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27 Cards in this Set
- Front
- Back
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Cardiovascular system
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-Hr decrease
-activity intolerance -decrease cardiac output |
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treatment of ulcers
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-promote healing
-adequete circulation and oxygenation -rid of dead tissue |
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Extrinsic factors for falls
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environmental conditions
-lighting -wet floors -bad footwear |
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Alterations in mobility
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-immobility is a major medical disability in elders
-can lead numerous complications -fear of failing can contribute to immobility |
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Immobility
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-acute health prob lead to
-can cause pnuemonia,embolisms pressure ulcers,constipation, dehydration,aneroxia -factors:injuries,sight,arthritis,fear,strength |
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Iatrogenesia
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disorder a Pt acquires as result of recieving treatment from a Dr/nurse or get incorrect treatment
-misuse,overdoesage of drugs -follow a cycle |
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Incontinence
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-involuntary loss of urine control
-major reason elderly in nursing home -associated with UTI,skin breakdown,behavior disturbance |
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Musculoskeletal system
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-bones less dense, brittle
-wght bearing actv. -muscle decrease 5%/day if not used |
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Gait(intrinsic fall factor)
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decreased gross motor movements
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Sleep apnea
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-sleep disorder,stop breathing diff times throughout the night
-treat with CPAP |
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injury from falls
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-can result in hip fractures, death from complications
-intrinsic and extrinsic factors |
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Respiratory system
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-Anatomical changes effect lungs(kyphosis,osteoporsis)
-increase complications with decrease immobility |
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intrinsic factors for falls
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normal aging changes(mental and health
-posture and balance -Gait -Vision |
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nursing interventions to promote sleep
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-avoid meds
-use massage,comfort,snacks, socks,warmth,increase daytime actv. |
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kyphosis
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an arch in the spine, can be caused by changes in body and lungs with immobility
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Chronic incontinence
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-urge(feel urge but no make it to bathroom
-stress(coughing,laughing) -overflow(impaired emptying) -function(unwilling,unable) Interventions:surgery,treat underlying cause,kegal exercises |
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age related changes affecting incontinence
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-bladder capacity 1/2 the normal size
-decrease ability of kidney to concentrate urine |
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Sundown syndrome
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-change with day and night
-restlessness,confusion, wandering,screaming |
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Acute(transient)incontinence
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occurs with med prob and goes away when prob fixed
D-delirium R-restricted mobility I-infection,inflammation P-pharmaceutiacal,polyuira |
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altered nutritional status
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-Risks:anorexia,poor fitting dentures,lack of dentures
-assessment:serum albumin or protein, and wght monitoring |
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constipation
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increase GI transent time related to decrease peristalsis(contraction),meds can also cause
-interventions:activity,fluid fiber |
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sleep stages
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I-nodding off
II-deep relaxation III-easy to awake IV-deep sleep V-REM sleep, dreams occur |
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Pressure ulcers
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lesion caused by unrelieved pressure which damages underlying tissue,they are preventable!
-mechanical and physiological risk factors |
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Physiological Risk Factors for pressure ulcers
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-aging(thin skin)
-immobility(no move) -malnutrtion(low wght,low vitamens) |
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mechanical risk factors for pressure ulcers
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-pressue(external)
-shearing(sliding of PT in bed) -friction + moisture(softens skin,weakens) |
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Prevention of Pressure ulcers
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-assess risks
-repositioned every 2 hrs -donot massage red areas -well balance diet |
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Staging of Pressure ulcers
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I-red skin
II-partial skin loss,abrasion or blister like III-full thick skin loss, necrosis, deep crater IV-full thicknes loss with destruction,black tissue,damage to muscle/bone |
