Week 3 Flashcards
Exam 1
Variability Among Older Adults:
includes:
Physiological, cognitive, and psychosocial health
Levels of functional ability
Dependence vs. independence
A reduced ability to respond to stress, the experience of multiple losses, and the physical changes associated with normal aging –high risk for illness and functional deterioration
Variability Among Older Adults:
When developing a Nursing POC, what should be included?
–Strengths and abilities, encourage independence
Nurses’ Attitudes Toward Older Adults
What must nurses assess about attitude?
Nurses must assess their own attitude toward older adults and their own aging.
Nurses’ Attitudes Toward Older Adults
What do nurses need to gain knowledge about?
Nurses need to gain knowledge about aging and health care needs of older adults:
Nurses’ Attitudes Toward Older Adults
Nurses need to gain knowledge about aging and health care needs of older adults including:
Respect
Dignity
Involvement in care decision and activities
Address ageism:
Nurses’ Attitudes Toward Older Adults
Address ageism:
Older adults are: Ill, disabled, and unattractive, Forgetful, confused, rigid, bored, unfriendly,
Unable to learn and understand new information
—-These ideas demonstrate ageism, which is discrimination against people because of increasing age.
Nurses’ Attitudes Toward Older Adults:
What should be a priority for all nurses?
Forming positive attitudes toward them and gaining specialized knowledge about aging and the health care needs of older adults are priorities for all nurses.
Nurses’ Attitudes Toward Older Adults
What happens when nurses hold negative stereotypes about aging?
When health care providers hold negative stereotypes about aging, their actions often negatively affect the quality of patient care.
Nurses’ Attitudes Toward Older Adults
Some people equate worth with productivity- what does this mean?
Some people equate worth with productivity;
therefore they think that older adults become worthless after they leave the workforce.
Others consider their knowledge and experience too outdated to have any current value.
Nurses’ Attitudes Toward Older Adults
What does ageism do to older adults?
Ageism typically undermines the self-confidence of older adults, limits their access to care, and distorts caregivers’ understanding of the uniqueness of each older adult.
Nurses’ Attitudes Toward Older Adults
What should you always do for older people?
Always promote a positive perception regarding the aging process when you establish therapeutic relationships and show respect to older adults.
Nurses’ Attitudes Toward Older Adults
What are the importance of older adults?
Older adults are a significant proportion of the consumer economy.
As voters and activists in various issues, they have a major influence in the formation of public policy.
Their participation adds a unique perspective on social, economic, and technological issues because they have experienced almost a century of developments.
Nurses’ Attitudes Toward Older Adults
What may older people have trouble with?
What should you take into account when planning care?
Even though older adults may be slower and may have troubles with vision, hearing, and dexterity, when you plan care, you will take into account their positive attributes.
Nurses’ Attitudes Toward Older Adults
What are older adults considered? (Having to do with learning)
Although reduced energy and endurance sometimes affect the process of learning, older adults are lifelong learners.
Nurses’ Attitudes Toward Older Adults
What are examples of how older adults have dealt with coping? Why is this realization important?
Older adults have been through the depression, wars, and changes in health care throughout their lives.
Living through all of these events and changes, they have stories and examples of coping with change to share.
Developmental Tasks for Older Adults
What is it associated with?
Associated with varying degrees of change and loss
Developmental Tasks for Older Adults
Associated with varying degrees of change and loss
Like what?
Health, significant others, a sense of being useful, socialization, income, and independent living
Developmental Tasks for Older Adults
Associated with varying degrees of change and loss
What are they coping with?
Retirement
Residence change
Death
Developmental Tasks for Older Adults
What happens to adult children?
Adult children - changing roles
(control of decision making, dependence, conflict, guilt, and loss).
Developmental Tasks for Older Adults
What is often a priority for older adults?
Helping older adults maintain their quality of life is often a priority.
Developmental Tasks for Older Adults
How do older adults adjust to the changes of aging?
How older adults adjust to the changes of aging is highly individualized.
Developmental Tasks for Older Adults
What should you be sensitive to?
