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Gero Lecture > Week 1 (GERO) > Flashcards

Week 1 (GERO) Flashcards

(75 cards)

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1
Q

What branch of medicine deals w/ treatment of older people?

A

Geriatrics

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2
Q

What is Gerontology

A

Includes physical, mental & social problems of the elderly population

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3
Q

Life expectancy varies in different countries

Flip for examples

A

WHO= 50 yrs
United Nations= 60+
Western Countries= 65+ yrs

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4
Q

Young old age is

A

65-74 y/o

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5
Q

Middle old age is

A

75-84+ y/o

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6
Q

Old-old age is

A

85+ y/o

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7
Q

Defining age is a _______ term. It varies w/ time, place, cohort or perception.

A

Subjective

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8
Q

What term means 90+

ie: Queen of England & still working

A

Nonagenarian

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9
Q

What term means 100+

77% are female

A

Centenarian

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10
Q

The generation born after WWII (1946-1964)

A

Baby Boomer

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11
Q

34% of adults over age 65 are women who are _______.

Why are they outliving men?

A

Windowed

Most were stay @ home moms or marry older men.

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12
Q

These older women are living at what socioeconomic level?

A

Poverty

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13
Q

What are the two types of Life expectancy tables?

A
  1. The cohort (generation)

2. The period (current)

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14
Q

Which table uses a combination of observed mortality rates for past years and projections about mortality rates for the group in future years?

A

Cohort life table

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15
Q

Which table using statistics to determine life expectancy based on current age which is the average # of years of life remaining?

A

Period life table

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16
Q

What are some reasons life expectancy has started to decrease?

A

Sedentary lifestyle
Obesity
Chemicals

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17
Q

What are some settings of care for the aging population?

A

Hospitals
Homecare/Hospice
Nursing Homes

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18
Q

Preserve function
Enhance health/quality of life
Enhance end of life care

is the ________ of Aging population care

A

Mission

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19
Q 
Dementia
Delirium
Reducing Falls
Use of Restraints
Pain Management
End of Life Care
A

Things “we” nurses “like” to research

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20
Q

What are some issues concerning the demand of the growing level of adult patients?

A

Inadequate staffing overall.

No RNs that want to go into Gero field & no LPNs either

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21
Q

The absence of disease

A

Health

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22
Q

The concept of ________ incorporate all aspects of one’s being

A

Wellness

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23
Q

Able to do ADLs affects what wellness continuum level?

A

Physical

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24
Q

Living alone, lost children affects what wellness continuum level?

