Intro E2 Ch 9 Flashcards

1
Q

Older adults age

A

65 and over

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2
Q

What are older adults in reference to populations in the US what is there general name

A

The fastest growing population in the US in the world

Baby boomers

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3
Q

How are older adults living longer

A

Due to medical advances in the last century

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4
Q

What constitutes physical deterioration of older adults

Immune system
Skin 
Hair 
Vision 
Balance
A

Immune system weakens

Continued wrinkling

Loss of subcutaneous tissue (wrinkling)

Graying of hair

Decline in vision and hearing

Declining balance and mobility

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5
Q

How do balance and mobility contribute to the quality of life of older adults

A

Older adults must keep moving have a healthy diet and consistent exercise

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6
Q

As far as safety what are older adults higher risk for and why

A

Higher risk for falls due to decreased balance and vision

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7
Q

What should the environment of older adults look like: space wise, living rooms, bathrooms and overall walking

A

Open spaces in living rooms

No rugs or trippable item

Safety bars in showers/ restrooms

Walkers and canes for stability

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8
Q

Should older people be driving

A

It is risky, at some point driving becomes too risky especially if dementia occurs

Driving privileges may have to be removed for safety

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9
Q

As far as temperature what happens because of the loss of subcutaneous tissues

A

Older adults get hotter and colder more easily skin becomes for delicate

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10
Q

What does the nutrition Of an older adult look like

A

Older adults need less calories because of slowed metabolism but still need a healthy balanced diet with an emphasis on hydration and adequate fiber

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11
Q

Why do older adults need an emphasis on hydration and adequate fiber

A

Because of a natural reduction in body fluids related to aging

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12
Q

How much sleep do older adults require and how much do they really get

A

Other does require 5 to 6 hours of sleep but often get 10 to 12

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13
Q

Who are older adult healthcare in reference to health care and what does their health care look like

A

Older adults are the greatest consumers of healthcare and the most expensive because of multiple illnesses

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14
Q

What are older adults eligible for over 65

A

Those over 65 with paid into Social Security or eligible for Medicare part a which is free

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15
Q

Medicare part a coverage

A

Hospital visits 80%

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16
Q

Medicare part B

A

Covers healthcare provider office visits

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17
Q

Medicare part D

A

Prescription drugs Limited

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18
Q

Why is older adult healthcare more expensive (what are they managing)

A

More expensive because of chronic illness management

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19
Q

What is polypharmacy how does his problems stem and what is it lead to

A

Polypharmacy is medication is prescribed by multiple providers without coordination or oversight by one provider

Happens because of multiple providers

May lead to drug to drug interactions and adverse effects

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20
Q

How does one prevent polypharmacy from happening

A

Have a primary care provider and get ALL drugs at one pharmacy

21
Q

What are chronic illnesses often seen in older adults

A

Hypertension, diabetes, congestive heart failure, arthritis, peripheral vascular disease

22
Q

What are issues with activities of daily living ADL in older adults

A

With severe mobility issues older adults may need help with ADL and help may feel like a loss of independence which may result in grief

23
Q

Why do older adults feel grief over the loss of independence

A

Because they’re not able to do things for themselves they once did

24
Q

What must nurses do in reference to Older adults newfound grief

A

They must manage feelings of grief and sadness and retain as much independence as possible

25
Q

Give examples of ADL

A

Getting out of bed

Showering

Dressing

Grooming

Toileting

26
Q

What is extremely important for older adults in reference to activity

A

Keeping active mentally, physically and socially

27
Q

What do older adults have morals in reference to formal operations for PIaget

A

Older adults have more crystallized intelligence meaning much wisdom to share And others have much to gain

28
Q

Older adults psychosocial task

A

Age 65+

Ego identity (integrity) V despair

Looking back on life

Question: did I live a full life

Outcome: being able to look back accept and embrace past/present life

Success: feeling a sense of wisdom and fulfillment

Failure: feeling a sense of bitterness, resentment, despair

29
Q

What is integrity

A

Accepting the past, present and future which includes ego transcendence

30
Q

Define ego transcendence

A

Appreciating their life and now focusing less on themselves and more on other people to make their life meaningful

31
Q

How does despair come about

A

If older adults are not able to find peace and joy in life, are unhappy in the life they lived and are miserable

32
Q

As an older adult what can come about because of despair

A

The failure to thrive: refusing to eat sad, give up on life a severe depression

33
Q

Moral status of older adult

A

Post conventional: universal ethics principle

Doing the right thing for the right reason because it’s the right thing to do

34
Q

What happens when older adult require assistance for a living

A

They may be cared by family members

May attend adult day care centers

If needing minimal assistance: may live in assisted living facilities

If needing 24 hour nursing care: may live in long-term facility

35
Q

Is long term care covered by Medicare

A

 no, families must pay out of pocket is often very costly

36
Q

What are older adults requiring care from others vulnerable to

A

Elder abuse from family members, acquaintances, care providers

37
Q

What type of elder abuse are there

A

Taking advantage: wiping out their bank accounts

Neglect, isolate, verbally, physically, abuse older adult, sexual abuse

38
Q

Is memory loss in normal part of aging

A

Extensive memory loss is not a normal part of aging

(I.E forgetting your name forgetting where you are, who your family members are) is not normal = dementia

39
Q

Define dementia

A

Chronic or persistent disorder of mental processes caused by brain disease or injury

40
Q

What is dementia marked by

A

Memory disorders, personality changes, impaired reasoning

41
Q

What percentage of dementia does Alzheimer’s account for

A

60 to 80%

42
Q

Define Alzheimer’s

A

Is a progressive brain disease causing plaques and tingles to damage and kill neurons

43
Q

What does Alzheimer’s affect

A

MEMORY THINKING AND BEHAVIOR

44
Q

Risk factors for dementia

A

Over the age of 65, family history, genetics

45
Q

Who is more likely to develop Alzheimer’s

A

Women over men

46
Q

Early stage of Alzheimer’s description

A

Functions independently but problems coming up with write names or words, trouble remembering names, getting lost in familiar places

47
Q

Middle stage of Alzheimer’s

Classification and description

A

The longest stage of Alzheimer’s

Requires more care, forgetful of own history, frustrated and angry, withdraw from social situations, help with ADL is necessary, wandering

48
Q

Late stage of Alzheimer’s description

A

Requires extensive help with ADL , May not be able to walk, sit or swallow, may not be able to communicate, may die from pneumonia

49
Q

What is the cause of Alzheimer’s

A

There’s no known calls and no known cure but medication help