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41 Cards in this Set
- Front
- Back
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Define biological age |
Refers to how old someone seems based on their functional characteristics. E.g genetics, wear and tear. |
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Define psychological age |
A type of aging that a person will experience, may or may not match their actual again. Like non-physical maturity |
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Define sociocultural age |
The relationship between society and the older adult. Looking at how older adults influence society |
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Define objective age |
The length of time that has passed since people were born. Society uses chronological age for demographic data. |
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Define subjective age |
How old you feel |
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Define functional age |
Age from a holistic perspective, considers the individuals physiological health, socioeconomic factors and ability to participate in activities. |
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Why is New Zealand population aging ? |
Increased life expectancy due to Improved living conditions - Healthier life styles and Medical advances
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How do older adults contribute to society? |
In paid employment Provide hours of voluntary work |
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Define geriatrics |
A specific branch of medicine that focuses on illness, disease and disability associated with aging |
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Define Gerontology |
The study of all aspects of aging from a social, psychological and biological perspective |
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Define gerontological nursing |
Uses nursing knowledge and judgement to provide competent care for older people |
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Outline the vision of the Healthy Aging Strategy |
Prioritises healthy ageing and provides respectful end of life care. Enable high quality acute restorative care. Ensures people can live well with long term conditions. Supports people with high and complex needs. |
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What measures can be taken to improve skin health and prevent itching and dryness |
Soap substitutes Apply moisturiser or barrier cream Avoid long hot showers or baths, this can dry the skin more |
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Outline how you will treat a skin tear |
Control bleeding Cleanse and debride Manage infection/inflammation Consider moisture balance Monitor wound edge/closure |
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What common assessment tool is used to assess various cognitive domains |
MMSE |
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Identify three different tools commonly used for in assessing the older adult |
Nutritional assessment Falls risk Skin assessment/pressure area risk |
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What is the difference between a medical diagnosis and a nursing diagnosis ? |
Medical diagnosis determines the disease or a medical condition. A nursing diagnosis is a holistic approach and diagnoses around signs/symptoms |
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Outline the four steps of the medication process |
Prescribing Dispensing Administering Recording/document |
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Identify the 5 rights + 3 |
Right medication Dose Patient Route Time Right to refuse To reason Documentation |
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What is meant by polypharmacy and it’s implications in relation to the older adult |
Polypharmacy refers to multiple medications for a person often to treat more than one chronic condition. Older adults are often faced with multiple chronic conditions and providers |
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What is meant by the term palliative care ? |
A form of care that recognises cure or long term control of disease is not possible. Ensures patient comfort. |
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What is an advanced care plan? |
Usually a verbal or written record of discussions and comes into effect when a person is no longer able to communicate their wishes |
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What is end of life and end of life care ? |
When death is imminent Care that is provided to a patient at the end stage of their life and after death. Also to support family in their bereavement |
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Identify five symptoms that the older adult may experience at the end of life |
Pain Fatigue Ineffective breathing patterns Agitation Anxiety
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Define dementia |
Intellectual decline caused by organic brain damage or disease. Results in impaired judgement, memory or problem solving ability. |
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Outline four different types of dementia |
Alzheimer’s Vascular - caused by strokes resulting in poor bloody supply to brain tissue Lewy body disease - protein in the brain Frontotemporal |
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Explain the concept ageism |
Judgement based on their chronological age. Prejudices and stereotypes applied to older people. |
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What are four common prejudices and misconceptions about the older adult? |
Senile (bizarre behaviour) All old people are incompetent As people age their ability to learn stops All old people are the same |
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Outline two different ways in which the older adult is portrayed in media |
Either frail/weak Or Vibrant/fit |
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Define elder abuse and neglect |
Harming and distressing an older person in the form of financial, psychological, physical, sexual or neglect |
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Five risk factors associated with elder abuse |
Isolation Personal shame Poor physical health Financial pressure Ageism |
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What is social isolation and loneliness |
When an older adult lacks a sense of belonging. Loneliness is an individuals subjective feeling of lacking companionship |
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Four common factors that contribute to social isolation |
Physical - sensory impaired Psychological - depression Change in work/family roles - retirement Economic factors - socioeconomic status |
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Outline three nursing interventions that may reduce the risk of social isolation and loneliness |
Increasing autonomy and encourage independence - e.g mobility & transport. Refer to services e.g age concern Encourage participation in group activities |
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Identify three common misconceptions people have about sexuality and the older adult |
They are no longer interested in sex They are not capable Sex is perverse (unacceptable) in old age |
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Identify four common changes that occur as people age that may affect the older adults sexuality |
Loss of partner Body image disturbance Functional impairment Medication |
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What are three interventions a nurse can include as part of promoting sexual wellness in the older adult |
Provide information about risk factors and causes of sexual dysfunction Health promotion and prevention of STD’s Providing appropriate resources and referrals |
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What objective data will you obtain during a skin assessment? |
Colour Lesion/wounds/bruise/rash Moisture Temperature Turgor Hygiene |
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What objective data will you obtain during a skin assessment? |
Colour Lesion/wounds/bruise/rash Moisture Temperature Turgor Hygiene |
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What subjective data can you obtain during a skin assessment? |
Ask How it feels History of skin problems Allergies Smoke/Alcohol/Drugs |
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Outline factors that increase the older adults risk for sustaining a skin tear |
Skin - fragile/dry skin, previous skin tear Mobility - history of fall, impaired mobility, assistance with ADL’s General health - disease, impaired cognition |
