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41 Cards in this Set

  • Front
  • Back

Cognition

The manner in which messages from the five senses are changed, stored in memory, and later used to answer questions, respond to requests, and perform tasks.

True or false


Healthy older adults have a notable decrease in cognitive ability and aren't able to learn new information.

False.


Healthy adults do not have a notable decrease in cognitive ability or ability to learn new information.

Cognitive function is related to

Use for healthy older adults.

Learning is

The gaining of information, skills, and knowledge measured by an improvement in some obvious response.

Memory

The storing of information in the brain for later use and the ability to recall the information when needed.

End of life care

Care provided during the time surrounding death

Terminal illness

An illness or injury from which the person will not likely recover; terminal illness ends in death

Post mortem care

Care of the body after death

Obituary

Description, typically placed in local newspaper, of a resident's life, including listing of relatives, birth information, accomplishments, and death.

What might affect a resident's response to death?

Personal, cultural, and religious beliefs and experiences

What are the five stages of grief?

Denial, anger, bargaining, depression, and acceptance

Who developed the five stages of grief?

Dr. Elizabeth Kubler-Ross

Does every person experience the five stages of grief in the same amount of time?

No, each person may experience stages at a different rate or time.

Describe the 1st stage of grief- Denial

Begins when a person is told of impending death; person may refuse to accept diagnosis or discuss situation

Describe the 2nd stage of grief- Anger

Expressing rage and resentment; often upset by smallest things; lashes out at anyone

Describe the 3rd stage of grief- Bargaining

Person tries to arrange for more time to live or take care of unfinished business; bargain with doctors or God

Describe the 4th stage of grief- Depression

Person begins the process of mourning; cries, withdraws from others

Describe the 5th stage of grief- Acceptance

Person has worked through feelings and understands that death is imminent

What's an advance directive?

A living will which outlines choices about withdrawing or withholding life-sustaining procedures, if terminally ill

When must an advance directive be written?

While resident is mentally competent

Who can write an advance directive if the resident is in a mentally incompetent state?

Resident's legal representative

What does DNR stand for?

Do not resuscitate

Who writes a DNR order if the resident makes that choice?

Doctor

What extraordinary measures does a DNR keep healthcare providers from performing?

Interventions used to restore heartbeat or respiratory effort (CPR)

What is Hospice Care?

Health care agency or program for people who are dying (usually less than six months to live)

What is palliative care?

Palliative care provides comfort measures against pain and stress for people with terminal illness.

Is palliative care only provided by hospice?

No, hospice often provides palliative care, but other providers, including hospitals and long term care facilities, provide palliative care as well.

What does hospice care intend to provide patients?

Comfort measures and pain management

What does hospice seek to preserve?

Dignity, respect, and choice

Where do most people die?

In hospitals or long term care facilities.

What factors might influence a nurse aide's own feelings about death?

Age, personal experiences, culture, and religion

Who can nurse aides use as a support system for dealing with an encounter with death or dying?

Co-workers

True or false


When a resident is dying, it is best to keep the environment as normal as possible.

True. Keep the room well lit and ventilated, open the drapes and door, and play the resident's favorite music.

Is proper body alignment still important when a person is dying?

Yes. Proper body alignment and change of positioning is just as important in situations of dying.

Is a balanced diet a primary concern for a resident who is dying?

No, it is important to offer resident small, frequent meals of their favorite foods .

Identify basic human needa

Food and water


Protection and shelter


Activity


Sleep and rest


Comfort, especially freedom from pain

What are psychosocial needs?

Needs involving social interaction, emotions, intellect, and spirituality

What is Maslow's Hierarchy of Needs?

A model to show how physical and psychosocial needs are arranged in order of importance.

Define holistic care

Caring for the whole person, mind as well as body

Should NAs encourage residents to do as much for themselves even if it takes them a very long time?

Yes

What is ageism?

Discrimination against older persons or the elderly