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30 Cards in this Set
- Front
- Back
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hypertrophy of the synovium that produces pain
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Rheumatoid arthritis
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– is the deterioration and abrasion of joint cartilage, with the formation of new bone at the joint surfaces
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OSTEOARTHRITIS
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- A metabolic disease of the bone; - Demineralization of the bone
- low calcium intake |
OSTEOPOROSIS
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Metabolic disorder in which you have excessive uric acid in the blood; uric acid creates blockage which leads to pain
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gout
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no discomfort of pain; just the clouding of the lens which reduces its transparency; treatment is removal and replacement; outpatient treatment; minimize glare; use sunglasses; disrupts visual acuity; things are blurry if neglected
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CATARACTS
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COMPLICATIONS OF IMMOBILITY
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PNEUMONIA – I can’t cough it hurts!
THROMBUS – I can’t move my vessels CONSTIPATION – I can’t go to bathroom! PRESSURE ULCERS DECUBITI – I can’t move! RENAL CALCULLI – I can’t pee! |
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EFFECTS OF FRACTURES
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Pain –
Deformity Restricted ROM Edema Embarrassment |
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– caused by metastasis of cancer; usual cause of fx for the elderly
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PATHOLOGICAL FX
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most common site for fractures in elders, especially in older women, and most of these fractures result from falls
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NECK OF THE FEMUR
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CARE FOR MUSCOLOSKELETAL FUNCTION
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- GOOD diet and weight reduction
- Daily intake of calcium - Activity - Patient and family Education |
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CARE FOR IMMOBILIZED PATIENTS
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Turning
ROM Hydration Note urine characteristics Good skin care |
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CAUSED BY hyperextension at the metatarsophalangeal joint
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HAMMER TOE
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NURSING INTERVENTIONS FOR
PROMOTING INDEPENDENCE ON THE ELDERLY |
CANES, WALKERS AND ASSISTIVE DEVICES
- Physical and occupational therapists - Self care devices: assistive food utensils - Reachers and raised toilet seats |
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no discomfort of pain; just the clouding of the lens which reduces its transparency; treatment is removal and replacement; outpatient treatment; minimize glare; use sunglasses; disrupts visual acuity; things are blurry if neglected
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CATARACTS
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high intraocular pressure that damages the optic nerve; major cause of blindness in the US
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GLAUCOMA
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BACK of the eye degeneration; CENTRAL blurring; a BLIND SPOT in the visual field; give supportive care such as magnifying glass; high intensity lamps;
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MACULAR DEGENERATION
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tremors and shuffling gait; disorder at the brain center that produces dopamine; risk of contractures; unable to transmit messages throughout the body; inability to control the facial muscles; always drooling; generalized tremor, stiff muscles and slow movement; stooped; shuffling gait, risk for fall; aspiration precautions; speech problems, slow speech, monotone voice; peaks at age 75; presence of Lewy body (an intracellular inclusion body); death of substantia nigra cells within the basal ganglia; reduction in dopamine production; Bradykinesia; dysphagia, SOB, forced eyelid closure, urinary hesitancy, reduced interest in sex; sleep disturbances
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PARKINSONS
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usually resolves within 24 hours; chances of a stroke within 5 years are significant; aphasia, expressive aphasia; a mini-stroke; hemiparesis; receptive aphasia; diplopia
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TIA
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Warning signs: lightheadedness; headache; “drop attack”; risk factors: male, HTN, family Hx, prior stroke; hemiplegia, aphasia and hemianopsia; blindness in the same half of both eyes
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CVA
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contraindicated for bleeding strokes
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Anti-thrombolytic therapy (TPA)
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forklike on the wrist fracture caused by self-prevention of falls
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Colle’s Fx
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FX CAUSED BY constant wear and tear of walking around; constant running and moving around; may affect the spine; might not even be caused by trauma
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Compression Fx
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COMPLICATIONS OF IMMOBILITY
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PNEUMONIA – I can’t cough it hurts!
THROMBUS – I can’t move my vessels CONSTIPATION – I can’t go to bathroom! PRESSURE ULCERS DECUBITI – I can’t move! RENAL CALCULLI – I can’t pee! |
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caused by Thorazine; blank look and Parkinson symptoms; not Parkinson’s at all
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Secondary Parkinson’s disease
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Care for Parkinson’s
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maintain joint mobility; give psych support because they might have intact mental faculties; family teaching;
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Treatment FOR CVA
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check airway; Neuro-vital signs q.15mins
Check pupils, bilat strength; skin care, mouth care, ROM; prevent corneal damage (PT not blinking too often); irrigate the eyes; |
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OTHER SITES OF FX
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distal radius (Colle’s); vertebrae from falls or lifting heavy objects
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MEDS FOR GOUT
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COLCHICINE AND ALLOPURINOL
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OSTEOARTHRITIS MEDS
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GLUCOSAMINE , CHONDROITIN
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CAUSED BY Vascular problems, viral infections and presbycusis; dermatoses, furunculosis, cerumen impaction, cysts, and neoplasms
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HEARING DEFICITS
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