A

Emotional

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25
Dementia, Memory, Health literacy affects what wellness continuum level?
Intellectual
26
Living alone affects what wellness continuum level?
Social
27
Having faith affects what wellness continuum level?
Spiritual
28
Having a healthy & safe living situation affects wellness continuum level?
Enviromental
29
The Wellness Model
Suggests that every person has an optimum level of functioning for each position on the wellness continuum to achieve a good & satisfactory existence
30
Examples of objectives (Healthy People 2030) set for older adults
- Dementia= how to prevent - Foodborne illness - Infectious disease - Injury prevention - Oral conditions - Osteoporosis - Respiratory disease - Sensory/communication disorders
31
Before the disease occurs | ie healthy lifestyle
Primary prevention
32
Early detection or how to keep disease from progressing
Secondary prevention
33
“to grow old” – condition/process of deterioration with age
Senescence
34
Error Theories
Aging is the result of accumulation of random errors in the synthesis of cellular DNA (Ie: cells replicate & they shorten every time they do)
35
Wear & Tear Theory
Progressive decline in cellular function/ or increased cellular death
36
Internal & External Stressors
Cells can be destroyed from mechanical and chemical injury | things we expose ourselves to
37
Role can be different for everyone (adapting/changing) [Psychosocial theories]
Sense of usefulness vs ready to retire
38
Activity concerning physical & mental health [Psychosocial theories]
Can they maintain a productive life?
39
Disengagement (transfer control) [Psychosocial theories]
Giving to younger generation aka successful ageing
40
Disengagement (from society) [Psychosocial theories]
How often do we visit Nana?
41
Continuity [Psychosocial theories]
Maintain/continue your current role or finding adequate replacements.
42
Modernization
Older people lose power/status due to advances in technology
43
Developmental theory that is widely accepted dealing with ego vs despair in later adults
Erkison (8 stages) [be able to apply theory, don't have to memorize necessarily]
44
Theory based interventions
Interventions to promote healthy aging from biological theories (ie: Maslow hierarchy of needs)
45
We use theories to develop 1. _____________ 2. _____________ 3. ______________
policies, standards of care, nursing protocols
46
statistically minority assuming the majority
Emerging majority
47
differences in state of health & health outcomes between groups of persons
Health disparity
48
excess burden of illness/ or differences between the expected incident vs prevalence (ie: what actually occurs in excess that occurs in a population group)
Health inequity *Remember: HIGHER than expected rate in all groups together
49
development of cultural proficiency w/ increased awareness of own beliefs/attitudes (ie: HC setting)
Cultural Awareness
50
what the nurse brings to the caring situation & what the nurse learns about older adults, families, communities, behaviors & expectations
Culture Knowledge
51
shared and learned beliefs, expectations & behaviors of the group
Culture
52
person from minority of marginalized cultures adopts an dominant/majority culture (ie: don’t impose onto others)
Acculturation
53
social differentiation based on cultural criteria
Ethnicity
54
1. Geographical location= rural vs other areas (impact ability to care) 2. Age 3. Gender (male vs female) 4. Race 5. Sexual Orientation 6. Ethnicity Are examples of?
Barriers to quality of care
55
Ethnicity most likely to have the following: stroke, HTN, DM, DM related amputations
African Americans
56
Culture that is more likely to have DM than Caucasians...
Native Americans
57
Collective culture that obtains fewer prescriptions after MI's and 2x more likely to have DM
Hispanic
58
1. Cultural awareness 2. Cultural knowledge are crucial components of
reducing health disparities
59
Cultures awareness includes
Self-level= requires self-understanding of one’s experiences/values Ability= to work/build relationships with another member of cultural group Recognition of factors beyond cultures= health, safety, poverty that affect members of cultural group
60
Cultural knowledge includes
What the nurse brings & learns about the older adults expectations
61
Cultural Beliefs About Health, Illness, & Treatment varies due to the following
Age group, geographic, race/culture, religion
62
Western Medical paradigm focus on disease/ abnormalities in the body systems.
Biomedical
63
God/Supernatural forces cause disease. “Good health is a blessing or a reward”
Magico-religious
64
Illness occurs with disbalance in harmony
Naturalistic or holistic
65
Ethnocentrism, stereotyping, & ageism are ____________ pertaining to cultural beliefs about health, illness & treatment
Obstacles
66
belief that one’s system is superior | ie: Wreck relationship w/ patient & derail their care
Ethnocentrism
67
simplified/standardized perception (BIGOT)
Stereotyping
68
discrimination of age
Ageism
69
Which gender is... fastest growing population, lives alone, lower income level, risk of divorce/spousal death, often studied the most & have the higher risk of not having insurance
Older Women YAY
70
Which gender is... underrepresented in aging literature, shorter lifespans, predetermined societal viewpoint of economic status?
Older Men Obvs.
71
Learn Model (Box 4-11) LISTEN
carefully to what the person is saying. Attend not just to the words but to the nonverbal communication and the meaning behind them. Listen to the perception of the person’s situation, desired goals, and ideas for treatment.
72
Learn Model (Box 4-11) EXPLAIN
your perception of the situation and the problems.
73
Learn Model (Box 4-11) ACKNOWLEDGE
and discuss both the similarities and the differences between your perceptions and goals and those of the elder and their significant other/decision-makers as appropriate.
74
Learn Model (Box 4-11) RECOMMEND
a plan of action that takes both perspectives into account.
75
Learn Model (Box 4-11) NEGOTIATE
a plan that is mutually acceptable and possible.

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