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Geriatrics Eval > Week 5 > Flashcards

Week 5 Flashcards

1
Q

name 9 common precautions.

A
  1. IV, PICC lines
  2. AV graft
  3. foley/indwelling catheter
  4. weight bearing restrictions
  5. immobilization
  6. CAM boot
  7. dietary, food, and liquid consistency
  8. cardiac, respiratory
  9. contact
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2
Q

name 8 challenges for OT service delivery to older adults.

A
  1. multiple diagnoses
  2. typical changes associated with aging combined with acute and/or chronic illness, chronological vs. biological age
  3. affects of age stereotypes on occupational performance
  4. undiagnosed depressive symptoms
  5. cognitive changes (typical age related changes or pathological changes)
  6. frailty
  7. caregiver concerns
  8. reimbursement
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3
Q

increases risk of disability and death from physical and psychological stressors

A

frailty

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4
Q

any planned combination of educational, political, regulatory, environment and organizational supports for actions and conditions of living conducive to the health of persons, groups, or communities.

A

health promotion

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5
Q

name 4 methods of funding for OT programs for older adults.

A
  1. Older Americans Act
  2. Grants
  3. Private donations
  4. Prevention and public health fund
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6
Q

which part of the Older American Act is involved in disease prevention and health promotion?

A

Title III - part D

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7
Q

describe the role of the case manager.

A

coordinates care and facilitates communication between providers - esp. important for patients with complex needs

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8
Q

describe precautions with a PICC line.

A
  • have to be sure not to do excessive and erratic arm movements on that side
  • avoid lifting anything heavy on that side
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9
Q

which patients have AV grafts?

A

dialysis patients

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10
Q

a port where patients receive their dialysis treatment

A

AV graft

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11
Q

describe precautions with an AV graft.

A
  • they shouldn’t sleep or have blood pressure done on that arm
  • shouldn’t carry a bag across that site
  • shouldn’t have tight clothes over that spot
  • should keep the area dry - cover when bathing
  • first couple of weeks after inserted - should avoid lifting heavy items
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12
Q

describe precautions with a foley/indwelling catheter.

A
  • careful about not pulling it out

- notice where it is

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13
Q

describe weight bearing precautions.

A

orthopedic injuries - partial, non, or toe touch weight bearing

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14
Q

-controlled ankle motion boot

A

CAM boot

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15
Q

describe cardiac precautions.

A
  • monitor vital signs carefully

- avoid lifting heavy - max 5 lbs in each arm or 10 lbs total

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16
Q

describe respiratory precautions.

A
  • COPD - avoid temperature extremes
  • wait a half hour after they’ve eaten to do any physical activity
  • avoid any heavy lifting or pushing
  • always look at vital signs - blood pressure, HR, oxygen, respiratory rate - before, during, and after treatment
17
Q

describe typical age-related cognitive changes.

A

they may take a little bit longer to process or have a little bit of trouble with working memory

18
Q

reimbursement is heavily dependent on what?

A

improvement in function

19
Q

people need to feel like they are successful in making changes

A

competence

20
Q

provides accountability from other people, motivation

A

relatedness

21
Q

should be by your own will - you want to make a change

A

autonomy

22
Q

___ ___ can be very powerful

A

peer mentoring

23
Q

describe the 3 components of the Health Belief Model that have to happen for the individual to want to make a change.

A
  • have to believe they’re susceptible and that there are serious consequences
  • have to be exposed to factors that prompt action - knowledge, safe techniques,
  • have to be confident in your ability to perform an action
24
Q
  • helps us understand behavior change

- goes from precontemplation to contemplation to preparation to action to maintenance

A

transtheoretical model

25
Q

name 4 things that can happen if someone is socially isolated.

A
  • depression
  • anxiety
  • not eating properly
  • risk for cognitive decline
26
Q
  • helping people find meaning in their lives

- stress management

A

mind-body-spirit interventions

27
Q

community service organization that offers a lot of health and wellness programs

  • ex: going solo - widows - how to live alone
  • ex: university without walls - call in and listen to a lecture
  • can help escort you to medical appointments
A

DOROT

28
Q

program to place older adults in schools to engage with kids and be physically active with them and teach them to read

A

experience corps

29
Q
  • similar to NORC but not quite
  • communities - large concentrations of older adults
  • often have to pay a fee
  • members helping members
  • social programming
A

“villages”

30
Q

buildings or neighborhoods in which there a substantial number of residents aged 60 years or older; moved into a community when they were younger and have aged there

A

NORCs

31
Q

most of the funding from Older Americans Act gets funneled where?

A

senior centers

32
Q

name 3 areas that the Older Americans Act really wanted to focus on when reauthorized in 2020.

A
  • evidence-based falls programs
  • self-management
  • elder abuse and screening programs
33
Q

name 7 roles of a nurse.

A
  1. perform physical exams and health histories
  2. provide health promotion, counseling, and education
  3. administer medications, wound care, and numerous other personalized interventions.
  4. interpret patient education and make critical decisions about needed actions.
  5. coordinate care, in collaboration with a wide array of healthcare professionals.
  6. direct and supervise care delivered by other healthcare personnel like LPNs and nurse aids
  7. conduct research in support of improved practice and patient outcomes.
34
Q

provide holistic, comprehensive health care within their area of specialization

A

nurse practitioners

35
Q

name 4 roles of a nurse practitioner.

A
  1. evaluate an individual’s health
  2. diagnose health and medical conditions
  3. manage health problems
  4. promote health
36
Q

the program aims to facilitate the infusion of evidence-based geriatric best practices throughout institutions to improve nursing care for older adult patients

A

NICHE program - inpatient setting

37
Q

addresses the negative effects associated with common breakdowns in care when older adults with complex needs transition from an acute care setting to their home or other care setting, and prepares patients and family caregivers to more effectively manage changes in health associated with multiple chronic illness.

A

transitional care model

38
Q
  • aims to improve health conditions and reduce spending by better managing care for the growing number of aging Americans with multiple chronic conditions
  • more complex care
A

guided care

Geriatrics Eval (12 decks)

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