Cap 2 Lesson 4

Front 1

Quickly developing problem with symptoms noticed for a few minutes to less than a month. Goal is to cure

Back 1

Acute problems

Front 2

Problem lasts 3 months or more. 80% older adults have one, 50% have two.

Back 2

Chronic problems

Front 3

Common chronic problems in older adults

Back 3

Cardiovascular disease, arthritis, diabetes, kidney disease, mental health issues.

Front 4

Silent conditions may create noncompliance, i.e., :

Back 4

Why do I need medicine if I feel fine?

Front 5

Pulmonary system assessment

Back 5

Hx of frequent colds, URIs, cough, dyspnea, immunization history

Front 6

Cardiovascular system assessment

Back 6

Hx of HTN, murmurs, arrhythmias, palpitations, fainting or falling, chest pain, bruising, anemia

Front 7

GI system assessment

Back 7

Food and fluid intake, stomach or abdominal discomfort, problems with bowels, nausea/vomiting

Front 8

Musculoskeletal system assessment

Back 8

Pain, stiffness or discomfort in joints, pain or cramping in muscles, weakness of arms or legs, use of assistive devices, daily activity

Front 9

Genitourinary system assessment

Back 9

Difficulty holding urine, burning, pain or bleeding during urination

Front 10

Women assessment

Back 10

Hx of pregnancies, symptoms associated with menopause, vaginal itching burning or drainage

Front 11

Men assessment

Back 11

Nocturia, dribbling after urination, sexual problems

Front 12

Neuro system assessment

Back 12

Unsteady gait, amnesia or forgetfulness, hx of stroke, numbness in arms or legs, headaches

Front 13

Endocrine system assessment

Back 13

Increased thirst, urination, hunger, intolerance of heat or cold

Front 14

Condition in which heart is not receiving adequate blood supply. Includes many heart conditions. Heart attack may be the first indication. Chest pain may be lessened in people older than 85, and EKG unspecific. Cardiac enzymes not elevated as much and may not spike during MI.

Back 14

Coronary artery disease

Front 15

Inability of the heart to pump blood to meet metabolic needs. Aggressive IV therapy, beta blockers, and other conditions may bring this on. Digoxin and diuretics may help. Watch for falls, and digoxin commonly causes confusion.

Back 15

Congestive heart failure

Front 16

Condition : leading cause of death and morbidity in US. Prevalence increases with age. Aging factors that predispose: stiffening of the aorta, increased cardiac afterload and peripheral vascular resistance, kidney and endocrine changes.

Back 16

HTN

Front 17

Condition: may be indicated by skin ulcers due to lack of circulation. Can be caused by atherosclerosis. Need to compare one side to the other with color and temp. Teach patient not to cross legs, use cotton socks, and elevate legs.

Back 17

Peripheral vascular disease.

Front 18

Fourth leading cause of death in older adults. Blood clot or blood vessel bursts and screws with brain.

Back 18

CVA

Front 19

Which CVA: impulsivity and safety awareness issues. Moves quickly.

Back 19

Right sided

Front 20

Which CVA: slower and more cautious, but acts without thinking.

Back 20

Left sided CVA

Front 21

Condition: found more often in men than women. Rigidity and unsteady gait. Medication is main treatment. Risk for complications: infections, GI problems, injury from falls.

Back 21

Parkinson’s

Front 22

Vision issues : eyeball changes shape and glasses are required for near vision as a result of old age. Changes in lens, yellow discoloration, difficulty differentiating colors.

Back 22

Presbyopia

Front 23

Vision issues : clouding of lens

Back 23

Cataracts

Front 24

Vision issues : Major cause of blindness, results from increased pressure in eye that destroys the optic nerve. Central vision is retained but peripheral is lost, aka tunnel vision.

Back 24

Glaucoma

Front 25

Vision issues : destroys the point of maximum sight, loss of central vision

Back 25

Macular degeneration

Front 26

Old age hearing loss

Back 26

Presbycusis

Front 27

A pathological condition resulting from exposure to irritants. Bronchitis, asthma, or emphysema. Third leading cause of death in those 65 and older. SOB on exhertion. Lungs hyper inflated. Diaphragm flattens. Use of accessory mucked. Barrel chest.

