Geri Chapter 17

Front 1

State the nursding diagnosis for each cause or contributing factors

Back 1

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Front 2

Aging and Risks to Safety
Causes or Contributing Factors:
Decrease in intracellular fluid

Back 2

Deficient Fluid Volume related to easier development of dehydration

Front 3

Aging and Risks to Safety
Causes or Contributing Factors:
Loss of subcutaneous tissue; less natural insulation; lower basal metabolic rate

Back 3

Risk for Injury and Disturbed Thought Processes related to hypothermia

Front 4

Aging and Risks to Safety
Causes or Contributing Factors:
Decreased efficiency of heart

Back 4

Activity Intolerance related to alterations (decrease) in cardiac output

Front 5

Aging and Risks to Safety
Causes or Contributing Factors:
Reduced strength and elasticity of respiratory muscles; decreased lung expansion; inefficient cough response; less ciliary activity

Back 5

Risk for Infection related to reduced ability to expel accumulated or foreign matter from lungs

Front 6

Aging and Risks to Safety
Causes or Contributing Factors:
Reduced oxygen use under stress

Back 6

Ineffective Tissue Perfusion related to changes in cardiovascular response to stress

Front 7

Aging and Risks to Safety
Causes or Contributing Factors:
Poor condition of teeth

Back 7

Risk for Infection related to dental disease or aspirated tooth particles

Front 8

Aging and Risks to Safety
Causes or Contributing Factors:
Weak gag reflex

Back 8

Risk for Infection related to aspiration

Front 9

Aging and Risks to Safety
Causes or Contributing Factors:
Altered taste sensation

Back 9

Imbalanced Nutrition: More Than Body Requirements of salt or sweets related to taste deficit

Front 10

Aging and Risks to Safety
Causes or Contributing Factors:
Reduction in filtration of wastes by kidneys

Back 10

Risk for Injury related to ineffective elimination of wastes from blood stream

Front 11

Aging and Risks to Safety
Causes or Contributing Factors:
Higher prevalence of urinary retention

Back 11

Risk for Infection related to stasis of urine

Front 12

Aging and Risks to Safety
Causes or Contributing Factors:
More akaline vaginal secretions

Back 12

Risk for Infection related to inadequate acid environment to inhibit bacterial growth

Front 13

Aging and Risks to Safety
Causes or Contributing Factors:
Decreased muscle strength

Back 13

Risk for Injury related to reduced muscle strength

Front 14

Aging and Risks to Safety
Causes or Contributing Factors:
Demineralization of bone

Back 14

Risk for Injury and Impaired Physical Mobility related to increased tendency of bones to fracture

Front 15

Aging and Risks to Safety
Causes or Contributing Factors:
Delayed response and reaction time

Back 15

Risk for Injury related to inability to respond in timely manner

Front 16

Aging and Risks to Safety
Causes or Contributing Factors:
Poor vision and hearing

Back 16

Risk for Injury, Impaired Home Maintenance, and Disturbed Sensory Perception related to misperception of environments

Front 17

Aging and Risks to Safety
Causes or Contributing Factors:
Reduced lacrimal secretions

Back 17

Risk for Injury and Risk for Infection related to decreased ability to protect cornea

Front 18

Aging and Risks to Safety
Causes or Contributing Factors:
Distorted depth perception

Back 18

Risk for Injury related to decreased ability to judge changes in level of walking surface

Front 19

Aging and Risks to Safety
Causes or Contributing Factors:
Increased threshold for pain and touch

Back 19

Risk for Injury, Risk for Infection, Disturbed Sensory Perception and Inpaired Skiin Integrity related to less ability to sense problems, such as pain and pressure

Front 20

Aging and Risks to Safety
Causes or Contributing Factors:
Less elasticity and more dryness and fragility of skin

Back 20

Impaired Skin Integrity and Risk for Infection related to easier skin breakdown

Front 21

Aging and Risks to Safety
Causes or Contributing Factors:
Poor short-term memory

Back 21

Risk for Injury and Noncompliance related to inability to recall medication administration, treatments

Front 22

Aging and Risks to Safety
Causes or Contributing Factors:
High prevalence of polypharmacy

Back 22

Ineffective Management of Therapeutic Regimen and Risk for Injury related to combining drugs inappropriately, drug interactions, and side effects

Front 23

Aging and Risks to Safety
Causes or Contributing Factors:
Reduced income

Back 23

Risk for Injury related to limited ability to afford protection of safe neighborhood, home repairs, adequate environmental temperature

