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N3 GERO > lect 1 > Flashcards

lect 1 Flashcards

1
Q

gerontology

A

the scientific study of the process of aging and the problems of aged patients

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2
Q

geriatrics

A

branch of medicine that deals with the disease and treatment of older patients

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3
Q

what does older age entail biologically?

A

slower metabolism and lower vitals

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4
Q

projected population of 65+ in 2030

A

72 million

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5
Q

by 2035 there will be more older adults than children

A

true

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6
Q

which age group is the fastest growing?

A

85+

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7
Q

what is the most confusing to geriatric patients when they are hospitalized?

A

insurance

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8
Q

statistics of older adults who suffer from at least one chronic medical condition

A

3/4 of the population

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9
Q

what is biological aging?

A

refers to aging phenotype and external expression of one’s individual genetic makeup

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10
Q

what is chronological aging?

A

a combination of either social or biological aging

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11
Q

nonagenarian

A

adults aged 90 - 99

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12
Q

centenarian

A

adults aged 100+

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13
Q

primary interventions for older adults

A
  • immunization
  • high dose flu vaccine (60 mcg hemagglutinin)
  • healthy behaviors
  • stress management
  • active social engagement
  • cognitive stimulation

number 2 high priority

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14
Q

secondary interventions for older adults

A
  • annual wellness visits
  • screening guidelines
  • prevention plan
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15
Q

what are the biological theories of aging?

A
  • programmed aging
  • error theories (wear & tear theory and cross-linkage theory)
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16
Q

examples of strategies for annual wellness visits

A
  • mammograms
  • prostate checks
  • glucose checks
  • eye exams
  • skin screening
  • colonoscopy
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17
Q

wear & tear theory

A

cells eventually “wear out” or become damaged

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18
Q

cross-linkage theory

A

damage from errors with cross-linked proteins

cross-linkages inhibit proteases and cannot destroy damaged proteins

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19
Q

what are the psychological theories of aging?

A
  • activity theory
  • continuity theory
  • Erikson’s theory
  • Peck’s theory
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20
Q

activity theory

A

continued activity, productivity, and the ability to “stay young” indicates successful aging

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21
Q

continuity theory

A

aging reflects a continuation and maintenance of the patterns of roles, responsibilities, and activities

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22
Q

what are the developmental theories of aging?

A

Maslow and Tornstam

23
Q

Maslow’s Hierarchy of Needs (regarding the nursing profession)

A

widely accepted by nursing and includes biopsychosocial needs

24
Q

Tornstam’s Gerotranscendence Theory

A

older adults must withdraw from society to allow opportunity for self-reflection and contemplation of the meaning of life

attain wisdom

25
Q

culture

A

referred to as the shared and learned values, beliefs, expectations, behaviors, and religion of a group of people

26
Q

health disparity

A

differences in the state of health & health outcomes b/w groups of people

27
Q

what does the prevention of an increase in ROS and free radicals entail?

A

slow aging process and prolonged life

28
Q

what are foods that help slow aging?

A
  • fruits and vegetables (antioxidants)
  • red wine
  • olive oil
29
Q

what do high doses of Vit E cause?

A

increase the risk of hemorrhagic stroke and prostate cancer

30
Q

when do mammograms start?

A

at 40 years old

31
Q

what are factors that act as barriers to quality care?

A
  • race
  • age
  • gender
  • ethnicity
  • sexual orientation
  • location
32
Q

cultural awareness

A

recognize factors beyond culture

33
Q

cultural knowledge

A

essential understanding of way of life

34
Q

what factors reduce health disparities?

A
  • cultural awareness
  • cultural knowledge
35
Q

acculturation

A

minorities adopt culture of the majority

36
Q

ethnicity

A

social difference based on culture

37
Q

what are the 3 types of cultural beliefs?

A
  • biomedical
  • magico-religious
  • naturalistic/ holistic
38
Q

what does magico-religious believe about God?

A

God causes diseases but rewards with good health

39
Q

what is the perception of health in holisticism?

A

it is a sign of balance

40
Q

what are the obstacles that older adults face in seeking healthcare?

A
  • ethnocentrism
  • streotyping
  • (-isms)
41
Q

what are the components of designing interventions to promte health aging?

A
  • mutually acceptable
  • respect
  • work with the client
42
Q

what is essential to conducting a Culturally and Ethnically Sensitive Assessment?

A
  • listening
  • health beliefs
  • cultural beliefs
43
Q

LEARN Model

implement to provide care for various older adults

A

Listen (verbal & nonverbal)
Explain *(POV of situation)
Acknowledge (differences b/w perceptions & goals)
Recommend (consider both perspectives)
Negotiate (mutually acceptable plan)

44
Q

what are the concepts of Erikson’s theory?

A
  • generativity
  • stagnation
  • ego integrity
  • despair
45
Q

what are the concepts of Peck’s theory?

A
  • ego differentiation
  • work role preoccupation
  • body / ego transcendence
  • body / ego preoccupation
46
Q

Erikson

generativity

A

establishing oneself as one who contributes to society in meaningful ways

47
Q

Erikson

stagnation

A

identifying onself as restricted to that of their major role

48
Q

Erikson

ego integrity

A

attaining a sense of completeness & cohesion of the self

49
Q

Erikson

despair

A

a sense that one’s self no longer has purpose in life

50
Q

Peck

ego differentiation

A

begins to define self as separate from work role

51
Q

Peck

work role preoccupation

A

difficulty identifying oneself outside of a work role

52
Q

Peck

body / ego transcendence

A
  • physical changes are accepted as part of life
  • sees themselves as part of the greater whole
53
Q

body / ego preoccupation

A
  • physical changes become their sole focus
  • they think the world revolves around them
54
Q

what factors should the nurse be mindful of regarding cross-cultural encounters?

A
  • level of formality
  • identified cultural, ethnic, & racial identity
  • preferred language
  • level of health & health literacy
  • past experience with Western healthcare
  • level of acculturation
  • who, how, when, & what of decision making

N3 GERO (19 decks)

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