geriatrics

Question 1

geriatric

Answer 1

age over 65

Question 2

old old adults

Answer 2

age 85 and older

Question 2

young old adults

Answer 2

65-74

Question 3

causes of aging

Answer 3

genetics
diet
environment

Question 4

common chronic conditions

Answer 4

osteoarthritis/osteoporosis
HTN
heart disease
cancer
DM
caratracts
macular degeneration

Question 5

define frailty

Answer 5

three or more of the conditions met

Question 6

conditions for frailty

Answer 6

• unplanned weight loss >10lbs in past year
• weakness (grip strength)
• poor endurance/energy (self reported)
• slowness walking
• low activity level

Question 7

elder abuse affects what % of elderly

Answer 7

2-10%

Question 8

define neglect

Answer 8

a failure or refusal to provide basic life needs or companionship

Question 9

define abandonment

Answer 9

desertion by an individual who has assumed responsibility for care

Question 10

signs of abandonment

Answer 10

pt reports being abandoned

Question 11

signs of financial abuse

Answer 11

living situation below resources, sudden change in finances

Question 12

signs of neglect

Answer 12

pt reports, untreated pressure injuries, malnutrition, dehydration, poor hygiene, agitation, ambivalent behavior

Question 13

signs of physical abuse

Answer 13

bilateral injuries, repeated injuries in various stages of healing, burn marks, over-sedation, use of several ED’s

Question 14

signs of psychologic abuse

Answer 14

depression, withdrawn, agitation, ambivalent attitude

Question 15

signs of sexual abuse

Answer 15

pt reports, unexplained vaginal or anal bleeding, bruised breasts

Question 16

signs of violation of personal rights

Answer 16

sudden inexplicable changes in living situation, confusion

Question 17

bible verses given in class on ageism

Answer 17

Isaiah 46:4
Leviticus 19:32

Question 18

Significant early S&S

Answer 18

changes in mental status
unexplained falls/dizziness
dehydration
loss of appetite
incontinence

Question 19

major areas of concern

Answer 19

INSPIRE
Intellect
Nutrition
Self-concept
Physical activity
Interpersonal functioning
Restful sleep
Elimination

Question 20

interventions for intellect

Answer 20

keep family involved, keep pt stimulated

Question 21

common conditions of intellect

Answer 21

dementia, delirium, depression

Question 22

Common concerns in Nutrition

Answer 22

SCALES
sadness or mood change
cholesterol
albumin
loss or gain of weight
eating problems
shopping or cooking problems

Question 23

self concept nursing care

Answer 23

encourage hobbies, support care givers, screen for depression

Question 24

physical activities concerns

Answer 24

temp regulation falling instrumental activities of daily living (IADLs)

Question 25

interpersonal functioning concerns

Answer 25

women are more likely to live alone on a low income and chronic health problems

Question 26

restful sleep concerns

Answer 26

tend to have shorter REM cycles insomnia

Question 27

how to promote good sleep habits

Answer 27

encourage regular bed times avoid caffeine and exercise 4 hours before bed may benefit from mid afternoon nap

Question 28

interventions for elimination struggles

Answer 28

establish realistic expectations increase fluid and fiber avoid gas forming foods maintain dignity

Question 29

adult day care

Answer 29

Community based supervision involving social and recreational services

Question 30

adult day health care

Answer 30

Similar to day care but with a higher level of health care

Question 31

home health care

Answer 31

HCW come to pts home to provide care

Question 32

assisted living facility (ALF)

Answer 32

in-patient care

Question 33

skilled nursing inpatient facility

Answer 33

typical nursing home 24 hour care

Question 34

community senior centers

Answer 34

for seniors living alone but in need of community

Question 35

medicare is for who

Answer 35

people over 65 or w certain disabilities people with ESRD requiring HDY or kidney transplant

Question 36

what medicare doesnt cover

Answer 36

long term care ADL care dentures/dental hearing aids glasses

Question 37

medicaid is for who

Answer 37

low income individuals

Question 38

who pays for the majority of long term care in the US

Answer 38

medicaid