Chapter 13 LECTURE 9 PART II Flashcards

Late Adulthood (49 cards)

1
Q

HEALTH SCREENINGS
-What two checkups should continue to be done?

A

Dental and eye checkups

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2
Q

HEALTH SCREENINGS
-What does physical evaluation include? (5)

A
  1. Weight
  2. Blood pressure
  3. Thyroid levels
  4. Blood glucose levels
  5. Lipid levels
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3
Q

HEALTH SCREENINGS
-What 4 things should nurses asses their older adult patients for?

A
  1. Substances abuse
  2. Over medication
  3. Sexual dysfunction
  4. Urinary incontinence
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4
Q

HEALTH SCREENINGS
-What does your body use to get rid of medications?
-What happens to their function?
-What can this lead to?

A

-Liver and Kidney
-Their function decreases with age
-Overdosing

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5
Q

HEALTH SCREENINGS
-A mammography should be done until what age?
-When should it start?
-When should it be done?

A

-74
-Around 40, but can be done earlier if there is a greater risk
-Annually

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6
Q

HEALTH SCREENINGS
-Colorectal cancer should be screened for until what age?
-When should it start

A

-75
-45

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7
Q

HEALTH SCREENINGS
-What should be a screening for women who are 65+?

A

Bone mass/osteoporosis

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8
Q

HEALTH SCREENINGS
-What should be screened for to prevent falls?

A

Fall risk and need for exercise interventions

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9
Q

HEALTH SCREENINGS
-Screen for risk factors for ____ disease

A

Cardiovascular

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10
Q

HEALTH SCREENINGS
-In terms of emotional and physical, what three things should be screened for?

A
  1. Depression
  2. Elder abuse
  3. Intimate partner violence
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11
Q

HEALTH SCREENINGS
-What is one thing nurses/health-care workers can do to prevent elder abuse?

A

They should observe interactions between older adults and the caregivers

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12
Q

SEXUALITY
-What is the most common cause of sexual dissatisfaction in older adults?

A

Lack of a partner

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13
Q

SEXUALITY
-What may men develop?

A

Erectile dysfunction

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14
Q

SEXUALITY
-What is painful intercourse called?
-In women, what may this result from?

A

-dyspareunia
-from atrophy of vaginal wall and decrease in natural lubrication

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15
Q

SEXUALITY
-What is still a sexual health problem at this age?

A

STIs

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16
Q

MEMORY LOSS
-What can be associated with aging?
-Examples?

A

-Normal memory loss and changes
-Having trouble with remembering names and faces of people

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17
Q

MEMORY LOSS
-What can temporary memory loss be caused by?

A

Depression or anxiety

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18
Q

MEMORY LOSS
-What kind of causes can confusion have?

A

Metabolic causes

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19
Q

MEMORY LOSS
-Dementia is an inevitable outcome of aging (T/F)
-What is necessary for it?

A

-FALSE; Dementia is NOT an inevitable outcome of aging
-Dementia screening

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20
Q

MEMORY LOSS
-What is the Mini-Mental State Exam (MMSE) used for?
-What specific thing can it be used to screen for?

A

-It is used to check for cognitive impairments
-Dementia

21
Q

WARNING SIGNS OF PROBLEMATIC MEMORY DECLINE
1. Memory loss that affects what?
2. Difficulty remembering ____ in _____ _____
3. ________
4. Lack of awareness of what?
5. Decrease in what? This means increased need for _____
6. Associated problems with what?

A
  1. Job functioning
  2. Steps; familiar tasks
  3. Disorientation
  4. Time, place, or date
  5. Abstract thinking; concreteness
  6. Mood, language, or personality changes
22
Q

WARNING SIGNS OF PROBLEMATIC MEMORY DECLINE
-What is disorientation?

A

-Not knowing where they are in terms of person, place, time, and sometimes situation (what happened)

23
Q

PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are the six preventable causes of memory problems?

A
  1. Drug toxicity
  2. Depression
  3. Metabolic problems
  4. Sensory problems
  5. Nutritional deficiencies
  6. Illness
24
Q

PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are 3 metabolic problems?

A
  1. Kidney dysfunction
  2. Liver dysfunction
  3. Hypoglycemia
25
**PREVENTABLE CAUSES OF MEMORY PROBLEMS** -What are 3 sensory problems?
1. Difficulty hearing 2. Difficulty seeing 3. Difficulty sensing information
26
**PREVENTABLE CAUSES OF MEMORY PROBLEMS** -What are 3 common nutritional deficiencies?
1. Dehydration 2. Vitamin B12 deficiency 3. Iron deficiency
27
**PREVENTABLE CAUSES OF MEMORY PROBLEMS** -What are common illnesses?
Pneumonia and other infections
28
**DEPRESSION** -Older adults have an increased risk of experiencing what?
Depression
29
**DEPRESSION** -Depression should automatically be expected to appear in the older adult (T/F)
FALSE; depression should NOT be automatically expected to appear in the older adult
30
**DEPRESSION** -Side effects of medications may do what?
Mimic depression
31
**DEPRESSION** -What can depression trigger?
Physical illness
32
**DEPRESSION** -What are 4 causes of depression?
1. Loneliness 2. Social isolation 3. Declining health 4. Loss of significant other
33
**CLINICAL DISEASE** -What is good health in older people defined as?
The absence of disease or disability
34
**CLINICAL DISEASE** -What results from aging?
Normal body changes
35
**CLINICAL DISEASE** -What are 5 examples of normal body changes that happen with age?
1. Thinning & graying of hair 2. Muscle & bone density loss 3. Wrinkling & thinning of the skin 4. Shrinking 5. Presbyopia → issues with seeing close as a part of aging
36
**CLINICAL DISEASE** -Most older adults have what?
At least one chronic condition
37
**CLINICAL DISEASE** -What are comorbidities?
The simulatenous presence of two or more diseases
38
**PHYSICAL ACTIVITY** -What can significantly slow the aging process?
Excerise
39
**PHYSICAL ACTIVITY** -How many hours per week should be dedicated to exercise?
2 1/2
40
**PHYSICAL ACTIVITY** -What decreases with age? -What does this mean?
-resting metabolic rate -fewer calories are burned during a resting state
41
**PHYSICAL ACTIVITY** -What can muscle-strengthening exercises do?
Increase the amount of metabolically active tissue
42
**PHYSICAL ACTIVITY** -What are regular balance exercises? -What can doing these result in?
-practicing walking backward and sideways -fewer falls
43
**PHYSICAL ACTIVITY** -What can physical activity have a protective effect on?
Cognitive function
44
**TEACHING TECHNIQUES** -The learner must be what?
Motivated to learn
45
**TEACHING TECHNIQUES** -Teaching must be relevant to what? -It must be appropriate to what?
-learner -the developmental stage and abilities of the learner
46
**TEACHING TECHNIQUES** -What should be considered when teaching? (3)
1. Visual & hearing issues 2. Short sessions 3. Keep it simple
47
**TEACHING TECHNIQUES** -If the older adult has hearing issues, what should the nurse do?
Maintain eye-contact, talk slowly, and do NOT scream
48
**TEACHING TECHNIQUES** -If the older adult has vision issues, what can the nurse do?
Make sure they have glasses, increase font size on their phone
49
**TEACHING TECHNIQUES** -How is learning enhanced?
If mutual respect exists between the teacher and learner