What should you be prepared to do?
Be sensitive to the effect of losses on older adults and their families and be prepared to offer support.
Developmental Tasks for Older Adults
What do older adults need to adjust to?
Older adults need to adjust to the physical changes that accompany aging.
Developmental Tasks for Older Adults
What does acceptance of aging mean?
Acceptance of personal aging does not mean retreat into inactivity, but it does require a realistic review of strengths and limitations.
Developmental Tasks for Older Adults
Coping with:
Retirement
Residence change
Death
What do they all require?
All require an extended period of adjustment, during which assistance and support from health care professionals, friends, and family members are necessary.
Developmental Tasks for Older Adults
What does death represent?
Deaths represent both losses and reminders of personal mortality.
Coming to terms with them is often difficult.
By helping older adults through the grieving process.
Developmental Tasks for Older Adults
As adult children and aging parents negotiate the aspects of changing roles, nurses are in the position to do what?
As adult children and aging parents negotiate the aspects of changing roles, nurses are in the position to act as counselors for the entire family.
Developmental Tasks for Older Adults
As adult children and aging parents negotiate the aspects of changing roles, nurses are in the position to act as counselors for the entire family.
What is the priority for everyone?
Helping older adults maintain their quality of life is often a priority.
Assessing the Needs of Older Adults
Nursing assessment to ensure an age-specific approach
Assessing the Needs of Older Adults
Nursing assessment to ensure an age-specific approach
What is there an interrelation between?
The interrelation between physical and psychosocial aspects of aging
Assessing the Needs of Older Adults
Nursing assessment to ensure an age-specific approach
What effects functional status?
Effects of disease and disability on functional status
Assessing the Needs of Older Adults
Nursing assessment to ensure an age-specific approach
How should the nursing assessment be tailored?
Tailoring the nursing assessment to an older person
Assessing the Needs of Older Adults
What is it important to recognize?
It is important to recognize early indicators of acute illness in older adults
Assessing the Needs of Older Adults
What kind of changes and physiological things can happen in older adults?
changes in mental status, occurrence and reason for falls, dehydration, decrease in appetite, loss of function, dizziness, and incontinence
Assessing the Needs of Older Adults
When do mental status changes commonly occur in older adults?
Mental status changes commonly occur as a result of disease and psychological issues.
Assessing the Needs of Older Adults
What often causes injury in older adults?
Falls are complex and often cause injury.
Assessing the Needs of Older Adults
What must you do about falls?
You need to investigate every fall carefully to find out if it was the result of environmental causes or the symptom of a new-onset illness.
Assessing the Needs of Older Adults
What may sometimes present with a fall?
Problems with the cardiac, respiratory, musculoskeletal, neurological, urological, and sensory body systems sometimes present with a fall as a chief symptom of a new-onset condition.
Assessing the Needs of Older Adults
What is a common symptom in adults? Why?
Dehydration is common in older adults because of decreased oral intake related to a reduced thirst response and less free water as a consequence of a decrease in muscle mass.
Assessing the Needs of Older Adults
What is a common symptom with an onset of pneumonia, heart failure and UTIs?
Decrease in appetite is a common symptom with the onset of pneumonia, heart failure, and urinary tract infection (UTI).
Assessing the Needs of Older Adults
What are common causes of functional decline?
Thyroid disease, infection, cardiac or pulmonary conditions, metabolic disturbances, and anemia are common causes of functional decline.
Assessing the Needs of Older Adults
What kind of role do nurses play in health problems?
Nurses play an essential role in early identification, referral, and treatment of health problems.
Assessing the Needs of Older Adults?
Can you differentiate age-related from illness-related signs and symptoms?
Illness indicators include change in mental status, falls, dehydration, decrease in appetite, loss of function, dizziness, and incontinence.
Physiological Changes
Older adults’ concepts of health depends on what?
Older adults’ concepts of health generally depend on personal perceptions of functional ability.
Physiological Changes
General survey
Begins during initial nurse-patient encounter
Quick, but careful, head-to-toe scan
Eye contact and facial expression
Presence of universal aging changes
Functional Changes
What does functional status include?
