UNIT 2.3: PLANNING-IMPLEMENTATION Flashcards

1
Q

Principles in the Care of Older Persons:

Nurse assistants keep these five principles in mind as they perform all of their duties and actions for the patients in their care

A

1.Safety
2. Dignity
3. Independence
4. Privacy
5. Communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Principles in the Care of Older Persons:

Nurse assistants must keep patients free from injuries such as burns and bruises. They need to make sure that patients do not hurt themselves, such as by walking away from the care facility and causing harm to themselves or others

A

Safety

Nurse assistants also keep patients safe by always washing their hands thoroughly and taking measures to prevent infections.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Recommendations of Care to Older Adults:

A
  1. Wellness
  2. Health Promotion
  3. Chronic Illness Prevention
  4. Physical Comfort Promotion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Principles in the Care of Older Persons:

All patients should be treated with respect. Nurse assistants can help to maintain their patients’ dignity, or self-respect, when they interact with their patients every day

A

Dignity

Nurse assistants can improve patients’ self-esteem by treating them as adults and talking with their patients about their care. They can also ensure their patients’ dignity by making sure to keep their patients’ bodies covered when providing care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Principles in the Care of Older Persons:

In health care facilities, many people are living in shared quarters. Nurse assistants should take care not to discuss patients’ private matters with others.

A

Privacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Principles in the Care of Older Persons:

Patients may start to feel helpless when nurse assistants and other health care members are caring for their daily needs

A

Independence

Nurse assistants can encourage patients’ independence when they have patients do as much as possible for themselves. Patients should try to stay as physically and mentally healthy as their individual conditions allow in order to prevent further decline of their health.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Principles in the Care of Older Persons:

Talking and listening to patients is a large part of a nurse assistant’s job.

A

Nurse assistants must communicate daily with their patients and involve the patients in their own health care decisions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a major concern for the elderly

A

Accident Prevention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

DOH Goal: Longer Disability Free Life

General Principles – teaching the elderly:

A
  1. Health habits (smoking, drinking)
  2. Smoking
  3. Nutrition
  4. Immunizations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What year was when Adult Day Centers first developed which have become a major community-based resource for the care of dependent older adults.

A

1970

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Type pf prevention that deals with limiting disability caused by chronic disease

A

Quaternary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Eleven of the basic functional health patterns of older adults that are important to assess are:

A
  • Self-perception/self-concept pattern
  • Roles/relationship pattern
  • Health perception/health management pattern
  • Nutritional/metabolic pattern
  • Coping/stress-tolerance pattern
  • Cognitive/perpetual pattern
  • Value/belief pattern
  • Activity/exercise pattern
  • Rest/sleep pattern
  • Sexuality/reproductive pattern
  • Elimination pattern
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Type of prevention focuses on preventing the progression of symptoms while facilitating rehabilitation.

A

Tertiary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Health protection targets five areas:

A
  1. Unintentional injuries
  2. Occupational health and safety
  3. Evironmental issues
  4. Food and drug safety
  5. Oral health
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The medical treatment and social care of the elderly sick should be undertaken by a team of workers if the best results are to be obtained. Such a team should consist of:

A
  1. Medical staff
  2. Nursing staff of various grades and nursing orderlies.
  3. The Almoner, a fully-trained medico-social worker, using all agencies, voluntary and statutory as occasion demands.
  4. Physiotherapists.
  5. Occupational and diversional therapists.
  6. Services of a dietician and chiropodist.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Type of prevention that focuses on immunizations and health screening activities.

A

Primary

6
Q

PRIMARY NUTRITIONAL PROBLEM

A
  • Altered nutrition: less than body requirements
  • Altered nutrition: more than body requirements
  • Altered nutrition: risk for more than body requirements
7
Q

NUTRITIONAL COMPONENT

A
  • Risk of aspiration
  • Diarrhea
  • Altered family processes: alcoholism
  • Fluid volume deficit
  • Self-care deficit: feeding
  • Sensory/perceptual alterations: gustatory
  • Impaired swallowing
  • Altered tissue perfusion: gastrointestinal
7
Q

Type of prevention that focuses on detection of occult disease.

A

Secondary

7
Q

Functional consequences affecting skin wellness

A
  1. susceptibility to injury
  2. response to UV radiation
  3. comfort and sensation
  4. cosmetic effects
8
Q

What negatively affect many functions of the skin including thermoregulation, tactile sensitivity, and response to injury.

A

Age-related changes and risk factors

9
Q

Nursing interventions for skin wellness:

A
  1. Promoting healthy skin
  2. Preventing skin wrinkles
  3. Preventing dry skin
  4. Detecting and treating harmful skin lesions
10
Q

Urinary incontinence is categorized according to signs and symptoms as follows:

A
  1. Stress urinary incontinence
  2. Urge urinary incontinence
  3. Mixed urinary incontinence
11
Q

Urinary incontinence category:

Characterized by an involuntary leakage of urine as a result of an activity that increases abdominal pressure (e.g., lifting, coughing, sneezing, laughing, or exercise).

A

Stress urinary incontinence

12
Q

Urinary incontinence category:

Characterized by leakage of urine with both the sensation of urgency and activities such as coughing, sneezing, or exertion.

A

Mixed urinary incontinence

12
Q

Urinary incontinence category:

Characterized by involuntary urinary leakage due to the inability to hold urine long enough to reach a toilet after perceiving the urge to void.

A

Urge urinary incontinence

13
Q

It is a syndrome characterized by bothersome urgency, usually accompanied by nocturia and daytime frequency, and sometimes accompanied by urge urinary incontinence.

A

Overactive bladder (OAB)

14
Q

Health promotion intervention that can be performed by men and women who are at increased risk of
developing, or are already experiencing, urinary incontinence.

A

Pelvic floor muscle training (PFMT)

15
Q

Common sleep complaints of older adults include

A
  1. Daytime sleepiness
  2. Difficulty falling asleep
  3. Frequent arousals during the night
16
Q

is a validated method of therapy recommended for use in the treatment of anxiety and depression in people with cancer.

A

Cognitive Behaviour Therapy (CBT)

16
Q
A
17
Q

It is based on cognitive behavioural therapy (CBT) techniques, is a brief, tailored supportive-expressive psychotherapeutic intervention that can be used by clinicians who are not necessarily experts in CBT.

A

Managing Cancer and Living Meaningfully (CALM)

17
Q
A
17
Q

The goal of this is to relieve psycho-emotional and existential distress though reflection on issues that are important to the person and the creation of a legacy document.

A

Dignity Therapy

18
Q

It is a psychosocially based technique used to delve into the history of a person’s life in order to promote well-being, socialization, communication and self-confidence.

A

Reminiscence Therapy

18
Q

It is a psychoanalytically based therapy used for reflection on one’s life in regard to both positive and negative aspects

A

Life Review

**Life review is useful for those who have undergone difficult life experiences. Evidence from a systematic review of older adults (15 primary studies) showed a significant reduction in depression. **

19
Q

It has been used for more than a decade to help patients with advanced cancer sustain or enhance a sense of meaning, peace, and purpose in their life even as they approach death.

A

Meaning-Centered Psychotherapy (MCP)