Week 5 Flashcards
name 9 common precautions.
- IV, PICC lines
- AV graft
- foley/indwelling catheter
- weight bearing restrictions
- immobilization
- CAM boot
- dietary, food, and liquid consistency
- cardiac, respiratory
- contact
name 8 challenges for OT service delivery to older adults.
- multiple diagnoses
- typical changes associated with aging combined with acute and/or chronic illness, chronological vs. biological age
- affects of age stereotypes on occupational performance
- undiagnosed depressive symptoms
- cognitive changes (typical age related changes or pathological changes)
- frailty
- caregiver concerns
- reimbursement
increases risk of disability and death from physical and psychological stressors
frailty
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.
health promotion
name 4 methods of funding for OT programs for older adults.
- Older Americans Act
- Grants
- Private donations
- Prevention and public health fund
which part of the Older American Act is involved in disease prevention and health promotion?
Title III - part D
describe the role of the case manager.
coordinates care and facilitates communication between providers - esp. important for patients with complex needs
describe precautions with a PICC line.
- have to be sure not to do excessive and erratic arm movements on that side
- avoid lifting anything heavy on that side
which patients have AV grafts?
dialysis patients
a port where patients receive their dialysis treatment
AV graft
describe precautions with an AV graft.
- 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
describe precautions with a foley/indwelling catheter.
- careful about not pulling it out
- notice where it is
describe weight bearing precautions.
orthopedic injuries - partial, non, or toe touch weight bearing
-controlled ankle motion boot
CAM boot
describe cardiac precautions.
- monitor vital signs carefully
- avoid lifting heavy - max 5 lbs in each arm or 10 lbs total
describe respiratory precautions.
- 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
describe typical age-related cognitive changes.
they may take a little bit longer to process or have a little bit of trouble with working memory
reimbursement is heavily dependent on what?
improvement in function
people need to feel like they are successful in making changes
competence
provides accountability from other people, motivation
relatedness
should be by your own will - you want to make a change
autonomy
___ ___ can be very powerful
peer mentoring
describe the 3 components of the Health Belief Model that have to happen for the individual to want to make a change.
- 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
- helps us understand behavior change
- goes from precontemplation to contemplation to preparation to action to maintenance
transtheoretical model
name 4 things that can happen if someone is socially isolated.
- depression
- anxiety
- not eating properly
- risk for cognitive decline
- helping people find meaning in their lives
- stress management
mind-body-spirit interventions
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
DOROT
program to place older adults in schools to engage with kids and be physically active with them and teach them to read
experience corps
- similar to NORC but not quite
- communities - large concentrations of older adults
- often have to pay a fee
- members helping members
- social programming
“villages”
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
NORCs
most of the funding from Older Americans Act gets funneled where?
senior centers
name 3 areas that the Older Americans Act really wanted to focus on when reauthorized in 2020.
- evidence-based falls programs
- self-management
- elder abuse and screening programs
name 7 roles of a nurse.
- perform physical exams and health histories
- provide health promotion, counseling, and education
- administer medications, wound care, and numerous other personalized interventions.
- interpret patient education and make critical decisions about needed actions.
- coordinate care, in collaboration with a wide array of healthcare professionals.
- direct and supervise care delivered by other healthcare personnel like LPNs and nurse aids
- conduct research in support of improved practice and patient outcomes.
provide holistic, comprehensive health care within their area of specialization
nurse practitioners
name 4 roles of a nurse practitioner.
- evaluate an individual’s health
- diagnose health and medical conditions
- manage health problems
- promote health
the program aims to facilitate the infusion of evidence-based geriatric best practices throughout institutions to improve nursing care for older adult patients
NICHE program - inpatient setting
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.
transitional care model
- 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
guided care
