Integumentary Function

Question 1

Age related changees to integ

Answer 1

Reduced epidermal proliferation (less regeneration)
Thinner dermis
Decreased moisture content
Decreased sweat and sebaceous glands

Question 2

Risk factors affecting integ system

Answer 2

UV exposure
Adverse med effects
Personal hygiene practices (laziness, mobility etc.)
Conditions increasing the risk for pressure ulcers and skin tears

Question 3

Skin tears in older adults

Answer 3

Occur very easily
Difficult to heal

Question 4

Negative functional consequences affecting integ

Answer 4

Dry wrinkly skin

Reduced sweating, shivering, tactile sensitivity

Increased susceptibility to skin cancer

Slower wound healing

Increased susceptibility to burns bruises, and skin breakdown

Question 5

Most common trhee types f skin cancer

Answer 5

Basal cell carcinoma
Squamous ccell carcinoma
Melanoma

Question 6

General warning signs for skin cancer

Answer 6

New skin lesions that
grow in size
New wounds that don’t
heal within 2 months
Flat patch of scaly skin
that won’t go away

Question 7

Basal cell carcinoma

Answer 7

Very common
Generally good prognosis
Can invade other tissue if untreated

Question 8

Squamous cell carcinoma

Answer 8

Early detection and treatment is imperative (malignant - spreads quickly)

Question 9

Melanoma

Answer 9

Most serious type of skin cancer

More prevalent in males

Sunburn susceptibilitiy
Multiple severe sunburns (damage can occur over time)

Question 10

Pressue ulcer def

Answer 10

any lesion caused by
unrelieved pressure that results in
damage to underlying tissue. Pressure
ulcers usually occur over a bony
prominence and are staged to classify the
degree of tissue damage observed.”

Question 11

Skin wellness promtoion

Answer 11

Limit UV exposure

Hydration

Regular inspection for changes

Prevent and manage pressure ulcers and skin tears

refer to wound care nurse early

Question 12

Risk factors affecting sleep werllness

Answer 12

Pain, nocturia
* Beliefs, attitudes or myths,
* Anxiety, depression
* Adverse medication effects
* Pathologic conditions
* Obstructive sleep apnea (OSA)
* Restless legs syndrome (RLS)
* Nocturnal myoclonus
* Environmental factors

Question 13

Negative functional consequences in older audtls

Answer 13

Increased time to fall asleep
Being roused from sleep more frequently
Increased difficulty returning to sleep
Increased time in bed with reduced sleep
Poorer quality of sleep

Question 14

Nursing intervention

Answer 14

Teaching about habits
Environmental modifications
Relaxation and mental imagery
Teach about med side effects
Addressing apnea

Question 15

OSA

Answer 15

Obstructive Sleep Apnea

Involuntary cessation of airflow for 10
seconds or longer (ie. apnea).
* Occurrence of > 5-8 apneic episodes/
hour.

Question 16

Cause of OSA

Answer 16

the muscles responsible for
holding the throat open relax during sleep
and block the passage of air.

Question 17

Symptoms of OSA

Answer 17

Daytime fatigue, morning headaches,
diminished mental acuity, loud snoring
punctuated by brief periods of silence.

Question 18

OSA negative effects

Answer 18

Related to
Hypertension
Stroke
Coronary Artery Disease (Arteries feedin the heart so myocardium isn’t as efficient)
Arrhthmias

Question 19

How is OSA treated

Answer 19

Continuous positive airway pressure (CPAP)

Can improve it to the extent that they no longer need the CPAP machine

Question 20

Age related changes affection thermoreg in older adults

Answer 20

Reduced
subcutaneous
tissue

Reduced
shivering

Reduced ability
to acclimatize to
heat

Reduced
sweating

Reduced
peripheral
circulation

Inefficient
vasoconstriction

Question 21

Risk factors for thermoreg issues

Answer 21

75 years
Adverse environmental conditions
History of alcohol use and medications (supress shivering

Chronic diseases

Question 22

Age related changes contribute to risk factors

Answer 22

Reduced ability to respond to adverse
temperatures
Increased susceptibility to hypothermia or
hyperthermia
Reduced febrile response to illness
(Remember older adults may experience
lower than normal body temperature as a
symptom of Pneumonia)

Question 23

Mild Hyperthermia symptoms

Answer 23

weakness,
lethargy, nausea,
headache and loss of
appetite

Question 24

Severe symptoms of Hyperthermia

Answer 24

dyspnea, dizziness,
tachycardia

vomiting, diarrhea,
muscle cramps

chest pain, mental
impairment and a
wide pulse pressure

Question 25

How is sexual health related to health

Answer 25

Neither uniquely physical or emotional, but a combination

Question 26

Common misconceptions with aging and sexual health

Answer 26

Aging = disinterest in
sexual activity

Aging = disability
around sexual activity

Question 27

Decreased arousal =

Answer 27

Physical and emotional

Question 28

Risk factors affect sexual function

Answer 28

Societal influence, especially on attitudes, sterotypes and prejudices

Availabillity of a partner

Adverse affects of meds, alcohol (depresses the NS), nicotine (interferes with circulation to sex organs)

Question 29

Chronic conditions affecting sexual health

Answer 29

COPD (SOB), arthritis, cancer, diabetes, cardiovascular disease, obstructive sleep, apnea

Question 30

Nurse interventions promoting sexual function

Answer 30

Nursing responsibilities included:
* Addressing sexual function as a quality of
life concern
* Teaching regarding safe sexual practices
with those who are sexually active,
especially with anyone other than their
long-term monogamous partner.