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22 Cards in this Set

  • Front
  • Back
How often should tetanus vaccine be given in older adult?
every 10 years
Mini-Cog assesses what?
assesses cognitive function, memory, language comprehension, visual-motor skills, and executive function
Mini-cog test is performed how?
Draw clock & recite 3 words. Have patient recall words
The aging spine may narrow due to pressure on the spinal cord resulting from bone overgrowth. Due to this narrowing, spinal cord axons decrease and can eventually cause changes in __________________________.
sensation
The most appropriate instrument to assess functional status as a measurement of the client’s ability to perform activities of daily living independently is ________________.
the Katz index
The ___________________ ranks adequacy of performance in the six functions of bathing, dressing, toileting, transferring, continence, and feeding.
the Katz index
Symptoms of hyperactive delirium
heightened arousal, with restlessness, agitation, hallucinations, and inappropriate behavior
symptoms of hypoactive delirium
lethargy, reduced motor activity, incoherent speech, and lack of interest
most commonly used cognitive screening tool for elderly
Mini Mental State Examination (MMSE)
Kohlman Evaluation of Living Skills (KELS)
One test that evaluatse the ability of the person to remain safely in the community. Evaluates 5 areas self-care, safety and health, money management, transportation and telephone use, and work and leisure
Virginia Satir's basic principles of communication
The basic principles are invite, arrange environment, maximize communication, maximize understanding, and follow through.
The Center for Science in the Public Interest (CSPI)
the premier educational and advocacy organization for promoting better nutritional habits in the United States.
Promoting Health/Preventing Disease: Objectives for the Nation
This 1980 report outlined 226 objectives for the nation to achieve over the following 10 years. It was referred to by some as Healthy People 1990
Healthy People 2000
initiated by the U.S. Public Health Service in another effort to reduce preventable death and disability for Americans
Healthy People 2010
the number of objectives has increased to 467, and these are distributed over 28 priority areas
The Independence at Home Demonstration participating requirements
As part of their application, the participating practices were required to state that they have documented experience providing home-based primary care.
• Are led by physicians or nurse practitioners
• Are organized for the purpose of providing physician services
• Have experience providing home-based primary care to patients with multiple chronic conditions
• Serve at least 200 eligible beneficiaries.
Eligible Beneficiaries
To participate in the Independence at Home Demonstration, beneficiaries must:
• Have two or more chronic conditions
• Have coverage from original, fee-for-service (FFS) Medicare
• Need assistance with two or more functional dependencies (e.g., walking or feeding)
• Have had a non-elective hospital admission within the last 12 months
• Have received acute or subacute rehabilitation services in the last 12 months
The Community-based Care Transitions Program (CCTP), created by Section 3026 of the Affordable Care Act,
tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries
The Affordable Care Act established the Prevention and Public Health Fund to
provide expanded and sustained national investments in prevention and public health, to improve health outcomes, and to enhance health care quality
The Independence at Home Demonstration, authorized by Section 3024 of the Affordable Care Act will
test a service delivery model that utilizes physician and nurse practitioner directed primary care teams to provide services to certain Medicare beneficiaries in their homes.
Good starting dose of liquid morphine for dyspnea at end of life care
2.5–5 mg PO every 4 hours is a good starting dose
lorazepam _____ mg every 4–6 hours PRN, will help with restlessness and thus often decrease respiratory effort at end of life.
lorazepam 0.5–2.0 mg every 4–6 hours PRN,