Chapter 24 LECTURE 9 PART II Flashcards

Older Adult (52 cards)

1
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What 2 things become decreased?

A
  1. Visual acuity
  2. Pupil size & constriction
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2
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What becomes less acute?

A

Color discrimination

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3
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What diminishes?

A

Peripheral vision

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4
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What is there an increased risk of?

A

Glaucoma and cataracts

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5
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What is glaucoma?

A

A group of eye disorders characterized by increased intraocular pressure

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6
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What concerns arise?

A

Safety concerns with driving

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7
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-____ eye exams are needed

A

Annual

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8
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What is presbyopia?
-The need for what is almost universal?
-When does presbyopia typically begin?

A

-age-related loss of accomodation; inability to maintain focus on close objects
-reading glasses
-around age 40-45

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9
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Vision
-What are cataracts?

A

-lens of eye thickens and becomes yellow

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10
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Hearing
-Hearing loss occurs in ___ in ___ people for those who are ___-___
-It occurs in ____ in ____ people for those who are ____

A

-1 in 3; 65-74
-1 in 2; 74+

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11
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Hearing
-What are changes that can result in hearing loss? (2)

A
  1. Inner-ear atrophy/sclerosis
  2. Cell degeneration
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12
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Hearing
-What kind of impaction is common?

A

Cerumen impaction

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13
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Hearing
-What is presbycusis?

A

progressive sensorineural hearing loss associated with aging

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14
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS: Hearing
-Hearing loss results in decreased what?
-What are six things that can happen because of hearing loss?

A

-quality of life

  1. Miscommunication
  2. Loss of self-esteem
  3. Depression
  4. Falls
  5. Safety Risk
  6. Cognitive decline
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15
Q

TASTE/SMELL
-Loss of what occurs?

A

Taste buds

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16
Q

TASTE/SMELL
-Changes occur that result in large amounts of what in food?

A

-salt/sugar

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17
Q

TASTE/SMELL
-What type of health is important?
-When should these visits be?

A

-Dental
-Semiannual dental visits

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18
Q

TASTE/SMELL
-What two things can occur to teeth?

A
  1. Loss of teeh
  2. Dental caries
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19
Q

TASTE/SMELL
-Older adults experience decreased acuity of what?
-What is it used for?

A

-Olfactory nerve
-Used to smell

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20
Q

TASTE/SMELL
-What kind of safety issues arise with the loss of smell?
-What should nurses teach them?

A

-Food safety issues
-To look at food & expiration dates

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21
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS
-What 3 things happen to the skin?

A

The skin becomes
1. Thinner
2. Wrinkled
3. More fragile

22
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS
-Safety issues arise with ____ ____
-Examples?

A

-decreased sensations

EXAMPLES: burns from cooking or bathing

23
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS
-There is a risk of ____ sore
-What is it?
-This usually occurs when…
-What is this a hazard of?

A

-pressure (decubitus ulcer)
-a localized area of tissue necrosis that develops when soft tissue is compressed against bone (breakdown of skin)
-The older adult stays in one place for too long
-chronic disease, especially strokes

24
Q

COGNITIVE-PERCEPTUAL PATTERN SENSORY FACTORS
-What will help prevent pressure sores/skin problems?