Back 27

COPD

Front 28

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 28

Osteoarthritis/degenerative joint disease

Front 29

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 29

Osteoarthritis/degenerative joint disease

Front 30

Bone mass is decreased because bone is destroyed faster than formed.

Back 30

Osteoporosis

Front 31

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 31

Osteoarthritis/degenerative joint disease

Front 32

Bone mass is decreased because bone is destroyed faster than formed.

Back 32

Osteoporosis

Front 33

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 33

Type two diabetes

Front 34

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 34

Osteoarthritis/degenerative joint disease

Front 35

Bone mass is decreased because bone is destroyed faster than formed.

Back 35

Osteoporosis

Front 36

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 36

Type two diabetes

Front 37

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 37

Hypothyroidism

Front 38

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 38

Osteoarthritis/degenerative joint disease

Front 39

Bone mass is decreased because bone is destroyed faster than formed.

Back 39

Osteoporosis

Front 40

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 40

Type two diabetes

Front 41

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 41

Hypothyroidism

Front 42

Scale to assess activities of daily living

Back 42

Katz

Front 43

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 43

Osteoarthritis/degenerative joint disease

Front 44

Bone mass is decreased because bone is destroyed faster than formed.

Back 44

Osteoporosis

Front 45

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 45

Type two diabetes

Front 46

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 46

Hypothyroidism

Front 47

Scale to assess activities of daily living

Back 47

Katz

Front 48

Scale to assess instrumental activities (not self-care, but stuff you gotta do. Like laundry and driving)

Back 48

Lawson scale

Front 49

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 49

Osteoarthritis/degenerative joint disease

Front 50

Bone mass is decreased because bone is destroyed faster than formed.

Back 50

Osteoporosis

Front 51

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 51

Type two diabetes

Front 52

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 52

Hypothyroidism

Front 53

Scale to assess activities of daily living

Back 53

Katz

Front 54

Scale to assess instrumental activities (not self-care, but stuff you gotta do. Like laundry and driving)

Back 54

Lawson scale

Front 55

Decreased what capacity of lungs

Back 55

Vital

Front 56

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 56

Osteoarthritis/degenerative joint disease

Front 57

Bone mass is decreased because bone is destroyed faster than formed.

Back 57

Osteoporosis

Front 58

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 58

Type two diabetes

Front 59

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 59

Hypothyroidism

Front 60

Scale to assess activities of daily living

Back 60

Katz

Front 61

Scale to assess instrumental activities (not self-care, but stuff you gotta do. Like laundry and driving)

Back 61

Lawson scale

Front 62

Decreased what capacity of lungs

Back 62

Vital

Front 63

Is a slippery floor an intrinsic or extrinsic factor for Falls

Back 63

Extrinsic

Front 64

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 64

Osteoarthritis/degenerative joint disease

Front 65

Bone mass is decreased because bone is destroyed faster than formed.

Back 65

Osteoporosis

Front 66

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 66

Type two diabetes

Front 67

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 67

Hypothyroidism

Front 68

Scale to assess activities of daily living

Back 68

Katz

Front 69

Scale to assess instrumental activities (not self-care, but stuff you gotta do. Like laundry and driving)

Back 69

Lawson scale

Front 70

Decreased what capacity of lungs

Back 70

Vital

Front 71

Is a slippery floor an intrinsic or extrinsic factor for Falls

Back 71

Extrinsic

Front 72

Is joint stiffness an intrinsic or extrinsic factor for falls

Back 72

Intrinsic

Front 73

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 73

Osteoarthritis/degenerative joint disease

Front 74

Bone mass is decreased because bone is destroyed faster than formed.

