NRSG 259 Flashcards

1
Q

Millers functional consequences theory of healthy ageing

A
Older adult
Nursing assessment:
1. age related changes
2. negative functional consequences
3. risk factors
nursing intervention --> wellness outcomes
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2
Q

Millers functional consequences theory information

A

SUGGESTS that older adults experience NEGATIVE functional consequences because of 1. age related changes 3. risk factors

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3
Q

Nurse care planning for older adults

A

Distinguish normal age-related changes

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4
Q

Levett-Jones’ clinical reasoning cycle (5)

A
  1. consider pt
  2. collect/process information
  3. identify/establish goals
  4. action
  5. evaluate/reflect
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5
Q

Theories of ageing

A
  1. Biological theories
  2. Psychological theories
  3. Sociological age theories
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6
Q

Biological theories

A

Functioning capacity

  • Error eg. Wear and tear
  • Programmed eg. Immunological
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7
Q

Sociological theories

A

Roles and age related behaviours

eg. Disengagement

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8
Q

Psychological theories

A

Maslow’s hierarchy of needs

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9
Q

Common health conditions for older Australians

A

Arthritis (50%)

Hypertension

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10
Q

Leading cause of death for older adults

A

Ischaemic/coronary heart disease (atherosclerosis)

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11
Q

Keys to healthy ageing (H P M) (H&M)

A
  1. Health promotion
  2. Preventing illness
  3. Managing illness
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12
Q

Keys to healthy ageing: 2. Preventing illness

Levels or prevention

A

Levels of prevention
Primary - risk factors/prevention
Secondary - reduce progression
Tertiary - minimise impact

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13
Q

Define health promotion

A

Enabling people to increase control over and improve their health

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14
Q

Pathophysiology of ageing

A

Musculoskeletal: Deterioration of cartilage = risk of osteoporosis
Gastrointestinal: Liver size reduced = decreased metabolism

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15
Q

Alzhemiers vs Vascular dementia

A

Alzheimers:
Common, progressive, cortex shrinks
–> Beya-amyloid plaques AND neurofibrillary tangles
Vascular dementia:
Cognitive impairment from impaired floor to brain, sudden
–> Stroke AND atherosclerosis

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16
Q

Paradigms of health care

A

Curative > Rehabilitative > Palliative

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17
Q

Palliative care focus

A

Improve quality of life

18
Q

Most common cancers

A

Male: Prostate
Female: Breast
Both: Colorectal

19
Q

Risk factors

A

Biomedical (genetics)
Lifestyle
Environmental

20
Q

Cancer prevention

A

1 in 3 cancers are preventable

21
Q

Most common cancer deaths

A

Lung

22
Q

Define quality of life

A

Individuals perception of position in life

Broad concept measured as perceived health and wellbeing

23
Q

Liver cancer

A

Hepatocellular carcinoma

24
Q

Tumour

A

Neoplasm

25
Q

Cancer accuracy tests

A

Sensitivity: Tests accuracy in being positive (cancer)
Specificity: Tests accuracy in being negative (no cancer)

26
Q

Carcinoma vs Neoplasm

A
Carcinoma = cancer
Neoplasm = tumour (either benign or malignant)
27
Q

Stages of cancer

A
  • Genetic mutation
  • Hyperplasia
  • Dysplasia
  • In situ cancer
  • Invasive cancer
28
Q

Primary vs secondary cancer

A

Primary: In initial site
Secondary: Cancer metastasis to other organs

29
Q

Symptoms of terminal illness

A

Deterioration - disease progression

Terminal phase - bed bound

30
Q

Symptom management approach (ITT)

A

Integrated - multidimensional
Targeted
Tailored - circumstance based

31
Q

Types of pain

A
  1. Nociceptive - nerve stimulation

2. Neuropathic - damaged of abnormal nerves

32
Q

Define ageing

A

Changes and experiences adults encounter as they age

33
Q

What is a venous leg ulcer

A

Wound on leg due to abnormal veins

34
Q

Venous leg ulcer treatment

A
  1. Clean
  2. Debridement - remove dead tissue
  3. Compression
35
Q

Types of dressings for wound ulcers

A

Passive dressing: Eg guaze

Interactive dressing: Eg Hydrocolloid

36
Q

Define ACAT

A

Multidisciplinary team that determines level of support required for QOL

37
Q

Commonwealth home support program (CHSP)

A

Home help with ADL’s for older adults

38
Q

Home care package levels

A

4

39
Q

Nursing evaluation tool

A

Tool used to improve care of patient holistically

40
Q

Chronic obstructive pulmonary/airway disease

A

Airflow limitation due to abnormal inflammatory response of the lungs

41
Q

4 i’s for geriatric giants

A

Immobility
Incontinence
Intellectual impairment
Instability