T1: Chapter 10: Life Span: Older Adults - RM Flashcards

1
Q

What age group is considered “older adults”?

A

Age 65 and older

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2
Q

T/F: The number of older adults has risen significantly because of increasing life expectancy.

A

True

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3
Q

Older adulthood is a time of ______. Most health problems experienced by older adult are ______ in nature and often affect the person’s ability to live ______.

A

transition
chronic
independently

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4
Q

What 3 ways can aging be examined?

A

1) life expectancy
2) percentage of total population
3) life-span perspective

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5
Q

What is defined as, as they age, persons live in their own elder-friendly residences and receive supportive services for their changing needs, rather than moving to another location or alternative type of housing?

A

aging in place

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6
Q

What type of residence for older adults are planned and built specifically for independent living and downsizing?

A

retirement communities

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7
Q

What type of residence for older adults offers a wide range of living accommodations on a large campus-like setting?

A

Continuing Care Retirement Communities (CCRC)

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8
Q

What 5 types of accommodations are offered in continuing care retirement communities (CCRC)?

A

1) residential living
2) assisted living
3) skilled nursing care
4) rehabilitation
5) dementia care

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9
Q

What type of facilities for older adults are congregate residential settings that provide or coordinate personal services, 24-hr supervision/assistance, activities, and health-related services?

A

Assisted Living Facilities (ALF)

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10
Q

What type of facilities provide skilled and unskilled nursing care for older adults and adults with disabilities?

A

Nursing care facilities (Nursing Homes)

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11
Q

What are the 3 sub-stages of older adulthood?

A

1) young-old (65-74)
2) middle-old (75-84)
3) oldest-old (85+)

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12
Q

T/F: The fastest growing segment of older adults is the oldest-old, some of whom are the frail elderly and centenarians.

A

True

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13
Q

Do older adults lose their intelligence as they age?

A

No. They may learn new material more slowly, though.

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14
Q

What 2 theories attempt to explain the psychosocial development of older adults?

A
  • Disengagement Theory

- Activity Theory

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15
Q

Is dementia a normal result of aging?

A

No

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16
Q

What other issues can be confused with dementia? What factors precipitate these issues?

A
  • depression
  • acute confusion
  • delirium
    Can be caused by dehydration, infection, medication side effect/OD
17
Q

Older adults should have an annual physical exam, including a focused assessment of ______ _____.

A

functional status

18
Q

Define frailty:

A

a set of characteristics that describe a heightened state of vulnerability for developing adverse health outcomes.

19
Q

Is abuse of adults common?

A

Yes, we should assess all patients for signs of abuse.

20
Q

T/F: It is ok for a nurse to stay silent when there is a suspicion of abuse of the older adult.

A

False - duh!

21
Q

What are the 4 theories of aging as listed in the book? (pp. 205 -206)

A

1) Wear-and-Tear Theory
2) Genetic Theories
3) Cellular Malfunction
4) Autoimmune Reaction

22
Q

What is the basis of the Disengagement Theory?

A

The older adult and society gradually and mutually withdraw or disengage from each other.

23
Q

What are some factors that contribute to disengagement of/from the older adult?

A
  • mandatory retirement
  • chronic illness
  • deaths of relatives/friends
  • poverty
24
Q

What is the basis of the Activity Theory?

A

The individual should stay active and engaged as possible to enjoy the highest life satisfaction.

25
What are some factors that contribute to staying active as outlined in the Activity Theory?
- travel - sports - hobbies - volunteering
26
What are 10 common health problems of older adults?
1) Heart disease 2) Cancer 3) Chronic lower respiratory diseases 4) Stroke 5) Alzheimer's disease 6) Diabetes mellitus 7) Influenza and pneumonia 8) Kidney illness/injury 9) Accidents 10) Septicemia
27
What is "polypharmacy"? How can this be a problem?
The use of multiple medications; | Drug interactions
28
Depression is a common problem in older adults. What are 2 reasons for this?
Can be caused directly or as a psychological reaction to an illness
29
_____ activity is better than _____; and _____ is better.
Some activity is better than none; and more is better.
30
What are 2 abnormal issues that are not usual age-related changes and could actually signal an underlying health problem?
- frequent falls/loss of balance | - urinary incontinence
31
What are some key things to remember when communicating with older adults?
- LOOK at the patient as you speak - Rely on BODY LANGUAGE more than usual - Remember that their AFFECT may not always match their words - They may UNDERSTAND you even though they don't seem to - Be aware that they may be CONFUSED at one time, but not at another
32
What should you remember when communicating with someone with a cognitive deficit?
- Use short, simple sentences - Avoid vague comments - Repeat your words exactly, if needed - Understand that the patient's reality is distorted and he is behaving accordingly