Back 74

Osteoporosis

Front 75

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 75

Type two diabetes

Front 76

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 76

Hypothyroidism

Front 77

Scale to assess activities of daily living

Back 77

Katz

Front 78

Scale to assess instrumental activities (not self-care, but stuff you gotta do. Like laundry and driving)

Back 78

Lawson scale

Front 79

Decreased what capacity of lungs

Back 79

Vital

Front 80

Is a slippery floor an intrinsic or extrinsic factor for Falls

Back 80

Extrinsic

Front 81

Is joint stiffness an intrinsic or extrinsic factor for falls

Back 81

Intrinsic

Front 82

What type of incontinence results from a sudden increase of intra-abdominal pressure

Back 82

Stress

Front 83

Destruction of joint Cartilage followed by overproduction of issue at joint margins. Definition morning. Teach the patient to use medication to prevent pain rather than cure pain.

Back 83

Osteoarthritis/degenerative joint disease

Front 84

Mechanical risk factors for pressure ulcer

Back 84

Pressure over bony prominences. Shearing and friction, especially over sacrum, heels, anterior tibial region

Front 85

Bone mass is decreased because bone is destroyed faster than formed.

Back 85

Osteoporosis

Front 86

Condition that will cause anorexia dehydration confusion incontinent and decreased vision. May have high triglyceride and cholesterol levels along with my glucose levels

Back 86

Type two diabetes

Front 87

Condition common especially in older women. symptoms such as being cold and fatigued are often overlooked because they are similar to the aging process.

Back 87

Hypothyroidism

Front 88

Scale to assess activities of daily living

Back 88

Katz

Front 89

Scale to assess instrumental activities (not self-care, but stuff you gotta do. Like laundry and driving)

Back 89

Lawson scale

Front 90

Decreased what capacity of lungs

Back 90

Vital

Front 91

Is a slippery floor an intrinsic or extrinsic factor for Falls

Back 91

Extrinsic

Front 92

Is joint stiffness an intrinsic or extrinsic factor for falls

Back 92

Intrinsic

Front 93

What type of incontinence results from a sudden increase of intra-abdominal pressure

Back 93

Stress

Front 94

Physiological factors contributing to pressure ulcers

Back 94

Aging skin is less resistant to forces. Immobility and lack of spontaneous body movement. malnutrition and deficiencies of zinc, iron, vitamin C and proteins

Front 95

Types of pressure ulcers: non-blanchable area of intact skin

Back 95

Stage 1

Front 96

Types of pressure ulcers: non-blanchable area of intact skin

Back 96

Stage 1

Front 97

Types of pressure ulcers: partial thickness loss, epidermidis and dermis

Back 97

Stage 2

Front 98

Types of pressure ulcers: non-blanchable area of intact skin

Back 98

Stage 1

Front 99

Types of pressure ulcers: partial thickness loss, epidermidis and dermis

Back 99

Stage 2

Front 100

Types of pressure ulcers: full thickness skin loss, subcutaneous and fat

Back 100

Stage 3

Front 101

Types of pressure ulcers: non-blanchable area of intact skin

Back 101

Stage 1

Front 102

Types of pressure ulcers: partial thickness loss, epidermidis and dermis

Back 102

Stage 2

Front 103

Types of pressure ulcers: full thickness skin loss, subcutaneous and fat

Back 103

Stage 3

Front 104

Types of pressure ulcers: full thickness skin loss With expensive destruction, exposed bone

Back 104

Stage 4

Front 105

Types of pressure ulcers: non-blanchable area of intact skin

Back 105

Stage 1

Front 106

Types of pressure ulcers: partial thickness loss, epidermidis and dermis

Back 106

Stage 2

Front 107

Types of pressure ulcers: full thickness skin loss, subcutaneous and fat

Back 107

Stage 3

Front 108

Types of pressure ulcers: full thickness skin loss With expensive destruction, exposed bone

Back 108

Stage 4

Front 109

Types of pressure ulcers: wound bed not visible due to dead and necrotic tissue

Back 109

Unstageable

Front 110

Nursing considerations when an older adult has sleep disturbances

Back 110

Avoid sleep medication‘s, sedatives, and tranquilizers. these increase the risk of falls and confusion

Front 111

Promote sleep with what

Back 111

Back rubs, snacks, assistance with toileting, decreasing pain, increasing daily activity

Front 112

Syndrome that describes unique symptomology that do not necessarily correlate with a condition in older adults

Back 112

Geriatric syndrome