Exam (elaborations)
CARE OF OLDER ADULTS EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS
- Course
- Institution
CARE OF OLDER ADULTS EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS
[Show more]
Content preview
CARE OF OLDER ADULTS EXAMREVIEW QUESTIONS WITH CORRECT
ANSWERS
Four Chronic Diseases - Answer-Heart disease, cancer(#1 cause of death), stroke, and
diabetes
-92% have one chronic disease
-77% have two
-3/4 of money the nation spends are on chronic diseases (1% is spent on preventing it)
-OA most common disability
-DM most complications
Falls - Answer-Unplanned descent w/ or w/out personal injury, results in individual
coming to rest on floor
-strongest assoc: previous fall, weakness, gait/balance impairment, meds (BP,
narcotics)
~hard convos to have w/ them
Co-morbidities - Answer-More than one chronic disease
-sequence of disease presentation may be considered (obese->HTN->DM-> heart
disease)
-inc complexity of managing disease in pt.
Complications of Chronic Disease - Answer-Cancers: chronic pain
DM: eye, renal, nerve damage
Obesity: BMI>30
Polypharmacy
acute care needs in presence of chronic disease: HTN, COPD
Inter-professional Care - Answer-NICHE Program- Nurses Improving Care for the
Hospitalized Elderly
ACE units- Acute Care of Elderly
PACE prog- Programs of All-inclusive care of elderly (living in comm but nursing home
eligable
Waiver Prog- need same care but dont want to be in nursing home $$
Adult Care
Right level of care at right time- independent living comm, ALF, home care, rahab
Geriatric Syndromes - Answer-Common health condition in an older adult that doesn't fit
into category or a specific disease or clearly identified disease
-very prevalent
-multifactorial
, -assoc w/ morbidity(state of chronic disease) and mortality(chronic disease relating in
death)
~polypharmacy, falls delirium, anxiety&depression, UI, sleep disorders, dysphagia,
pressure ulcers
Characteristics of Geriatric Syndromes - Answer--older age (80-90)
-baseline cog impairment
-baseline functional impairment(gait, assistive device)
-frailty(one who is independent)
-more than one geriatric syndrome
-poor health outcomes (CHF, COPD, heart disease)
Urinary Incontinence - Answer-Involuntary leakage of urine to degree that it troubles a
person
-requires assessment and tx(not just containment), often neglected
Causes: delirium/dementia, infection, psych(anxiety/depression), pharm, funct
impair(cant get there), stool impaction (press on bladder; stress)
Urge Incontinence - Answer-Bladder muscles contract at the wrong time "overactive
bladder"
Stress Incontinence - Answer-more common in women due to multiple pregnancies;
muscles arent as strong & urine leaks out when you strain (sneeze, cough, laugh)
Functional Incontinence - Answer-Aware they "need to go" but cant get to the bathroom
Overflow Incontinence - Answer-More common in neurological disorders; cant tell
bladder is full (bad controlled DM, pelagic)
Interventions for Incontinence - Answer-Assessment (bladder diary), behavior (bladder
prog), lifestyle mod, cath, continence products, pharm (flomax, detrol, ditropan), surgery
(stress incont->tuck muscles back up[not always effective]), non-surg (kegels)
Sleep Problems - Answer-Changes: sleep quality, insomnia, sleep apnea, restless leg
syndrome, circadian rhythm changes, fragmented sleep cycle (long naps during day)
~melatonin dec as we age
-assess sleep (diary), sleep study, med review, insomnia (other med conditions, trouble
falling or staying asleep), natural habits (alc), hormonal changes (cortisol-wakefulness;
melatonin (initiates sleep)
Anxiety - Answer-Most common psychiatric condition in elderly
-differentiate from underlying med condition that mimic anxiety
-med work up, review drugs, geriatric syndromes, substance use/abuse, suicide risk
~most appear over time
~can benefit from a variety of approaches (pharm or nonpharm)
~healthy teaching and fam involvement needed
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73773 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now