A

Proper nutrition

25
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON** -What stage are they in according to Erikson?
-Ego integrity vs. despair
26
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON** -What are they coming to terms with?
life
27
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON** -With ego integrity, they are gaining acceptance of what? -They are ___ ___
-their life -"at peace"
28
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON** -Others may experience fear of ___ and ___ -They may feel that their life was ___ ___
-death and despair -"in vain"
29
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON**: *Three substances* -Older adults must pass through three stages, what are they?
1. Ego differentiation vs. work role preoccupation 2. Body transcedence vs. body preoccupation 3. Ego transcedence vs. ego preoccupation
30
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON**: *Three substances* -What is Ego differentiation vs. work role preoccupation? -This is important. You should have what?
-Achieving an identity apart from work -A separate role/identity apart from your career
31
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON**: *Three substances* -What is Body transcendence vs. body preoccupation?
Adjusting to normal aging changes
32
**SELF-PERCEPTION-SELF-CONCEPT PATTERN ERIKSON**: *Three substances* -What is Ego transcedence vs. ego preoccupation?
Accepting death
33
**ROLES-RELATIONSHIPS PATTERN** -There are changes/loss of what? -Examples? -What three things bring about changes to roles?
-former roles (parents, spouse, worker) 1. Death 2. Retirement 3. Health
34
**ROLES-RELATIONSHIPS PATTERN** -What is a new role? -What does it frequently bring? -Grandparents raising children causes what?
-grandparenting -joy and happiness -stress issues
35
**ROLES-RELATIONSHIPS PATTERN** -They may become a what? -Example? -Many stressors require what?
-A caregiver -Caring for spouse -Good coping strategies
36
**ROLES-RELATIONSHIPS PATTERN** -What 4 things may elicit feelings of loss?
1. Downsizing home 2. Widowhood 3. Loss of health 4. Retirement
37
**RETIREMENT** -What are four things that influence retirement?
1. Health 2. More time with family 3. Wanting to do other things 4. Not liking work
38
**RETIREMENT** -What are 6 challenges that come with retirement?
1. Lower income 2. Loss of friends 3. Disease 4. Disability 5. Leaving home 6. Widowhood
39
**RETIREMENT** -What are 3 resources that can be used after retirement?
1. Federal and state programs 2. Bereavement groups 3. Volunteering opportunities
40
**RETIREMENT** -When is the ideal time to prepare for retirement?
During young adulthood
41
**RETIREMENT** -What are 4 predictors of a successful retirement?
1. Good health & function 2. Adequate income 3. Social support 4. Positive outlook
42
**SEXUALITY-REPRODUCTIVE PATTERN** -What are three myths about sexuality in older adults?
1. Most older men have erectile dysfunction (impotence) & cannot have sexual intercourse 2. After menopause older women have no desire 3. Older adults are unable to have sex/should not
43
**SEXUALITY-REPRODUCTIVE PATTERN** -The need for what persists?
Intimacy and love/touch
44
**SEXUALITY-REPRODUCTIVE PATTERN** -Age-related changes in ___ system occur -What changes occur in women? -What about in men?
-sexual -vaginal changes & less lubrication -erectile changes
45
**COPING-STRESS TOLERANCE PATTERN** -What is a key factor in maintaining self-concept? -Age brings many what? Such as what? -Older adults are going through ____ and ___ vs. ____ ____
-ability to cope with stress -losses; home, spouse, friends, siblings, or even children -ruminating and catastrophizing; positive reappraisal
46
**COPING-STRESS TOLERANCE PATTERN** -What does spirituality impact?
Quality of life
47
**COPING-STRESS TOLERANCE PATTERN**: *Depression* -What may play a role in depression? (6)
1. Heredity 2. Isolation 3. Losses 4. Economics 5. Medical conditions 6. Physical changes
48
**COPING-STRESS TOLERANCE PATTERN**: *Depression* -Who is at the highest risk for depression? -Risk of depression increases as what?
-Older adults -functioning becomes impaired
49
**COPING-STRESS TOLERANCE PATTERN**: *Suicide* -Suicide rate is the highest in who? -This can be due to what 4 things?
-elderly 1. Serious illness 2. Social isolation 3. Alcohol (ETOH) & substance abuse 4. Bereavement
50
**COPING-STRESS TOLERANCE PATTERN**: *Suicide* -Which group has the highest rate of suicide in the United States?
Men who are older than 85
51
**COPING-STRESS TOLERANCE PATTERN**: *Suicide* -Elevated rates of depression may be because...
many older adults have serious illnesses
52
**COPING-STRESS TOLERANCE PATTERN** -Pain management is important for those who are what? -What two strategies can be used?
-chronically ill -pharmacologic and nonpharmacologic