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NURS 1255 > Iggy Older Adults > Flashcards

Iggy Older Adults Flashcards

1
Q

4 catagories old Old People

Name them and the fastest growing

A

65 - 74 young old
75 - 84 medium old
85 - 99 old old
100 + elite old

OLD OLD fastest growing

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2
Q

Decreased Nutrition & Hydration
Decreased Mobility
Stress and Loss
Accidents
Drug use and misuse
Mental health/ cognition problems
Elder neglect / abuse

All describe

A

Common health problems among geriatrics

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3
Q

Older adults need more (nutrition)

A

Calcium, Vita A,C ,D

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4
Q

As people get older their metabolism slows and they my moveless.

However their sense of taste and smell diminishes causing them not to eat. Or they season their food how, which has what affect

A

Too much salt or sugar

Get fat

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5
Q

A complex syndrome including under-nutrition, impaired physical function, depression, and cognitive impairment

A

Geriatric failure to thrive

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6
Q

Drug therapy, chronic disease, major losses, and being poor can often be confused with these symptoms from Geriatric Failure to Thrive

A

under-nutrition, impaired physical function, depression, and cognitive impairment

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7
Q

Why are elderly at risk for Dehydration

A

They have less body water compared to younger adults

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8
Q

Speed up the aging process

Lead to disease that increase rate of degeneration

Less ability to respond and adapt to changes in the environment

Describe the effects of…

A

Stress and loss

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9
Q

Medicaid Part ____ provides inpatient/hospital coverage.

A

A

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10
Q

Medicaid Part ___ provides outpatient/medical coverage.

A

B

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11
Q

Medicaid Part ___ provides prescription drug coverage.

A

D

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12
Q

Relocation stress syndrome

Describe

A

Physical/ Emotional stress that comes when a person gets put in an old folks home

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13
Q

Some seniors will develop fallophobia and avoid leaving their house

True or False

A

True

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14
Q

Presbyopia is….

A

Farsightedness that worsens with age

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15
Q

Macular degeneration causes ….

A

loss in the center of the field of vision.

In dry macular degeneration, the center of the retina deteriorates. With wet macular degeneration, leaky blood vessels grow under the retina

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16
Q

(Cataracts / Glaucoma) involves eye pressure and affects the optic nerve,

(Cataracts / Glaucoma)involve the breakdown of proteins and affect the lens

A

Glaucoma / Cataracts

17
Q

Most common cause of Injury Death in the Young-Old Population

A

Vehicle crash

18
Q

Common cause for Orthostatic Hypotension

A

Medication for HTN

19
Q

( Polymedicine / Polypharmacy) describes the use of medications for an older population for the treatment of multiple co-morbid conditions,

(Polymedicine/ Polypharmacy) represents a less-than-desirable state with duplicative medications, drug-to-drug interactions, and inadequate attention to pharmacokinetic and pharmacodynamic principles

A

Polymedicine / Polypharmacy

20
Q

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Increase in gastric pH, decrease in gastric blood flow, decrease in GI motility

Affect

A

Absorption

21
Q

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Smaller amounts of total body water, increased ratio of adipose to lean body mass, decreased albumin, decreased cardiac output

Affect

A

Distribution

22
Q

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Smaller liver, decrease liver blood flow, decrease in serum liver enzyme activity

Affect

A

Metabolism

23
Q

A ____ measures the glomerular filtration rate of your kidneys

A

Creatine clearance test

24
Q

Older adults cannot tolerate the standard dosage prescribed for younger adults.

Decreased renal blood flow and reduced glomerular filtration rate

Affect

A

Excretion

25
Q

Normal creatine clearance rate men & women

A

Men 107 / 139

Women 87 / 107

26
Q

ADE means

A

Adverse Drug Event

27
Q

To reduce Inappropriate Medication Use in over 65 use this criteria

A

Beers criteria

28
Q

Two forms of competent

Legal

18 or older
Pregant or married minor
Emancipación
Not declared incompetent by court

When is a person Clinically Competent

A

When legally competent & can make clinical decisions

29
Q

Primary depression results from

Secondary depression results from

A

Primary lack of Neutotransmitters, Norepinephrine & Serotonin

Secondary = Situational to a sudden change in life

30
Q

This diagnostic tool is used to sceen for Depression

A

Geriatric Depression Scale - Short Form (GDS-SF)

31
Q

Multi-infarct is…

A

Brain damage caused by multiple strokes.
Vascular dementia causes memory loss in older adults, particularly in those at higher risk of stroke due to obesity or diabetes.

32
Q

Whereas dementia is a chronic, progressive disorder, _____ is an acute state if confusion

A

Delirium

33
Q

Delerium (acute state of confusion) most often occours where

A

Unfamiliar places, ie. Hospitals

34
Q

Anticholinergics drugs do what…

A

have antisecretory activities and decrease nasal and bronchial secretions, salivation, lacrimation, sweating and gastric acid production

35
Q

Anticholinergic & psychoactive drugs
Infections
Electrolyte imbalance
Suregey
Hypoglycemia
Circulación, renal, pulmonary disorders
Hypoxemia
Major losss

May lead to (Dementia or Delirium)

A

Delirium

36
Q

Nursing interventions for Dementia & Delirium. In respect to orientation of the patient

A

Dementia (late stages) Dont reorientate. Instead Validate feelings

Delirium Reorientate to reality, proivde safe environment

37
Q

Fulmer SPICES is…

A

A framework to id 6 causes of longer hospital stays

Sleeep disorder
Problems with eating or feeding
Incontinence
Confusion
Evidence of Falls
Skin breakdown

38
Q

Risk factors for falls

> ___ years old

A

> 80

NURS 1255 (13 decks)

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