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Foundations
FII: CH 19 Key Terms
| Term | Definition |
|---|---|
| ageism | a form of prejudice, like racism, in which older adults are stereotyped by characteristics found in only a few members of their group |
| Alzheimers Disease | The most common degenerative neurologic illness and the most common cause of cognitive impairment; irreversible and progresses from deficits in memory and thinking skills to an eventual inability to perform even the simplest of tasks |
| cascade iatrogenesis | medical or nursing intervention can trigger a sequence of adverse events in a frail older adult; downward spiral and decline |
| delirium | a temporary state of confusion is an acute illness that can last from hours to weeks and resolve with treatment |
| dementia | refers to various organic disorders that progressively affect cognitive functioning; chronic and usually develops gradually |
| functional health | the ability to carry out usual and desired daily activities |
| gerontologic nursing | combines the basic knowledge and skills of nursing with a specialized knowledge of aging in both illness and health |
| gerontology | the scientific and behavioral study of all aspects of aging and its consequences |
| life review/reminiscence | a way for an older adult to relive and restructure life experiences and is part of achieving ego integrity |
| middle adult | years are generally considered to be ages 40-65; period of gradual, individualized changes in both physical and psychosocial dimensions |
| older adult | person older than 65 years of age |
| polypharmacy | the use of many medications at the same time; poses hazards for older adults |
| reality orientation | involves interventions to redirect the patients attention to what is real in the environment |
| social isolation | sense of being alone and lonely as a result of having fewer meaningful relationships |
| sundowning syndrome | an older adult habitually becomes confused, restless, and agitated after dark |
| genetic theory | holds that lifespan depends to a great extent on genetic factors |
| immunity theory | focuses on the functions of the immune system |
| immunosenescence | age-associated changes in the immune system |
| cross-linkage theory | a chemical reaction that produces damage to the DNA and cell death |
| free radical theory | molecules with separated high-energy electrons, which can have adverse effects on adjacent molecules |
| young old adult | ages 60 to 74 |
| middle old adult | ages 75 to 84 |
| old old adult | ages 85 and older |
| sarcopenia | loss of muscle mass |
| sarcopenic obesity | muscle loss combined with an increase in body fat |
| cognition | indicates cerebral functioning including the ability to perceive and understand one's world |
| PACE | Program of All-inclusive Care for the Elderly |
| NORCs | Naturally Occurring Retirement Communities |
| REACH | Racial and Ethnic Approaches to Community Health |
| SPICES | S-Sleep Disorders P-Problems with eating or feeding I-Incontinence C-Confustion E-Evidence of falls S-Skin breakdown |
| ABCDE | Awakening and Breathing coordination Careful sedation Delirium Early progressive mobility |
| Geriatric Depression Scale | 15 question screening tool, can be used effectively in older adults in any setting. combined with mental health assessment. |
| EAI | Elder Assesment Instrument; allows practicing nurses to screen for maltreatment in suspected cases. an interview and physical assessment |
| Geriatrics | the branch of medicine that focuses on the study of health and disease later in life |