (functional capacity)
What is the philosophy of Function-Focused Care (FCC)?
- nurses acknowledge older adults physical activities and cognitive capabilities with regard to function and integrate functional and physical activities into all care interactions.
What are tips for function-focused care in acute care?
Box 18.8
- 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.
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
-30 min daily 5 times a week
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
-All of the above
