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17 Cards in this Set

  • Front
  • Back
geriatrics-

gerontology-

gerontological nursing-
health care of elderly

the study of aging

nursing for elderly
Autonomy (aging in place) is key
s
Risk factors that could negatively impact aging
s
Chronic illnesses
s
65-74 the young old
75-84 the middle old
85-99 the old old
100 or more the elite old
s
Self Management:
loss of control
self esteem
self care
s
Nutrition:
Poor Nutrition
Meal Assistance
Mood
Physical Changes
Dietary Requirements
s
Exercise Mobility:
Walking
Barriers
Complications related to decreased mobility
Benefits
s
Stress:
Changes in roles
Changes in the environment
Changes in health
Losses
s
Inicidence of Falls:
Hx of falls
Multiple illnesses
Weakness/decreased mobility
Confusion
Over the age of 80
Medications
Incontinence
Visual impairments
s
Restraints:
Alternatives
Physical
Chemical
s
Drugs:
Polypharmacy
Absorption—Changes in blood-brain barrier protection
Distribution
Metabolism
Excretion
s
Mental Health: Depression
-sleep disturbance
-appetite change
-limited activities
Treatment: SSRIs
Alzheimers
Multi Infarct Dementia
s
Types of Elder Abuse:
Neglect-
Physical-
Financial-
Emotional-

We are mandatory reporters of suspected abuse: report to your supervisor, the physician and the social worker
Neglect: not given basic needs (food, clothing, assistance with care) ½ of all cases. Look for pressure ulcers, dehydration, poor nutrition, diaper rash, contractures, poor hygiene

Physical Abuse: usually seen in the torso area in order to hide marks (could be hidden by a bathing suit) ¼ th of all cases involve this. Look for bruises in clusters, different stages of healing, burns on the buttocks and feet, Often will deny that it is occurring.

Financial: property and resources are mishandled this is more common than physical abuse.

Emotional Abuse: use of threats, humiliation and isolation
Assessing Caregivers:
Knowledge level
Acceptance of role
Stress management techniques
Respite care for caregiver burnout
Indicators of stress
Knowledge level
Acceptance of role
Stress management techniques
Respite care for caregiver burnout
Indicators of stress
Mental Health:
Delirium

where
cuases
discharge
Tx
This is an acute state of confusion that is often short term and reversible.

Often seen in the hospital or anywhere that is unfamiliar to the patient.
Causes: Medications (anticholinergics) infections, post-op, metabolic disturbances, respiratory, renal and circulatory diseases.
Discharge. If they are confused when they are discharged, they are at a high risk for falls, incontinence and functional decline.

Tx: calm voice, reorient, divert attention, something to handel or hold, TREAT THE CAUSE
Interventions for the Caregiver
Teach stress management techniques
Encourage the use of support groups
Identify sources for respite care
Give them other community resources to call on.