Older Adults Flashcards

1
Q

What is the number one causes of death in older adults

A

Cancer and heart disease

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2
Q

T or F older adults need more nutrient dense meals and less calories

A

True

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3
Q

What vitamins should be prioritized for older adults?

A

Vitamin D and Calcium for osteoporosis

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4
Q

Brain plasticity

A

Exercising the brain

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5
Q

What are factors affecting older adults sleep?

A

Menopause, prostatic hyperplasia, nocturia/illnesses, Alzheimer’s

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6
Q

What vital signs are altered for older adults

A
  • lowered cardiac output
  • increased residual lung volume
    -lowered renal and hepatic function
  • subq fat decreases
  • increase in systolic BP
  • decreased perspiration
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7
Q

What are reccomended strategies for older adults

A

-planning for retirement
- finding new friends
- discovering new ways to fill time

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8
Q

T or F older adults need activities to increase self efficacy

A

True

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9
Q

What are recommended strategies for including the family in the older adults care/ alleviate stress with care?

A

-educational skills building with treatment plan
- cog-behavioral therapy
- family meetings related to care/stress of care giving

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10
Q

Fluid intelligence

A

-new information/short term memory
- peaks at adolescence then declines

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11
Q

Functions of Fluid Intelligence

A

-working memory, processing speed, reasoning, cog control, inhibition, complex skills, attention tasks, creativity

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12
Q

Crystallized Intelligence

A
  • stored info/ long term memory
    -slows with aging, but stabilizes or continues to increase throughout life
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13
Q

Crystallized intelligence function

A

-procedural (practical)
-declarative (functional)
- general knowledge
- specialized knowledge
- wisdom

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14
Q

polypharmacy

A

use of multiple medications from multiple different pharmacies, OTC, that is common among older adults

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15
Q

American Geriatric Society Beers Criteria do

A

list medications that might not be safe for older adults w/ alcohol use

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16
Q

Geriatric Syndromes

A

-impaired mobility
- dizzy
- falls/falling
- urinary incontinence
- increase susceptibility to infection
- atypical response
- altered emotional impact
- altered systemic response

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17
Q

What can you do to reduce impaired mobility

A

-encourage to stay active
- bed rest to a minimum
- encourage ROM
- frequent position change

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18
Q

What can you do to reduce dizziness in older adults?

A

-check for earwax impaction

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19
Q

What can you do to reduce falling in older adults?

A
  • exercise daily
  • eye exam
  • home modifications for safety
  • mental health concerns: ( loss of confidence, becoming fearful)
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20
Q

What can reduce urinary incontinence in older adults

A
  • anticholinergics (with caution)
  • bladder training
21
Q

T or F is there a connection between dementia and urinary incontinence?

22
Q

Atypical reponses in older adults

A
  • less pain sense
  • MI s/s are different
  • fevers at 37.8
  • severe infection at 38.3
23
Q

Altered Emotional Impact in Older Adults

A
  • high risk for disorientation
  • confusion
  • delirium
  • anxiety
  • fear related to hospitals
  • burden to family
24
Q

What are the best things to encourage in older adults

A
  • early mobilization
  • autonomy
  • independent decision making
25
What is the most common type of abuse is older adults
neglect
26
Older adults make up how much of the population and how much of the percentage of people in hospitals
15% of the population make up 38% of healthcare
27
Home Health Care
-specialty area of practice that provides nursing services in the home setting
28
Hospice Services
Hospice and Pallative
29
Hospice
improve quality of life by focusing on symptom management, pain control, and emotional support -pts not expected to live longer than 6months
30
Pallative Care
patients at any stage of serious illness focusing on pain relief/symptoms and maintain quality of life -condition does not have to be incurable
31
Vascular dementia
dementia from a stroke/HTN
32
Dementia
Chronic and gradually progressive cognitive impairment
33
What is the most common form of dementia
- Alzheimer's disease
34
Fulmer SPICES tool
- sleep disorder -problems with eating - incontinence - confusion - evidence of falls - skin breakdown
35
Delirium
temporary confusion state brought by an acute illness w/ specific underlying causes
36
What do you do with delirium?
-focus on reorientation and preventative measures
37
Depression
distinct change of behavior with extreme or prolonged sadness brought by life events stressors
38
What can you do about depression
therapy/counseling antidepressant medications
39
How many older adults report alcohol abuse?
7-14%
40
PQRST Pain Scale
Provoke Quality Region and Radiation Severity and S/s Time of onset
41
Risk factors for Alzheimer's Disease
-age -environmental (air pollution) -dietary/inflammatory (high cholesterol, HTN, infection) -TBI -family history
42
What are the pathophysiological signs of Alzheimer's
cortical shrinkage neurofibrillary tangle amyloid plaques enlarged ventricles
43
What is a cause of Alzhiemer's
ACh break down Increase in glutamate level = Ca++ influx = neurons rupture
44
What are clinical manifestations of Alzheimer's disease
-loss of memory and impulse control - can't name familiar objects -rambling - disorientation to person, place, and time - depression, irritability, aggression, hostility - slowly become more dependent
45
How can you diagnose Alzheimer's disease?
-after death - rule out all other diseases
46
What is medical management of Alzheimer's
- cholinesterase inhibitors Donepezil, Rigastigimine, neostigimine - NMDA antagonist Memantine (blocks glutamate increase = stop cell rupt.)
47
Nursing management of AD
-support cognitive function through games, exercise - safety precautions - promote independence in self care - reduce anxiety and agitation - improve communication with client - provide socialization and intimacy needs ( pt-pt, family) -promote activity in the am = better sleep - home, community, and transitional care
48