Quiz 1 Med-Surg~3,4,7,16,17,18

Front 1

Relocation Stress Syndrome

Back 1

Physical & emotional distress after a person moves from one setting to another.

Front 2

Fallophobia

Back 2

Fear of falling.

Front 3

Presbyopia

Back 3

Farsightedness that worsens with aging.

Front 4

Polymedicine

Back 4

Use of many drugs to treat multiple health problems for older adults.

Front 5

Polypharmacy

Back 5

Use of multiple drugs, duplicative drug therapy, high dosage medications, and drugs prescribed for too long a period of time.

Front 6

Legally Competent Requirements

Back 6

18 years or older.
Pregnant or married minor.
Legally emancipated free minor who is self supporting.
Not declared incompetent.

Front 7

Clinically Competent

Back 7

Legally competent and can make clinical decisions.

Front 8

Depression

Back 8

Broadly defined as a mood disorder that can have cognitive, effective and physical manifestations.

Front 9

Primary Depression

Back 9

Mild to severe.
Lack of neurotransmittors norepinephrine & serotonin.

Front 10

Secondary Depression

Back 10

Aka Situational Depression.
Sudden change in someones life.
Can also be caused by some illnesses such as stroke, arthritis, etc.
Ex; illness or loss.

Front 11

Geriatric Depression Scale-Short Form

Back 11

The patient selects yes or no to 15 questions.
Score of 10 or more results in possible depression.

Front 12

Most likely to die from depression?

Back 12

Non-hispanic white men between 75-85.

Front 13

Signs of Depression in Older Adults

Back 13

Early morning insomnia
Excessive daytime sleeping
Poor appetite
Lack of energy
Unwillingness to participate in social events.

Front 14

Drug prescribed for Depression

Back 14

Serotonin Reuptake Inhibitors (SSRI's) are the first choice and take 2-3 weeks to work along with psychotherapy.

They increase the amount o serotonin and norepinephrine at nerve synapses in the brain.

Front 15

Dementia

Back 15

Aka Chronic Confusion.
Slowly progressive cognitive decline.
ALzheimers= most common type.
Multi-infarct dementia= 2nd most common and is vasc.

Front 16

Delirium

Back 16

Acute state of confusion. Also show signs of physical & emotional manifestations.
Reversible within 1 month or less.
Seen in adults in unfamiliar settings.
Seen in 50% of hospitalized patients.
Lower the NEECHAM score, the higher their delirium.

Front 17

4 Types of Delirium

Back 17

Hyperactive-Try to climb out of bed or become agitated
restless, and aggressive.
Hypoactive-Quiet, apathetic, and withdrawn.
Mixed-combination of hyper and hypo.
Unclassified

Front 18

Factors that can cause Delirium

Back 18

Drug therapy
Electrolyte imbalance
Infections
Fecal impaction or severe diarrhea
Metabolic problems. ex; hyperglycemia
Neuro disorders (tumors)
Circulatory, renal, and pulmonary disorders
Nutritonal Deficiencies
Hypoxia
Relocation
Major Loss

Front 19

Neglect

Back 19

When a caregiver fails to provide for an older adults basic needs such as foo, clothing, medication, or assistance with ADL's.

Front 20

Physical Abuse

Back 20

Use of physical force that resultsi n bodily injury using in bathing suit zone.

Front 21

Financial Abuse

Back 21

When the older adults property or resources are mismanaged or misused.
More common than physical abuse.

Front 22

Emotional Abuse

Back 22

Intentional use of threats, humiliation, intimidation, and isolation.

Front 23

Signs of Abuse

Back 23

Bruises in clusters or regular patterns.
Burns-commonly on buttocks or feet.
Unusual hair loss.
Multiple injuries especially fractures.

Front 24

The Fulmer SPICES

Back 24

Sleep Disorders
Identify serious marker condition that can lead to longer hospital stays and medical costs:

Problems with eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown

Front 25

Sleep

Back 25

Important for:
Healing, mental, and physical functioning.

Front 26

Contributors to Insomnia

Back 26

Pain
Chronic disease
Environmental noise and lighting
Staff conversations

Front 27

Incontinence

Back 27

Caused by:
Acute or chronic disease.
ADL Ability.
Available staff.
Not a physiologic change of aging, but is common in hospital and long-term care settings.

Front 28

Avoiding Acute confusion

Back 28

Avoid multiple drugs
Get plenty of rest.
Often reversible when the cause is removed.

Front 29

Fall

Back 29

Unintentional change in body position.
Most common accident.

Front 30

Single Most Predictor of Fall Risk

Back 30

Having a recent fall.

Front 31

Siderails

Back 31

Restraint UNLESS it increase patients mobility.

Front 32

Restraint

Back 32

Device or drug that prevents the patient from moving freely and must be prescribed by health care provider.
Check the patient every 30-60 minutes.
Release restraint every 2 hours for turning, repositioning, and toileting.

Front 33

Examples of Chemical Restraints

Back 33

Antipsychotic drugs
Antianxiety drugs
Antidepressant drugs
Sedative-hypnotic drugs.

Front 34

Pressure Ulcer Interventions

Back 34

Nutritional Support
Avoidance injury from friction or shearing
Repositioning and supporting surfaces
Plan to increase mobility and activity level when approp.

Front 35

Skin Tears

Back 35

Seen with chronic steroid therapy.