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289 Elderly
Nursing
| Question | Answer |
|---|---|
| Spices stands for | Sleep disorders, Problems with Eating, Incontinence, Evidence of falls, Skin Breakdown |
| Activities of Daily Living | Toitleting, feeding, dressing, grooming, ambulation, bathing |
| instrumental ADLs (living independently) | Telephone, shopping, food preperation, housekeeping, laundry, medication administration, money management |
| I used to be _________ and _________ all my body fat has moved from up here to down there... I guess my ___ are wasting away. | taller, heavier, muscles |
| my normal body temperature is ___ degrees F. I am always cold | 97.2 |
| you know I am not as hungry as I used to be... She says that the elderly have _________ absorbtion from the GI tract and because of that and my decreased __________ and resultant tast means I am more likely to suffer from ____________ | decreased, malnutrition |
| Blood vessels as you age become more or less rigid? | More (arterosclerosis) |
| In an older adult temperature might range from | 95-97.5 (decreased metabolism) |
| If that is okay and my _____ status satisfies me then I wish that she would just relax | health |
| Factors that lead to decrease appetite | cooking alone, slowed metabolism, depression, lack of taste |
| I have noticed that my skin is ___ than it used to be. I don't _____ like I used to. | drier, sweat |
| Sweat and sebacious glands increase with age (T or F) | False |
| I have a slower _________ absorbtion of drugs, and a decreased ____ of the medicines I take. | decreased, elimination |
| My skin is thinner and so wrinkled. I guess that is because my dermis has lost its________, __________ and mass. | elasticity, collagen |
| My skin ______ so much, a family of four could live in there. | tents |
| They say that ________ _______ is the single most important factor in the development of are related skin changes. | sun exposure |
| two kinds of skin cancer common | basal and squamous cell skin cancer |
| Because of a decrease in ___________ production I have more __________ hair | melanin, gray |
| My nails are thicker, brittle, hard and _________ | yellowish |
| I think he has a toenail ______; very commonly in elderly | fungus |
| Seems that my _________ and _________ nodes have become more firotic with age. | thyroid and lymph |
| my mouth has a tendency to be __________. my gums have _________ and I am now more prone to ______ _______ | drier, receeded, dental carries |
| I don't hear Like I used to (_______) | presycusis (high tone frequency loss) |
| I have the greatest problem hearing in a room where there is conversation and competing _________ noise. | background |
| I suffer from _________. I am also very sensitive to glare | presbyopia |
| lymph nodes and thyroids increase or decrease in size and function | decrease |
| Hearing problem red flags | repeat, tilting, leaning forward, whisper test |
| _______ is less so I often experience ________ and uncomforatble eyes. | tearing, dry |
| They say that I shouldn't drive anymore because older people lose their _________ vision. | peripheral |
| Lens becomes more rigid and the cilliary muscles become weaker (T or F) | True |
| Presbyopia Red Flags | they move the paper farther away |
| I am lucky that I do not suffer from ________. 90% of those my age experience lens changes. | cataracts |
| I do need to have my eyes checked annually to detect any increased pressure inside my eye called ________ | glycoma |
| Normal age related changes that occur to respiratory system | calcification of joints, weakening of the diaphragmatic, intercostal and accesory muscles, deceased number of alveoli, shortened thorax, and kyphosis |
| My cardiac output has __________ 30-40 percent due to ______________ heart rate and ____________ contractility. | declined (heart is smaller), decreased, myocardial |
| My mitrial and aortic valves are ________ and _______. If you listen to my heart, you may hear an ________ sound that is associated with decreased left ventricular compliance. You might also hear a soft, early ______ murmer. | fibrotic, and calcified, S4, systolic |
| heart becomes larger with age | false (smaller) |
| Breasts... glandular tissue has ___ and is replaced by __________ deposits. A ________ of the inframammory ridges at the lower end of the breast has developed. | Glandular tissue, fat deposits, thickening |
| Always ask me whether I have had any urinary unrgency, frequency and ___________ | nocturia |
| I hear the old gentlemen down the hall has prostate problems. he gets up all night long to urinate (____________) he has dribbling and he feels like his bladder is not ever empty. | nocturia |
| I have a decrease in bone _________ and a ________ of my intervertebral discs. | mass, fitting |
| I am very fortunate that I do not suffer from ________ 90% of people over 60 suffer from this disorder. | osteoarthritis |
| When you are precussing someone you suspect having constipation you will hear... | dull sound |
| My ____ and ____ have decreased in both elaticity and tone. Also my muscles have lost mass and ______. | tendons and muscles, strength |
| degenerative joint disease | changes in the articular cartridge |
| Joints look larger because | subcutaneous tissue has decreased |
| I have plenty of brain cells left... My ____ and _____ sensations are diminished, but my general intelligence is the same. | Touch and pain |
| My __________ memory tends to be better than my _____ memory | remote, recent |