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
Color: | Can decrease appetite
Violet
26
Color: | MASTER HEALER! & Can give a sense of well-being
Green
27
Color: | Can be depressing
Black and gray
28
Like topical medications, __ __ are absurd in the skin and produce physiological effects
essential oils
29
Carpets: sound absorber but can cause ___
problems
30
Problems with carpets:
- 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
Scattered rugs or area rugs can cause __
falls
32
Furnishings should be what 3 things:
- appealing - functioning - comfortable
33
Chairs should be correct height with __ __
arm rests
34
__ should be easy to clean
Upholstery
35
Tables and bookcases should be __
sturdy
36
Create an environment pleasing to __!! Examples??
senses ex: soft blankets, textured walls, plants, flowers, pictures, soft music, pets, oils, scents, etc
37
Using an environment pleasing is good for those who are ___.
bedbound
38
Sounds can create __ for older adults
difficulties
39
What is a Furniture Fall?
They tend to reach for something and they fall
40
Noise __ begins with the design of the building, landscape, and other devices
control
41
Intercoms and paging systems are __
disruptive
42
What are some things to consider to change in the bathroom to make it more safe?
- 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
Risk for __ injury is a common home hazard
burn
44
What are some fire hazards?
- Careless disposal of matches and cigarettes - Space heaters should have automatic shut-off - chimney not cleaned
45
Feelings and behavior are influenced by individual’s __
environments
46
The more dependent and ill individuals are, the more personal __ and __ may be invaded.
space and privacy
47
Unfortunately, for these individuals who have experienced multiple losses and a shrinking social world, the regulation of privacy and personal space may be:
one of the few controls they can exercise.
48
35 % -40% of persons aged 65 and older experience a __ each year
fall
49
Improper use of mobility aids, medications, postural hypotension, environmental hazard, and caregiver-related factors can all lead to what?
falls
50
Prevention of falls:
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
Nursing assessment for prevention of falls:
- Regular inspection for and correction of environmental hazards - Medication review - Programs to prevent falls
52
Nursing assessment after fall:
Keep immobile until full examination
53
__ of injury is essential!!
Prevention
54
Poor judgment can lead to denial or lack of awareness of ___.
limitations
55
Slower response and reaction times is a __ __.
safety hazard
56
Older adults have __ movement and poor __
slower | coordination
57
What are some interventions to reduce INTRINSIC risk factors?
- monitory body temperature - prevent infection - suggest sensible clothing - use meds cautiously - promote safe driving - detect problems early
58
Definition: | the immediate surrounds with which a person closely interacts
microenvironment
59
___ and ___ rank as the fourth leading cause of death in this age group, and pneumonia is the leading cause of infection-related death.
Pneumonia | influenza
60
Microenvironment examples:
furnishings, wall coverings, lighting, room temperature, and room sounds
61
Macroenvironment examples:
the weather, pollution, traffic, and natural resources
62
The environment provides more than shelter; it should promote continued development, stimulation, and satisfaction to enhance our ___ well-being.
psychological
63
To achieve the fullest satisfaction from their microenvironments, older adults must have various levels of ___ met within their surroundings.
needs
64
___ is the therapeutic use of essential oils.
aromatherapy
65
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.
plants | aroma
66
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.
olfactory bulb | limbic
67
An organ called the __ is housed in the limbic system and stores memories associated with different scents.
amygdala
68
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 :
their last years of life.
69
Therefore, nonuse of physical and chemical restraints is a standard that gerontological nurses should promote in all __ __.
clinical settings
70
___ perception declines with age, causing older persons to be less aware of their fluid needs.
Thirst
71
Unless contraindicated, older adults should ingest at least ___ mL of fluid each day.
1,500