Older Adult

Question 1

Requirements of home health

Answer 1

• doctors order
• homebound
• intermittent skilled nursing/therapy needs
• medicare certified home health agency

Question 2

definition of homebound

Answer 2

• patietn needs supportive device or health will worsen if they leave home
• patient leaves infrequently

Question 3

what are homebound patients allowed to leave the house for

Answer 3

• medical care
• hair appointments
• religious services
• adult daycare
• family events

Question 4

epidermis layers of skin changes with age

Answer 4

• thins and flattens due to producing less collagen
• new skin cell production slows

Question 5

arteriosclerosis

Answer 5

walls of arteries and arterioles become thicker and less elastic

Question 6

what does arteriorsclerosis in skin lead to

Answer 6

frequent bruising and bleeding under skin

Question 7

what are common causes of pressure injuries

Answer 7

pressure, shear and moisture

Question 8

stage 1 pressure injury

Answer 8

discolored skin that does not blanch

Question 9

stage 2 pressure injury

Answer 9

top layer of skin is lost and may look like a blister

Question 10

stage 3 pressure injury

Answer 10

wound is open extending to fatty layer of skin

Question 11

stage 4 pressure injury

Answer 11

wound extends to the bone

Question 12

osteomyelitis

Answer 12

infection of bone that can lead to infection

Question 13

skin induration

Answer 13

skin feels leathery and is not pliable

Question 14

braden scale scoring

Answer 14

scored 6-24 with lower score indicating greater risk for pressure injury

Question 15

norton plus pressure injury scale scoring

Answer 15

moderate risk 11-15
high risk 10 or lower

Question 16

pressure injury areas of concern

Answer 16

heels, ankles, elbows, ischial tuberosity, sacrum