T1: SAFETY (CH 14) Flashcards

1
Q

Older adults face __ as any other adults

A

hazards

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2
Q

Risks are compounded by age-related factors that reduce their capacity to ____ themselves.
-They have an increased vulnerability to safety __

A

protect themselves

hazards

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3
Q

Nursing assessment includes a review of __ __ __

A

risks of safety

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4
Q

Interventions necessary to address threats to their __, __, and __.

A

safety, life, well-being

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5
Q

Injury rate for older adults falls in __ for all age groups

A

midrange

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6
Q

__ women have a higher rate of injuries than other adult female age groups

A

Older

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7
Q

__ rank sixth leading cause of death

A

Accidents

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8
Q

__ leading cause of injury-related death

A

Falls

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9
Q

There is a greater risk of nosocomial __; gastroenteritis caused by __; and urinary tract infections are __.

A

pneumonia
salmonella
higher

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10
Q

Definition: Macroenvironment

A

Elements of larger world that affects groups or entire populations

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11
Q

Older adults need safe, functional, comfortable, personal, and normalizing environment to compensate for ___.

A

limitations

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12
Q

Some considerations for safety can include what “things” to look at?

A

lighting, temperature, colors, scents, floor coverings, furniture, sensory stimulation, noise control, bathroom hazards, and psychosocial factors

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13
Q

Light has a profound effect on visibility which affects their __, __, and mood and ___.

A

Function
Orientation
behavior

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14
Q

Is bright or diffuse lighting better?

A

diffuse

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15
Q

Nightlights: __ __ light in bedroom

A

soft red

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16
Q

Older adults have __ than normal body temperatures due to __ natural insulation

A

lower

decreased

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17
Q

Maintaining adequate ___ temperature is significant for older adults

A

environmental

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18
Q

Recommended room temperature for older adults is ___: lower temperature leads to ___

A

75 F

hypothermia

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19
Q

Direct correlation exists between body temperature and __

A

performance

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20
Q

Older adults are especially sensitive to ___ temperatures

A

lower

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21
Q

The recommended room temperature for an older person should not be lower than __F (or __C)

A

75 F (24 C)

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22
Q

Color:

Can be stimulating and increase pulse, blood pressure, and appetite

A

Red, yellow, and white

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23
Q

Color:

Can be relaxing

A

Blue, brown, and earth tones

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24
Q

Color:

Can stimulate appetite

A

Orange

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25
Q

Color:

Can decrease appetite

A

Violet

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26
Q

Color:

MASTER HEALER! & Can give a sense of well-being

A

Green

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27
Q

Color:

Can be depressing

A

Black and gray

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28
Q

Like topical medications, __ __ are absurd in the skin and produce physiological effects

A

essential oils

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29
Q

Carpets: sound absorber but can cause ___

A

problems

30
Q

Problems with carpets:

A
  • static electricity and feet getting stuck to it due to not lifting foot high enough when walking
  • difficult wheelchair mobility
  • harder to clean
  • odors
  • pests living under it
  • FALLS
31
Q

Scattered rugs or area rugs can cause __

A

falls

32
Q

Furnishings should be what 3 things:

A
  • appealing
  • functioning
  • comfortable
33
Q

Chairs should be correct height with __ __

A

arm rests

34
Q

__ should be easy to clean

A

Upholstery

35
Q

Tables and bookcases should be __

A

sturdy

36
Q

Create an environment pleasing to __!! Examples??

A

senses

ex:
soft blankets, textured walls, plants, flowers, pictures, soft music, pets, oils, scents, etc

37
Q

Using an environment pleasing is good for those who are ___.

A

bedbound

38
Q

Sounds can create __ for older adults

A

difficulties

39
Q

What is a Furniture Fall?

A

They tend to reach for something and they fall

40
Q

Noise __ begins with the design of the building, landscape, and other devices

A

control

41
Q

Intercoms and paging systems are __

A

disruptive

42
Q

What are some things to consider to change in the bathroom to make it more safe?

A
  • Lighting (small light always on)
  • Floor surfaces (clear)
  • Faucets (ones you dont need to put force into to turn on)
  • Tubs and shower stalls (nonslip)
  • Toilets (grab bars)
  • Electrical appliances
43
Q

Risk for __ injury is a common home hazard

A

burn

44
Q

What are some fire hazards?

A
  • Careless disposal of matches and cigarettes
  • Space heaters should have automatic shut-off
  • chimney not cleaned
45
Q

Feelings and behavior are influenced by individual’s __

A

environments

46
Q

The more dependent and ill individuals are, the more personal __ and __ may be invaded.

A

space and privacy

47
Q

Unfortunately, for these individuals who have experienced multiple losses and a shrinking social world, the regulation of privacy and personal space may be:

A

one of the few controls they can exercise.

48
Q

35 % -40% of persons aged 65 and older experience a __ each year

A

fall

49
Q

Improper use of mobility aids, medications, postural hypotension, environmental hazard, and caregiver-related factors can all lead to what?

A

falls

50
Q

Prevention of falls:

A

use of prescribed eyeglasses, change position slowly, proper use of canes and walkers, use of handrails, and grab bars, litter-free floors, adequate lighting, and regular medication review

51
Q

Nursing assessment for prevention of falls:

A
  • Regular inspection for and correction of environmental hazards
  • Medication review
  • Programs to prevent falls
52
Q

Nursing assessment after fall:

A

Keep immobile until full examination

53
Q

__ of injury is essential!!

A

Prevention

54
Q

Poor judgment can lead to denial or lack of awareness of ___.

A

limitations

55
Q

Slower response and reaction times is a __ __.

A

safety hazard

56
Q

Older adults have __ movement and poor __

A

slower

coordination

57
Q

What are some interventions to reduce INTRINSIC risk factors?

A
  • monitory body temperature
  • prevent infection
  • suggest sensible clothing
  • use meds cautiously
  • promote safe driving
  • detect problems early
58
Q

Definition:

the immediate surrounds with which a person closely interacts

A

microenvironment

59
Q

___ and ___ rank as the fourth leading cause of death in this age group, and pneumonia is the leading cause of infection-related death.

A

Pneumonia

influenza

60
Q

Microenvironment examples:

A

furnishings, wall coverings, lighting, room temperature, and room sounds

61
Q

Macroenvironment examples:

A

the weather, pollution, traffic, and natural resources

62
Q

The environment provides more than shelter; it should promote continued development, stimulation, and satisfaction to enhance our ___ well-being.

A

psychological

63
Q

To achieve the fullest satisfaction from their microenvironments, older adults must have various levels of ___ met within their surroundings.

A

needs

64
Q

___ is the therapeutic use of essential oils.

A

aromatherapy

65
Q

Essential oils are highly volatile droplets made by ___ and stored in their veins, glands, or sacs; when they are released (by crushing or breaking open the plant), the ___ is released along with them.

A

plants

aroma

66
Q

When the chemicals within the essential oils are inhaled, they are carried to the __ __, stimulating nerve impulses that travel to the ___ system of the brain for processing.

A

olfactory bulb

limbic

67
Q

An organ called the __ is housed in the limbic system and stores memories associated with different scents.

A

amygdala

68
Q

Although fewer than 5% of older adults reside in nursing homes, approximately 25% of older persons will spend some time in such a facility during :

A

their last years of life.

69
Q

Therefore, nonuse of physical and chemical restraints is a standard that gerontological nurses should promote in all __ __.

A

clinical settings

70
Q

___ perception declines with age, causing older persons to be less aware of their fluid needs.

A

Thirst

71
Q

Unless contraindicated, older adults should ingest at least ___ mL of fluid each day.

A

1,500