Lecture 1B Gero assessment - functional consequences theory, Fulmer SPICES Flashcards
Components of the Functional Consequences Model for Promoting Wellness in Older Adults
- A continuum exists between the older adult (person), their environment, and their state of health.
- Nursing assessment focuses on the areas of age-related changes, negative functional consequences, and risk factors.
- Nursing interventions are designed to address risk factors, teach health promotion, and refer for additional care.
- Wellness outcomes (positive functional consequences) are achieved - ↑ safety and functioning; ↑ quality of life and well-being.
4 domains of nursing
- Person.
- Environment.
- Health.
- Nursing.
Functional consequences
The observable effects of actions, risk factors, and age-related changes that influence the quality of life or day-to-day activities of older adults.
Constipation resulting from the use of an analgesic medication is an example of a _ caused by an intervention.
Negative functional consequence.
The Katz Index of Independence in Activities of Daily Living ranks adequacy of performance in the areas of _
- Bathing.
- Dressing.
- Toileting.
- Transferring.
- Continence.
- Feeding.
Often, older adults bring about positive functional consequences when they _ with or without conscious intent.
Compensate for age-related changes.
A woman finding sexual relationships more satisfying in older adulthood due to the postmenopausal inability to become pregnant is an example of _
A positive functional consequence caused directly by age-related changes.
In the context of the nursing process, positive functional consequences are called _ because they result from purposeful nursing interventions.
Wellness outcomes.
Age-related changes
The inherent physiologic processes that increase the vulnerability of older people to the detrimental effects of risk factors.
Risk factors
- The conditions that are likely to occur in older adults and have a significant detrimental effect on their health and functioning.
- They commonly arise from environments, acute and chronic conditions, psychosocial conditions, or adverse medication effects.
In the context of the Functional Consequences Theory, an individual is an older adult when he or she _
Manifests several or many functional consequences attributable to age-related changes alone or to age-related changes in combination with risk factors.
An additional aspect of the Functional Consequences Theory is its emphasis on _, which focuses on older adults as the center of their own care.
Person-centered care.
For dependent older adults, the concept of environment also includes _
Their caregivers.
Fulmer SPICES
An acronym for the common syndromes of the elderly requiring nursing intervention - *not* a thorough assessment; is used *daily* to ascertain what did *not* happen: S= Sleep disorders P= Problems with eating and feeding I= Incontinence C= Confusion E= Evidence of falls S= Skin breakdown
The Functional Consequences Theory states that nurses have the power and duty to skillfully use valid and reliable _ and _ interventions to promote optimal health, functioning, and quality of life.
Assessment tools; health education.
