midterm 1 Flashcards

(78 cards)

1
Q

Define Ageism

A

Prejudice/discrimination against people because of real/perceived age
myths/tereotypes about older people

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2
Q

List examples of ageism

A

too old to learn new technology
millennials/Gen Z are lazy and entitled
lack of older person representation
makeup ads for anti wrinkles
older persons not being hired

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3
Q

consequences of ageism

A

generational divide
older adults becoming invisible
valuable experiences/opinions are disregarded

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4
Q

What is confusion?

A

ea disorientation
A decline in cognitive ability, cannot think
symptom of an underlying medical condition

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5
Q

Name s/s of confusion

A

Anxiety
Behaviour Changes (anger, restlessness, depression, irritability)
Tremors
Delusions
Disorganized thinking/speech

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6
Q

What causes confusion?

A

UTI
intoxication
Low blood sugar
Concussion
Fever
Medications
Certain mental health illnesses

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7
Q

What is the relationship between confusion and delirium?

A

delirium is when confusion occurs suddenly without warning, its an advanced version. while they are similar, delirium poses a greater risk to a persons health.

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8
Q

Define delirium?

A

sudden and unwarned confusion that can be hypoactive, hyperactive, or mixed. it develops quickly and can take long periods to recover from.

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9
Q

What causes delirium

A

infection
Dehydration
Multiple medications
withdrawal
High/low blood sugars
Constipation
Pain
Recent fall
Recent move/relocation

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10
Q

What is an HCA’s responsibility with regards to managing and
supporting someone with delirium?

A

know signs of delirium
Provide safe environment
Support basic needs
Create calm environment
Communicate
Monitor/Report
Collaborate with Care Team

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11
Q

What is Dementia?

A

progressive degenerative disorder
umbrella term for decline in intellectual/social abilities affecting daily functioning

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12
Q

Name main parts of the human brain

A

Cerebrum (right and left hemispheres)
Cerebellum
Brain Stem

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13
Q

frontal lobe

A

top front
manages:
personality
social skills
judgement
reasoning
emotion regulation
movement
speech

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14
Q

temporal lobe

A

bottom
manages:
memory
recogition
art/music
understanding language
speech
hearing

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15
Q

parietal lobe

A

top back
manages:
depth perception
spatial orientation
sensory input
language processing
writing/reading
calculation
spatial attention

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16
Q

occipital lobe

A

bottom back
manages:
sight
processing visual information

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17
Q

cerebellum

A

balance
learning
emotion regulation
coordinate movement
attention

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18
Q

brainstem

A

breathing
heartrate
alertness
sleeping patterns

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19
Q

Name 5 controllable risk factors of Dementia

A

Smoking
Diabetes
Obesity
Alcohol
Depression
Hearing loss
Social isolation

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20
Q

reversible forms of Dementia

A

depression
infection
medication
tumour
vitamin deficiency

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21
Q

irreversible forms of Dementia

A

alzheimers dementia
vascular dementia
lewy body dementia
frontotemporal dementia
huntingtons disease

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22
Q

alzheimers dementia

A

Most common (60-80%)
Progressive degenerative disease of brain which causes thinking/memory to be seriously impaired
Characterized by amyloid plaques and neurofibrillary tangles

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23
Q

alzheimers s/s

A

Memory loss
Difficulty performing familiar tasks
Difficulties with language
Disorientation to time and space
Impaired judgement
Misplacing things
Changes in mood and behaviour

