Flashcards in Quiz Unit 1 Deck (92)
What does SBAR stand for?
Situation, Background, Assessment, Recommendation
What are the 5 rights of delegation?
Right task, circumstances, person, communication, supervision.
What does IHI stand for?
Institute for Healthcare Improvement
What are some IHI objectives?
Save 100,000 lives, Protect 5 million from harm, and to Develop Rapid Response Teams
What are the 6 interventions developed by the IHI to prevent death/harm?
Deploy RRT's, provide reliable evidence based care for acute MIs, prevent central line infections, prevent adverse drug events (ADE's), prevent surgical site infections (SSI's), prevent vent associated pneumonia (VAP)
What are the 5 core competencies developed by the IOM for health care professionals?
Provide patient centered care, Collaborating with the interdisciplinary health care team, implement evidence based practice, use quality control, use informatics.
How do we provide patient centered care?
Through collaborative and independent nursing, patient education, advocacy, ethical principles (autonomy, beneficience, justice).
Who publishes national patient safety goals and requires its members to meet them? Why?
The joint commission. To address high risk issues such as drug interactions, falls, pressure ulcers, etc.
Complimentary and Alternative Medicine. Complimentary is used with traditional medicine and alternative is used INSTEAD of traditional medicine
What is NCCAM and what does it do?
National Center for Complementary and Alternative Medicine. They act as a clearinghouse for information, fund studies, and advance knowledge about CAM
What is Ginko Biloba used for?
Memory problems, dementia, PVD, antioxidant, vasodilator.
What are some precautions for Ginko?
Bleeding, dizziness, HA, GI upset
What are some uses for Garlic?
Lowers cholesterol and BP, antibiotic, antiplatelet.
What are some cautions with garlic use?
Losing friends, bleeding, potentiates action of antidiabetic drugs, avoid before surgery (bleeding).
Name the 4 subgroups of late adulthood and their age ranges.
Young old (65-74), Middle old (75-84), Old old (85-99) & Elite old (100+).
Name the 7 common health issues associated with aging.
Nutrition, mobility, stress/loss, safety, drug use/misuse, mental/behavioral health, elder neglect/abuse.
Name some causes of adult malnutrition.
Inflation/reduced income, lack of transportation, unbalanced foods, heavy bags/packages, loneliness, diminished taste/smell, tooth loss/dentures
What is the best way to maintain mobility and what are some of its other benefits?
Regular exercise. Decreased falls, increased sleep, reduce weight, improve well-being/self-esteem, fewer depression symptoms, improved longevity, reduce DM and CAD.
Name some frequent sources of stress the elderly often incur.
Rapid changes in environment/lifestyle, illness, loss of others, financial hardships, relocation stress syndrome.
What is fallophobia?
The fear of falling is so strong that it causes a person to not leave home
What are some factors that increase the likelihood of accidents?
Eyesight, reduced sense of touch, decreased reaction time, peripheral neuropathy, arthritis.
How can falls be prevented?
Home modification, exercise, Tai chi.
What is the leading cause of death in the young old (65-74) population?
What liver changes in the elderly affect drug metabolism?
Changes in size, enzyme activity, and blood flow
What can affect the absorption of drugs via the oral route as we age?
Decreased GI motility/blood flow, and an increase in pH.
What can affect drug distribution as we age?
Increased adipose tissue, decreased cardiac output/albumin/water all decrease amounts of a drug in plasma, and increase it in tissues.
What policy should we apply when administering drugs to the elderly?
Start low and go slow.
What is a good way to find and fix drug problems in the elderly?
By compiling a complete list of all meds/supplement taken and analyzing them using the "BEERS criteria" at least every 6 months.
What is the normal creatinine clearance range for men and women at age 20 and how does age affect these numbers?
107-139 (Men) and 87-107 (Women). These numbers decrease by 6.5 mL/min per decade.