Introduction Flashcards
Aging
“old” is 65 years old- where someone qualifies for retirement benefits
-some define old based on functional abilities
biological aging
based on cellular decline
sociological aging
based on changes in roles and relationships
psychological aging
based on aging as a developmental stage people go through
application of maslow
assure that individual’s basic needs are met first before addressing higher level needs
centenarians
people who live to 100
struggles of elderly women
-twice as likely to be poor
-pay inequity, occupational differences, caregiving responsibiliites, longer life expectancy, rising health care costs, work patterns= reduced pension, benefits, and savings
Co-morbidities
when an adult has multiple chronic conditions
leading causes of death among older adults
heart disease, cancer, chronic lower respiratory diseases, stroke, Alzheimer’s disease, diabetes
most common health concerns for noninstitutionalized older adults
arthritis and hypertension
ageism
prejudice against older adults
Instrument activities of daily living
paying bills, laundry, grocery shopping
aging in place
stay in own environment
acute care
-hospital
-acute condition with chronic issues (comorbidities)
-high acuity levels
-focus on acute problem, lose the health promotion/ prevention aspect
dangers in acute care
drug reactions, falls, infection, overstimulation, immobility, confusion
-sepsis, nutritional status, complications from injuries
nursing care in acute care
-promotion of safety- environmental modifications
-assessment of baseline functioning
-goal: maximize independence, enhance functioning
-Teaching- realistic, at appropriate level
-involvement of family
After Acute Care
-promote continuity of care, successful transitions
-subacute care, rehab, assisted living, special care units, skilled, home care, home independent
subacute care
-patients are stable, but still acute
-dont need daily physician visits, high tech monitoring, or complex diagnostics
-services such as rehab, IV therapy, TPN, respiratory care, wound management
-different staffing level than a SNF
-step down from acute care
Rehabilitation Units
-can be located in hospital, subacute care, SNF
-goal is rehab and return to original place of residence
-therapy services
-medicare- funded facilities must have weekly meetings with the resident, family, and care team
community based residential facility
- a place where 5 or more unrelated people live together in a community setting
-services provided include room and board, supervision, support, and may include up to 3 hours of nursing care per week - home setting things are more stable
Residential Care Apartment Complexes
Independent apartment units in which the following services are provided: room and board, up to 28 hours per week of supportive care, personal care, and nursing services
Adult Family Home
place where three or four adults who are not related to the operator reside and receive care, treatment or services that are above the level of room and board and that may include up to seven hours per week of nursing care per resident
Skilled Nursing Facility
depends on individual’s physical/ cognitive needs, support system, community resources
-medical method vs. nursing model
-emphasis on quality of life and residents’ rights
Resident Assessment instrument
ongoing comprehensive assessment of resident, focusing on functional abilities - minimum data set and resident assessment protocols