Functional status in older adults includes the day-to-day activities of daily living (ADLs) involving activities within physical, psychological, cognitive, and social domains.
Functional Changes- What are changes related to?
Changes are usually linked to illness or to disease and degree of chronicity.
Functional Changes:
What is a sensitive indicator of health or illness?
Performance of ADLs is a sensitive indicator of health or illness.
Functional Changes
A change in ADL’s could be a sign of what?
Change in ADL’s -sign of onset of an acute illness or worsening of a chronic illness.
Functional Changes
What is used to assess?
Geriatric Assessment tools.
Functional Changes
Nursing interventions for Older Adults: What are they aimed at?
Aimed at maintaining, restoring, or maximizing their functional status, while maintaining independence and preserving dignity.
Functional Changes
Factors that promote the highest level of function:
Factors that promote the highest level of function include a healthy, well-balanced diet; paced and appropriate activity; regularly scheduled visits with a health care provider; regular participation in meaningful activities; use of stress-management techniques; and avoidance of alcohol, tobacco, or illicit drugs.
Functional Changes
Domains of geriatric assessment include:
Medical functional-physical,
functional-social,
Affective,
social support,
environmental,
economics,
QOL,
Career ,
personal
Functional Changes
What could have a profound effect on functional status?
It may be difficult for older adults to accept the changes that are occurring in all areas of their lives, which in turn have a profound effect on functional status.(***
Functional Changes
When planning and implementing care for older adults, what kind of interventions should be put in place?
When planning and implementing care for older adults, you will want to develop interventions aimed at maintaining, restoring, or maximizing their functional status, while maintaining independence and preserving dignity.
Case study: What is part of normal aging with eyes?
Yellowing of the lens
Case study:
Yellowing of the lens: Why does this occur?
What effects does this have?
As people age, the lens of the eye naturally becomes more yellow. This is due to the accumulation of pigments in the lens, which is a normal part of aging and can cause subtle changes in color perception.
Case study:
Whitening or clouding of the lens: What is this typically associated with?
This is typically associated with cataracts, which are not considered a normal part of aging but rather a common age-related condition.
Case study:
What do cataracts involve?
Cataracts involve the lens becoming cloudy or opaque, which can lead to vision impairment and usually requires surgical intervention.
Psychosocial Changes
Retirement
Social isolation-
Sexuality
Housing and environment
Death
Psychosocial Changes
Retirement: What are factors that influence a retired person’s satisfaction?
–Factors that influence a retired person’s satisfaction with life are health status and sufficient income.
Psychosocial Changes
Social isolation: What is available to older adults to avoid this?
–Outreach programs are available, including Meals on Wheels, daily telephone calls, and volunteer opportunities.
Psychosocial Changes
Sexuality:
–Knowing an older adult’s sexual needs allows you to incorporate this information into the nursing care plan.
Psychosocial Changes
Housing and environment: What influences an older adult’s housing choices?
–The extent of an older adult’s ability to live independently influences housing choices
Psychosocial Changes
Death:
Death–the death of family, friends, and their spouse.
Psychosocial Changes
What else should you assess in older adults?
also assess older adults’ family situation, intimate relationships, past and present occupations, finances, housing, social networks, normal activities, health and wellness, and spirituality.
Psychosocial Changes
What are major adjustments for older adults?
Adjustment to retirement (lower income), chronic illness, housing (relocation), own mortality.
Psychosocial Changes
When helping patients consider housing, what should you plan for?
When helping patients consider housing, plan for the future.
Psychosocial Changes
What is important about the environment?
The environment supports or hinders physical and social functioning, enhances or drains energy, and complements or taxes existing physical changes such as vision and hearing. Furniture needs to be comfortable and safe.
Psychosocial Changes
Older adults have to deal with the death of family, friends, and their spouse. Nurses need to help them cope with loss.
What are older adults concerned with?
They are concerned with being a burden, experiencing suffering, being alone, and the use of life-prolonging measures.