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Care.of.Older.Adult
Question | Answer |
---|---|
Top 3 causes of death in older adults | Heart disease, malignant neoplasms (cancers), & cerebrovascular diseases |
Manifestations of reduced nerve conduction in the elderly | Diminished reflexes, impaired learning, confusion |
#1 cause of falls in elderly | Nocturia |
#1 cause of fainting in elderly | Posterial orthostatic hypotension (changing positions) |
Manifestation of glaucoma and cataracts in elderly | Inability to tolerate glare |
Colors that the elderly most frequently have difficulty distinguishing | Green and Blue |
Presbycusis | Decreased ability to hear high pitched tones |
Presbyopia | Decrease in visual accommodation |
Most common affective disorder in elderly | Depression |
Delirium | Acute, confused state that begins with disorientation |
Factors leading to depression | changes in serotonin, chronic illness, meds (finances, sexual desire) |
Common cause of delirium in elderly | UTI |
Diagnosing Alzheimer's disease | Only accurate way is autopsy. Living pt.s diagnoses are based on symptomology |
Vascular dementia is commonly a precursor to ______. | Elevated BP/Cholesterol |
Diagnosing vascular dementia | White/grey matter viewed on CT |
Common cause of vascular dementia | Stroke (lack of O2 to brain) |
Field of practice that focuses on physiology, diagnosis, mgmt of disorders, diseases of older adults | Geriatrics |
Field of nursing that utilizes nursing process for older adults in all environments (acute, intermediate, skilled, care and community) | Gerontological/geriatric nursing |
Combined biologic, physiologic, sociologic study of older adults within their environment | Gerontology |
Sundowning | Confusion at night |
Ways to support cognitive function in older adults | Crosswords, color coding, clocks, calendar |
Ways to promote physical safety in elderly | No rugs, handrails, higher toilets |
Administration of multiple meds at same time | Polypharmacy |
Changes on med effects with age | Absorption, Metabolism, Distribution, Excretion |
Factors that affect elderly compliance with drug regimen | Cost, side effects, confusion on frequency (regimen) |
Strategy to improve elderly compliance with meds | Improve frequency of regimen (Aim for most drugs 1x/day, as many as possible at same time) |
Manifestation of diminished thermoregulation | Altered febrile response |
When is a medical condition considered chronic? | 3 months or longer |