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65 Cards in this Set
- Front
- Back
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gerontic nursing
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considers the nursing care of older adults to be the art and practice of nurturing, caring, and comforting rather than merely the treatment of disease.
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gerontological nursing
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is concerned with assessment of the health and funct. status of older adults; diagnosis, planning, and implementing health care and services to meet the identified needs, and evalute the effectiveness of such care.
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gerontology
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is the study of all aspects of the aging process and its consequences.
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nonstochastic theories
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genetically programmed is the study of all aspects of the aging process and its consequences.mechanisms within the body control the process of aging.
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reality orientation
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is a communication technique that makes an older adult more aware of time, place, and person. Purposes: restoring a sense of reality, improving the level of awareness, promote socialization, elevate independence, minimize confusion, disorientation, and physical regression.
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reminiscence
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reflect on past experiences.
recalling the past. |
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stochastic theories
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view aging as the result of random cellular damage that occurs over time.
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validation therapy
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is an alternative approach to communication with a confused older adult... v.t.accepts the description of time and place as stated by the confused older adult... time, place, and person
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geriatrics
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deals with the diagnosis and treatment of diseases and problems affect older adult.
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depressionn
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NOT a normal part of aging...
treatable |
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dementia
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generalized impairement of intell. funct. that interferes w/ social and occupational funct.
a gradual progressive irrevers. cerebral dysfunction. |
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delirium
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acute confusional state
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ageism
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discrimination against people of increasing age...example: sexism/racism
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disengagement theory
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the oldest psychosocial theory
aging indiv. w/draw from customary roles and engage in more introspective, self focused activities. |
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activity theory
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considers the continuing of middle age activities necessary for successful aging
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continuity theory/ developmental theory
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personality remains the same and behavior becomes more predictable as people age
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osteoporosis
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the rate of resorption exceeds the rate of formation, which results in significant loss of bone mass and decreased skeletal integrity.
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osteoclasts
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bone reabsorbing cells
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creative expression in aging
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40-50=strong desire to create meaning
60-70=take chances...willing to exp with new activities 70+=want to give back wisdom and wealth 80+=take care of unfinished business...celebrate w/ family |
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chronic health conditions
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heart disease
cancer cerebrovascular accident comp. from falls arthritis diabetes |
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religion
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man made place
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restorative care: chronic care
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restoring a chronic condition that a pt lives w/ daily...diabetes
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necrosis
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localized tissue death
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myocardial infarction
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necrosis of portion of cardiac muscle...caused by an obstructtion in the coronary artery
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dyspnea
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uncomfortable breathing
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nursing interventions for the acute care setting
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attempt to identify cause of delirium
encourage family visits provide memory cues...clock compensate for sensory def. reality orientation |
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nursing interventions to support psychosocial health
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ttrrvb
touch therapeutic comm. reality orientation reminiscence validation therapy body image |
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nursing interventions for changes of aging
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teach client how to promote and maintain function
teach re: physical fit. nutrition, safe rx use, home safety and breast exams/prost. screen no smoking, reg dental visits, immunizations |
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depression
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treatable ...not a normal part of aging
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ageism
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discriminiation against people of increasing age ex: racism
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delirium
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acute confusional state
Causes: inc. temp. dehydration, UTI, shock reversible cogn impairment due to physiological cause |
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dementia
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chronic/longterm
generalized impairment of intell. funct. that interferes w/ social and occupational funct. a gradual progressive irrev. cerebral dysfunction. |
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psychosocial changes of aging
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retirement
social isolation sexuality housing change death |
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chronic condition in the elder
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lowers the well being and threatens the independence of older adults
persist for long periods of time...often for the remainder of a persons lifetime |
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acute condition in the elder
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begin abruptly...then subside... sharp/severe
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functional assessment in older adult
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helps identify a sudden change in the clients ability to perform adl's
a sudden change in ability to perform adl's signals onset of acute illness and worsening of chronic problem |
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integumentary change
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skin thins and wrinkles...age spots
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respiratory changes in elder
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lose cough reflex...sob
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cardiovascular changes in elder
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weak pulse and hardening of arteries
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gastrointestinal changes in elder
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constipation
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musculoskeletal changes in elder
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decreased muscle mass and weakness
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neurological changes in elder
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decreased sensations
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sensory changes in elder
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ears, eyes, taste, smell, touch...proprioception, balance
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genitourinary changes in elder
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large prostate and decreased sphincter control
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reproductive changes in elder
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hormone changes and decreased sperm
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endocrine changes in elder
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decreased enzymes...decreased ability to respond to stress
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health concerns of older adult
acute illnesses...NOT chronic |
change in mental status
falls dehydration dec. in appetite loss in function dizziness incontinence |
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psychosocial risk factors in elder
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low self esteem
depression anziety poor relationships seperation fro supp. system inability to forgive loss racial/cultural conflicts |
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sexuality
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not decreased in older adult... they need touch
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atypical
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condition that is not normal or usual
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disengagement theory
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says that older adults aging and society usually mutually w/draw from normal interaction
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young old
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65-74
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old-old
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75-84
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oldest old
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85+
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graying of america
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living longer...70 million older adults by 2030
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polypharmacy
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multiple drugs being taken
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most commonly used by living at home elders
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analgesics
diuretics cardiovascular drugs sedatives |
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most commonly used for nursing home residents
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antipsychotics
sedatives diuretics antihypersensitives analgesics cv drugs antibiotics |
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risk factors for falls
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dec. vision
cva cond cond. affect mobility/balance bladder disf. cong, imp rx reactions dec. lighting wet floors clutter sensory imp. |
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osteoporosis
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decreased bone mass
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osteoclasts
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reabsorbing cells
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osteoblasts
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bone forming cells
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successful creative aging
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living adaptation
education...life long learning art...self expression peak experience...wisdom spiritual journey developmental process... eriksons process...we all do it |
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older adults in acute care setting are at risk for:
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delerium
dehydration malnutrition nococomial inf urinary incontin skin breakdown falls |
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spirituality
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belief in higher being ... GOD
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