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21 Cards in this Set
- Front
- Back
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Ability to judge the distance of objects from the observer and from each other
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Depth perception
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Older adults make up 11% of the population but account for what % of accidental deaths
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23%
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What Sensory changes in older adults increase the risks for accidents and injuries
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Changes in visual acuity
decreasesed audio acuity decreased sensitivity of taste and smell. |
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4 most common causes of accidental deaths in older adults
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Falls, burns, poisoning , and auto accidents
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What physiological factors increase the risk for falls in older adults
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Altered balance
Decreased mobility decreased flexibility decreased muscle strength slowed reaction time gait changes difficulty lifting the feet altered sense of balance Postural changes |
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cardiovascular changes resulting in postural hypotension increase the risk of __ and ___ which can lead to falls
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decreased cardiac output
decreased O2 supply to brain |
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6 classes of medication that can contribute to falls
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Sedatives antihypertensives
Hypnotics tranquilizers antihistimines diuretics |
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Laws regarding physical restraints
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Only to be used when other methods have failed, Least restrictive device, read all manufacturer directions and facility policies.
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3 emotional factors that increase the risk for injury
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emotional disturbances
depression preoccupation, or distraction |
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2 Devices that increase the base of support and improve stability of older adults
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quad canes and walkers
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because of changes in thermoregulation. Older adults are at increased risk for :
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Hypothermia
Hyperthernia |
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Medication classes increasing the risk for Hyperthernia
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diuretics and anticholinegics
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Nursing assessment for risk for injury includes
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Hx of falls,How often has pt. fallen, how often suffers injuries, vision level? hearing? temp perception? gait or balance impaired? assistive devices? What kind of footwear does the person wear most? Cognitive impairment? forgetfullness? smoking? Medications? Live alone? dizziness or fainting? Hemoglobin and hematocrit levels? can pt. follow directions? Safety hazards in home? storage of chemicals & meds
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Nursing goals & outcomes identification for fall risk
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decrease in the frequency and severity of injuries. and be able to identify unsafe conditions and behaviors
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Nursing Diagnoses for fall risk
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risk for falls, risk for injuries, risk for trauma, risk for poisoning
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Nursing implementation/ interventions for fall risk
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Evaluate for risk of falls, Modify environment to reduce risk, assess environment for hazards , recruit assistance of family members or friends to check on pt. at regular intervals
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Hypothermia assessment
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body temp? change in temp thru day? Inactive or excessively active? signs/sx of infection. complaints of hot or cold, disease conditions? electrolyte imbalance, alcohol consumption, Medications? Dementia or depression, Financial resources, suitable clothing?
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Nursing diagnoses for hyper/hypo thermia
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Hypothermia, hyperthermia, risk for imbalanced body temp.
ineffective thermoregulation |
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Nursing goals/ outcomes for hypo/hyperthermia
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maintain core body temp., to verbalize appropriate modifications in dress activity and environment needed to maintain temp
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Nursing interventions/implementations for hypo/hyperthermia
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Moniter environmental temp, humidity and air movement, Monitor body temp, provide clothing and bed covers suitable for environment, promote adequate food and fluid intake, Monitor activity level,
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Prevention of hyperthermia
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decrease physical activity during daytime, do heavy chores in early am. or pm, outdoor activities after sun goes down, wear light colored loose fitting clothing, stay out of direct sunlight, bathe or shower several times a day.
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