Front 24

Enviornmental Needs Based on Maslow's Hierarchy

Back 24

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Front 25

Self-actualization

Back 25

A space that promotes the realization of all potential, inspiring objects, beautiful grounds, relaxation aids

Front 26

Self-esteem

Back 26

A home one can feel pride in having, elegant décor, status symbol

Front 27

Trust

Back 27

A niche in which one can feel confident, control over lifestyle, consistent layout/furnishings/temperature/lighting

Front 28

Love

Back 28

A place on derives pleasure from being, familiar and comfortable furniture, favorite objects, attractive

Front 29

Security

Back 29

A haven from external threats, ability to safeguard personal possessions, adequate lighting, locks, smoke detectors, alarms

Front 30

Physiological needs

Back 30

A shelter in which to live, adequate ventilation, room temperature about 75 F, functioning utilities and appliances, pest control

Front 31

Risk Factors for Falls:
Age-Related Factors

Back 31

History of falls
Female aged 75 and older
Impaired vision
Gait disturbance
Postural hypotension

Front 32

Risk Factors for Falls:
Health Conditions or Functional Impairments

Back 32

Physical disability
Incontinence, nocturia
Delirium, dementia
Mood disturbance
Dizziness
Weakness
Fatigue
Ataxia
Paralysis
Edema
Use of cane, walker, wheelchair, crutch, or brace
Use of restraint
Presence of IV, indwelling catheter
Unstable cardiac condition
Neurologic disease
Parkinsonism
Transient ischemic attach
Cerebrovascular accident
Diabetes mellitus
Peripheral vascular disease
Orothopedic disease
Foot problems
Multiple diagnoses

Front 33

Risk Factors for Falls:
Medications

Back 33

Antidepressants
Antihypertensives
Antipsychotics
Diuretics
Sedatives
Tranquilizers
Multiple medications

Front 34

Risk Factors for Falls:
Environmental Factors

Back 34

Newly admitted to hospital/nursing home
Unfamiliear environment
Highly polished floors
Inadequate environmental lighting
Absence of railings, grab bars
Poor environmental design
Clutter

Front 35

State the potential environmental impact for each physical limitation

Back 35

Blank

Front 36

Limitation:
Presbyopia

Back 36

Decreased ability to focus and visualize near objects

Front 37

Limitation:
Cornea less translucent, transmits less light

Back 37

More external light needed to produce adequate image on retina

Front 38

Limitation:
Decreased opacity of sclera, allows more light to enter eye

Back 38

Colors more washed out, more contrast required

Front 39

Limitation:
Yellowing of lens

Back 39

Distorted color vision, particularly for browns, beiges, blues, greens, violets

Front 40

Limitation:
Senile cataracts cloud lens

Back 40

Glare more bothersome

Front 41

Limitation:
Macular degeneration

Back 41

Vision more difficult, more magnification needed

Front 42

Limitation:
Senile miosis, pupil size decreased, less light reaches retina

Back 42

Slower light-to-dark accommodation

Front 43

Limitation:
Decreased visual field

Back 43

Peripheral vision narrower

Front 44

Limitation:
Presbycusis

Back 44

Distortion of normal sounds

Front 45

Limitation:
Dependency on hearing aid

Back 45

Amplification of all environmental sounds

Front 46

Limitation:
Reduced olfaction

Back 46

Odors, smoke, gas leaks difficult to detect

Front 47

Limitation:
Less discriminating touch sensation

Back 47

Less stimulation from testures

Front 48

Limitation:
Less body insulation, lower body temperatures

Back 48

More sensitivity to lower environmental temperatures

Front 49

Limitation:
Slower nerve conduction

Back 49

Slower response to stimuli, less ability to regain balance

Front 50

Limitation:
Decreased muscle tone and strength

Back 50

Increased difficulty rising from a seated position, fatigue easier, less elevation of toes during ambulation, shuffling gait

Front 51

Limitation:
Stiff joints

Back 51

Difficulty climbing stairs, manipulating knobs and handles

Front 52

Limitation:
Urinary frequency, nocturia

Back 52

Frequent need for easily accessible bathroom

Front 53

Limitation:
Shortness of breath, easily fatigued

Back 53

Stairs, long hallways difficult to negotiate

Front 54

Limitation:
Poor short-term memory

Back 54

Forget to lock doors, turn off appliances

Front 55

Limitation:
High use of medications, causing hypotension, dizziness

Back 55

Increased risk of falls