Nursing The Older Person in A Variety Settings

Question 1

The changing needs of the elderly

Answer 1

Ageing process
Retirement
Losing a spouse 
Large garden
Maintenance problems 
Steps and steep hills
Unavle to drive
Friend a d family moved
Access to public facilities

Question 2

Where do nurses care for older people

Answer 2

Community
Long term ( residential)
Acute care

Question 3

What this means

Answer 3

The right choice and the right

While seeking advice from friends and family and health professionals the final decision rest in the elderly

Question 4

Fears of the elderly

Answer 4

Final days in nursing home
Outlived usefulness
Loss of living independently
Loss of personal belonging
Perception of nearing death
Fear of rejection by children

Question 5

In the community

Answer 5

Community nursing
Home care
Day care Center
General practitioner

Question 6

Residential - long term care

Answer 6

A variety of level of care are provided within this context
Lower level
Higher level
Special care

Question 7

Lower level

Answer 7

Support with adl’s in a more social level

Question 8

Higher level

Answer 8

Greater intervention while still in a social model will require higher level if nursing skill and knowledge

Question 9

Special care

Answer 9

Dementia

Question 10

Factors that have been found to precipitate admission into a residential aged care facility

Answer 10

Dementia 
Falls
Impaired mobility 
Falls
Urinary incontinence

Question 11

Attitudes of the elderly to the accommodation

Answer 11

Strong attachment to their own home and neighbourhood
fear of moving to the unknown and smaller accommodation
Threat to their independence and control
Effort of moving, financial and legal issues
Most suitable accomodation that can extend and enhance their independence

Question 12

Levels of care

Answer 12

Assessed by acat
Lower care
Higher care
Respite care

Question 13

Lower care

Answer 13

Assistance with showering, dressing, laundry, medications but not continuous in a regular basis, may be required at times of illness

Question 14

Higher care

Answer 14

Assistance with most ADLs 24 hour care

Question 15

Respite care

Answer 15

Short stay care for family respite

Question 16

Factors to consider when selecting a nursing facility

Answer 16

Cost
Care
Administration 
Staff
Residents
activities
Meals
Family involvement
Spiritual needs
Special services

Question 17

Goals of the nursing aged care

Answer 17

Improve physical function
Manage illness
Prevent complication 
Delay deterioration 
Allow to die in peace and with dignity

Question 18

Implications of institutional care on quality of life

Answer 18

Need for mastery and control of ones own environment
Negatives:” learned helplessness”, outlived usefulness l, no control over behaviour

Leisure activity means independence
Making choices: food, personal care, room decoration, bring satisfaction
Institutional effdcts: apathy, passivity, dependence

Question 19

Nursing responsibilities in residential cqre facilities

Answer 19

Assist residents/families adjusting to the facilities
Assess and develop individualised plan
Monitor reidents health status , identify changes and take appropriate action
Evaluate effectiveness and appropriateness of care
Communicate with care team
Ensure and promote competency of nursing staff
Protect and advocate for residents rights and quality if life
Use rehabilitation techniques and restorative techniques

Question 20

Acute care ( hospital)

Answer 20

Roles and responsibilities specialties

Hospitals have specialist age care nurses designed to gerontology ward