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51 Cards in this Set
- Front
- Back
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what would you do for a non-communication client who is on his light frequently? |
bring him a urinal, he might have to use the restroom |
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how can you promote good bowel habits? |
veggies, high fiber, exercise, 8 glasses of h2O a day. NOT LAXATIVES |
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when you start your shift which client would you examine first? |
CHEST PAIN w/ breathing problems |
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what is an advocate? |
puts patients first, acts in patients interest |
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components of a good death? |
dying with dignity, in control of how they die, privacy, ask if want a chaplain |
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pain in the elderly |
blunted pain, not always stated |
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meds from a dying patient for breathing and pain |
ativan (lorazapam) and morphine |
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how do you treat break though pain |
(pain before patient is given their next does) consult doc about giving a higher dose. low and go slow |
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non-verbal signs of pain |
agitated increased HR, pulse, and BP |
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nonpharmacy treatment for anxiety |
calm them down, stay with them, deep breathing |
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complementary therapy |
acupuncture, massage |
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life prolonging care |
ventilation, surgery dialysis- if dont want any of this you go in hospice... ativan= pallative |
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how can a caretaker get a break? |
respite care- adult day services is respite care |
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herbs?? bleeding disorders contraindications |
ginko bulboia- for cognitive function... CONTRAINDICATED with coumadin |
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prevention of elder abuse |
report it, follow protocol, talk with family, ask if need help finding nursing home, know state laws on reporting |
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what constitutes as self neglect |
dont bathe, dont take meds |
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financial abuse, physical abuse?? |
financial- steal money and belongings physical- not feeding, hitting |
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elderly women and sex problems |
elderly women- dryness, lack of estrogen |
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what problems can happen for sex for elderly |
have sex in morning or after nap, find a room for them |
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elderly and HIV? |
prevalent, increased risk, men w/ men then elderly.. EDUCATE |
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how can the elderly improve sexual health? |
exercise, lose weight, quit smoking... VIAGRA not health promotion.. dont take with nitrates |
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HIPPA laws |
confidentiality about patient |
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hospice dos and donts |
do- keep comfortable.. if wound, keep clean dressing changes but no surg. dont- take life prolonging measures, no surgeries |
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informed consent |
pt understands procedure and says its okay every aspect of what can happen is covered |
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urge incontinence |
having to go always.. FIX meds, go every two hours |
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functional incontinence |
dont know.. CANT FIX. ex. alzheimers, parkinsons |
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stress incontinence |
cough or sneeze.. FIX kiegels |
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viagra |
sinfinafil |
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signs and symptoms of dysphagia |
cant swallow, "feels like something is stuck in my throat" can lead to aspiration pneumonia |
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avoiding pressure ulcers |
turning schedule every 2 hrs (if skinny every hour) dry bed, good nutrition & H20, special bed |
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malnutrition can lead to where? |
skin breakdown, and pt wont heal properly |
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scale for pressure ulcers |
BRADEN |
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durable POA |
make decisions for you |
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group home definition |
fam home and environment, about 10 people, meets legal requirements |
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elder cottage housing opportunity |
watch them while live in pods, monitor |
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acute rehab |
place where you can get PT 3-8 weeks to get in shape and go home |
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what should you ask pt about meds? |
herbs, OTC, complaint, where is your pharmacy |
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patients autonomy and DNR |
make own choice, have to respect it |
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nonmaleficience |
do no harm, give meds for breakthough pain another nurse says no BC respirations |
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justice |
equal care |
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beneficience |
doing things for pateint |
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fidelity |
promising something and dont carry though |
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veracity |
tell the truth |
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why is there an increase in ethical dilemmas |
more older patients, living longer |
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societys view on sexuality in older adults |
they dont think it happens, stigma against elderly, they have normal relations |
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problems and pain |
effect mental status and become depressed |
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malpractice |
negligence |
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patients rights |
right to refuse, right to equal care, right to be safe |
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s/s of dying |
modling skin, resp go down rapidly, cheyne strokes resp, death rattle |
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goal of grieving |
let them go though all stages, everyone has different grieving process |
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options for nonlife prolonging care |
hospice, pallative, pain relief, oxygen |