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24
Q

causes/risk factors of alzheimers

A

family history
age (65+)
depression
smoking
diabetes

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25
vascular dementia
2nd leading cause (10-20%) White matter changes in the brain from ischemic or hemorrhagic cerebrovascular lesions, often from series of small strokes (clots or bleeds)
26
vascular s/s
Changes in ability to make decisions, plan or organize Difficulties with movement (ea slow gait and poor balance)
27
causes/risk factors of vascular
Hypertension Atrial fibrillation High cholesterol Smoking Diabetes
28
Frontotemporal Dementia
3rd most common (10%) Dementias that primarily affect the frontal and temporal lobes
29
Frontotemporal s/s
Behavioural:: inability to restrain actions Loss of interest in personal hygiene Easily distracted Overeating Inappropriate social actions Blunted emotions Speech:: lessened or loss of speech. Difficulty finding words Repeating others' words Stuttering
30
causes/risk factors of frontotemporal
family history head injuries
31
Lewy Body Dementia
4th most common (5-10%) from abnormal deposits of protein alpha-synuclein in brain cells named Lewy bodies mostly affects cognitive processes, movement and motor control
32
Lewy Body s/s
Difficulty w short-term memory, word-finding, and focus Depression and anxiety Disrupted sleep patterns Visual hallucinations Muscle stiffness tremors slow, shuffling movements
33
causes/risk factors of Lewy Body
male family history age
34
Describe some protective factors in reducing risk of Dementia
Keep brain active Protect hearing Do not smoke healthy BMI Reduce alcohol Avoid pollution social connections Lower bad cholesterol
35
early stage of dementia
usually still at home. help w organization, problem solving, and remembering (ea appointments and medications) need support and supervision Some can stay involved in activities and some may need cues or encouragement
36
middle stage of dementia
forget personal history and no longer recognize family/friends restless or pacing (may need a medical alert or wonder guard) assistance w ADLs
37
late stage of dementia
unable to remember, communicate or perform self-care requires 24hr care S/s: bedridden difficulty eating/swallowing losing control of bodily functions Death as a result of secondary complications
38
Describe person-centred care model
Focuses on individual over condition Focuses on person's strengths and abilities over losses. Recognizes personality of person with dementia is not lost
39
What are the 4 core principles of Person-centred care
1. Dignity and Respect 2. Information Sharing 3. Participation 4. Collaboration
40
Eden Philosophy
transforming care facilities into life-affirming environments Develops elder-centered communities to address loneliness, helplessness, and boredom principals: Encourages reciprocal companionship among residents, staff, and the community Promotes meaningful care through interactions with plants, animals, and children Creates a community worth living in
41
Best Friends Approach
Building Trust Encouraging Communication Focus on Strengths Meeting Friendship Needs Addressing Emotional Needs The Knock Empathy and Respect Use common sense, patience, and understanding in all interactions
42
What is stigma?
a negative perception or discrimination against a person or group based on characteristics (ea health, identity, or belief) includes social, self, and structural
43
social stigma
when society or general public shares negative thoughts or beliefs about a person or group of people
44
self stigma
negative attitudes, including internalized shame, that people may have about their own self or condition
45
structural stigma
when laws, policies, and practices result in the unfair treatment of people
46
What are effective strategies to combat the impact of stigma on dementia?
Learn about Dementia Don't make assumptions Hear from people who experience stigma Encourage early diagnosis Support the caregiver Remember the person inside
47
What communication challenges do individuals with dementia face?
Reduced vocabulary Word-finding difficulty Repetition of thoughts Losing track of topic Difficulty adhering to social norms decline in reading and writing
48
PCC Approach to Communication
Believe communication is possible. Focus on the person's abilities Provide re-assurance treat them w respect and dignity Meet the person where they are and accept their reality
49
validation
recognizing their beliefs and accepting their reality instead of judging. Try to understand meaning and emotions behind their messages Prioritize connection over correction Respond with patience
50
redirection
shifting focus to something else instead of correcting or reprimanding includes validating, joining, and distracting
51
How to communicate with a client who has dementia?
Use simple, short sentences Give one direction or information at a time Use a friendly and relaxed approach Address them by preferred name Be patient and listen without interrupting Foster two-way communication Encourage humor and laughter
52
How not to communicate with a client who has dementia?
controlling or authoritative tone arguing abstract language modern slang "love" "dearie"
53
Define reminiscing
The act of recalling our past Engages long term memory Elicits varying degrees of emotional responses (happy or unhappy)
54
benefits of reminiscing
increased sense of well-being Resolves past conflicts Increased sense of identity Decreased disorientation Improved social interaction
55
How important is it to be accurate with we are reminiscing?
it isn't, the accuracy is how they felt or feel about those memories now
56
List ways in which HCA’s can provide memory friendly environments
Location with minimum distractions no glaring lighting Ensure physical and emotional comfort Group compatible; not too large Should be able to see and hear all
57
What can HCA’s do if the client experiences a painful memory?
Listen carefully and allow pauses Use touch as needed use empathy ask open ended questions
58
What is BPSD
Behavioural and Psychological symptoms of Dementia, or Responsive Behaviour When ppl with dementia cant express physical and emotional needs or make sense of their environment
59
reactive vs proactive
being proactive, or stopping things before they start, so response behaviours don't occur
60
Name 10 different responsive behaviours
Aggression Restlessness Hoarding Yelling Depression Delusions random noises Becoming withdrawn Sexual Behaviour Sundowning Wondering
61
What factors precipitate responsive behaviours
Physical Intellectual Emotional Capabilities Environment Social Actions of Others
62
strategies preventing and responding to PBSD
Respond supportively and reassure Reduce noise toileting schedule Maintain a consistent routine Distract with something familiar or comforting. Approach slowly from the front and at eye level leave room to de-escalate.
63
sundowning
pattern of behavior in late afternoon or evening in ppl w dementia may experience increased confusion, agitation, or restlessness can last into the night and can disrupt sleep.
64
Describe how to safely de-escalate
Stay calm Assess environment for danger no sudden movements Provide space Avoid confrontation or arguing Offer reassurance Seek help Leave the area know where your exit is
65
What are the basic needs according to Maslow?
Physiological Safety/security Love and belonging Self-esteem Self fulfillment
66
List the guidelines for helping with ADL’s
Treat with respect Pay attention to reactions Maintain dignity Encourage independence Simplify and clarify Keep regular routine Be flexible and patient Good communication techniques
67
What are the 4 techniques for helping with ADL’s
Break the tasks into steps Demonstrate Help begin action Be patient
68
How would an HCA respond to resistance
Pay attention to cues Respond to emotional messages Redirect to something pleasant Try again later
69
List and describe the causes of resistance
Physiological: pain, vision, constipation, lack of sleep Environmental Causes: new environment, distractions, boredom, bad smells Other: decreasing coordination, unclear instructions, rushed by caregiver, tension
70
Describe the distract and act method
Two person approach First person distracts (speaks to client, Keeps eye contact, Touches to reassure) Second person: Uses no verbal communication, Completes the care (quickly, quietly and gently)
71
How can caregivers promote self-esteem for their clients
Assurance of personal worth Grooming and dressing important Praise Choose appropriate clothes, not too warm/cold, sometimes undress themselves
72
Who is the caregiver
anyone who provides care and support to someone who is unable to take care of themselves 2 types: family and professional
73
Who is generally referred to as the sandwich generation
people who have parents to take care of on top of their own children
74
How can we support the family caregivers
Acknowledge challenges and emotional toll of caregiving Encourage self-care Emphasize it's okay to take breaks empathy and understanding
75
Define compassion fatigue
emotional strain or distress that results from caring for others who are suffering
76
how to prevent and manage compassion fatigue
Practice self-care seek emotional support. Engage in therapy or debriefing sessions Set emotional boundaries in caregiving roles
77
Define burnout
Depleted ability to cope with work demands Sense of powerlessness to achieve goals alter our view of workplace
78
how to prevent and manage burnout
Prioritize workload management (say no when needed). Take regular breaks and vacations Advocate for systemic changes to reduce stress