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16 Cards in this Set

  • Front
  • Back
Health care expenses for older adults are nearly ? times higher than the expenses for the rest of the population, and with the predicted ? in population, prevention and ? of functional ability must be a priority in nursing care.
4,
growth,
maintenance
It is not uncommon for pts with Schizophrenia and bipolar disorders to have ? relationships with their families so there may not be family members that are willing to help them. The support system of those aging with chronic mental illness often becomes ? managers, community ?'s, mental health ?'s
estranged,
case,
nurses,
providers
An ? directive is a set of directions for clinicians to follow in the event of a serious physical or mental illness. This would indicate preferences for the types of ? care or ? of tx desired.
advanced,
medical,
amount
Advanced directive wishes can be made through one or more of the following - a ? will, a ? to physician, a ? power of attorney for health care.
living,
directive,
durable
In 21 states, by signing a ? advance directive, those with serious mental illness can designate a health care agent to make tx decisions during an illness.
psychiatric
A ? is a personal statement of how and where one wishes to die. It is activated only when the person is terminally ill and incapcitated, and a ? pt may alter it at any time.
living will,
competent
In a ? to physician, a physician is appointed by the individual to serve as proxy for the pt. This may come in handy when a pt has no family to make a decision. Unlike a living will a directive to physician can be revoked orally at any time without regard to pt ?
directive,
competency
The ? power of attorney for health care differs from living wills and directives to physicians in that a person other than a physician is appointed to act as the pts ?
durable,
agent
A ? is an involuntary trust relationship in which one party, the guardian, acts on behalf of an individual the ward. A physicians expert opinion indicating ? is required to initiate the proceedings for this.
guardianship,
incompetence
If an advanced directive of a pt is not being followed the nurse ? on the pts behalf. If the problem cannot be resolved with the Dr. the facility's protocal providing for notification of the appropriate ? is followed.
intervenes,
supervisor
Confusion can be caused by what classes of meds ?,?, and ?'s
anticholinergics,
antihistamines,
benzo's
Psychosis has been linked to ? and even ? lowering meds.
steroids,
cholesterol
Depresion has been linked with ?-blockers, alpha-?, and ?'s
beta,
adrenergics,
opiods
?'s play the major role in providing continuous care from admisssion to discharge.
Nurses
Often pts with chronic persistent metnal illnesses, such as schizophrenia misinterpret or do not report visceral ?'s, ? and vital symptoms of ?
cues,
pain,
illness
Do not use reorientation with ? pts it may cause agitation.
dementia