Psychosocial Needs pt. 2

Question 1

Epworth Sleepiness Scale

Answer 1

Measure average sleepiness in pts. Likeliness to doze off, and according interventions.

Question 2

Rest

Answer 2

De-accelerated state of physical and mental activity

Question 3

Fatigue

Answer 3

Subjective sense of weariness

Question 4

How much sleep do older adults need per night?

Answer 4

6-8 hrs

Question 5

age-related sleep changes- amount of time it takes to fall asleep

Answer 5

It takes longer

Question 6

age-related sleep changes- Total sleep time/efficiency

Answer 6

Decreased

Question 7

age-related sleep changes- Awakenings

Answer 7

More frequent after age 50

Question 8

age-related sleep changes- Naps in the daytime

Answer 8

Increasingly

Question 9

sleep becomes ____

Answer 9

subjectively and objectively lighter

Question 10

REM becomes _____________

Answer 10

Shorter and less intense

Question 11

Frequency of abnormal breathing _________

Answer 11

Increases

Question 12

Frequency of leg movements _______

Answer 12

Increase

Question 13

Deconditioning

Answer 13

caused by the inactivity as the result of hospital of admission or other factors

Question 14

Frailty

Answer 14

biological syndrome of decreased reserved or lower resistance to stressors.

Question 15

failure to thrive/cope

Answer 15

Unexplained weight loss, decline in physical and mental health

Question 16

Fall

Answer 16

An event that results in a person coming to rest inadvertently on the ground or floor or other lower level

Question 17

Intrinsic vs Extrinsic

Answer 17

Extrinsic: environmental factors

Intrinsic - Personal risk factors or host factors

Physiological or medical in nature

Question 18

Leading cause of death among older adults

Answer 18

Falls

Question 19

Large effect - falls

Answer 19

Fear of falling

Loss of confidence that leads to reduced physical activity, increased dependency and social withdrawal

Question 20

Post fall assessment

Answer 20

Important in reducing risk

Question 21

Fall prevention

Answer 21

Eliminating or reducing the risk of physical and psychological harm associated with falls in older people

Question 22

Fall reduction interventions

Answer 22

Exercise
Environment modifications
Medication reviews
Behaviour and educational programs
Assistive devices

Question 23

functional performance test

Answer 23

Standing balance, walking speed, chair sit to stand

Question 24

Hendrich II fall Risk

Answer 24

Fall risk assessment, point scale

Question 25

Berg Balance testing

Answer 25

Sitting to standing, standing unsupported, sitting with back unsupported, standing to sitting, standing unsupported with eyes closed etc.

Question 26

Morse Fall scales

Answer 26

Fall risk based upon variables

Question 27

Minimum Data Set

Answer 27

More comprehensive

Question 28

Environmental Temperatures

Answer 28

Many older adults are exposed to temperature extremes in their own homes

Question 29

Restraint

Answer 29

A restraint is a physical, chemical, or environmental measure used to control the physical/behavioural activity of a person or a portion of their body

Question 30

Side rails

Answer 30

• May be considered restraints

Question 31

Sarcopenia

Answer 31

Decline in muscle mass and strength associated with aging

• Body mass replaced by fat
• bone loss
• Decreased ligament and tendon strength

Question 32

Examples of Intrinsic factors

Answer 32

Age, gender, gait., balance, strength, vision

Question 33

Intimacy

Answer 33

“Meaningful feeling of joy”

• Commitment
• Affective intimacy
• Cognitive intimacy
• Physical Intimacy
• Interdependence

Question 34

sexuality

Answer 34

• Considered a human need

- Connected beyond human needs

Question 35

Touch

Answer 35

• Assess pts comfort

- Can be a part of caring