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17 Cards in this Set
- Front
- Back
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geriatrics-
gerontology- gerontological nursing- |
health care of elderly
the study of aging nursing for elderly |
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Autonomy (aging in place) is key
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Risk factors that could negatively impact aging
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Chronic illnesses
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65-74 the young old
75-84 the middle old 85-99 the old old 100 or more the elite old |
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Self Management:
loss of control self esteem self care |
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Nutrition:
Poor Nutrition Meal Assistance Mood Physical Changes Dietary Requirements |
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Exercise Mobility:
Walking Barriers Complications related to decreased mobility Benefits |
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Stress:
Changes in roles Changes in the environment Changes in health Losses |
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Inicidence of Falls:
Hx of falls Multiple illnesses Weakness/decreased mobility Confusion Over the age of 80 Medications Incontinence Visual impairments |
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Restraints:
Alternatives Physical Chemical |
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Drugs:
Polypharmacy Absorption—Changes in blood-brain barrier protection Distribution Metabolism Excretion |
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Mental Health: Depression
-sleep disturbance -appetite change -limited activities Treatment: SSRIs Alzheimers Multi Infarct Dementia |
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Types of Elder Abuse:
Neglect- Physical- Financial- Emotional- We are mandatory reporters of suspected abuse: report to your supervisor, the physician and the social worker |
Neglect: not given basic needs (food, clothing, assistance with care) ½ of all cases. Look for pressure ulcers, dehydration, poor nutrition, diaper rash, contractures, poor hygiene
Physical Abuse: usually seen in the torso area in order to hide marks (could be hidden by a bathing suit) ¼ th of all cases involve this. Look for bruises in clusters, different stages of healing, burns on the buttocks and feet, Often will deny that it is occurring. Financial: property and resources are mishandled this is more common than physical abuse. Emotional Abuse: use of threats, humiliation and isolation |
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Assessing Caregivers:
Knowledge level Acceptance of role Stress management techniques Respite care for caregiver burnout Indicators of stress |
Knowledge level
Acceptance of role Stress management techniques Respite care for caregiver burnout Indicators of stress |
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Mental Health:
Delirium where cuases discharge Tx |
This is an acute state of confusion that is often short term and reversible.
Often seen in the hospital or anywhere that is unfamiliar to the patient. Causes: Medications (anticholinergics) infections, post-op, metabolic disturbances, respiratory, renal and circulatory diseases. Discharge. If they are confused when they are discharged, they are at a high risk for falls, incontinence and functional decline. Tx: calm voice, reorient, divert attention, something to handel or hold, TREAT THE CAUSE |
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Interventions for the Caregiver
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Teach stress management techniques
Encourage the use of support groups Identify sources for respite care Give them other community resources to call on. |
