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NS 411 Exam 3 Week 4 Objectives

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olanjones's version from 2017-06-13 01:16

Terms

Question Answer
Aginga universal human experience that culminates in an end. It is a dynamic state of existence that changes with one's perspective
Case management the process by which services are organized and coordinated to meet client needs.
Example of case management older adult client may have just experienced a stroke & need a variety of services such as in home personal care, transportation, assistance in restricting the home environment for wheelchair use, PT, speech therapy.
Congregate housing housing is supplemented by services such as 24-hour security, transportation, recreation, & meals.
Durable power of attorneywritten document giving another adult the right to make health care decisions on one’s behalf, in the case of incompetence or inability to render these decisions independently.
Foster Careolder adult is cared for in a personal residence by a family licensed through a social service agency to provide meals, housekeeping & personal care services.
Geriatric Evaluation Service (GES)a program that provides assistance to older adults and function- ally disabled adults who are at risk of institutionalization. The goal of GES is to maintain the individual in the community or in the least restrictive environment and to promote the highest possible level of independence and personal well-being.
Gerontology the study of aging persons and of the process of aging
Group homes provides shared living arrangements for a group of older adults who are jointly responsible for food preparation, housekeeping, & recreation.
Home Care a range of health & supportive services provided in the home to persons who need assistance in meeting health care needs. These services include skilled nursing care, occupational therapy, physical therapy, speech therapy, personal care (such as bathing), assistance with meals & meal prep, and housekeeping.
LIfe-care (continuous care) community form of retirement housing that provides comprehensive health & social services to the older adult. Residents move from one level (independent living) to others w/in the community as their health care needs change.
Example of life-care community situation elder might buy or rent a home/apartment first, then move to congregate living, assisted living or nursing home as the need arises.
Living wills enable persons to document their decisions about their health in advance when the time comes that they are incapable of expressing their wishes. It defines what conditions, if any, life-sustaining measures may be instituted.
Medical daycare programs are closely affiliated with hospitals or nursing homes and are aimed at providing comprehensive rehabilitation and support services, frequently to clients who have recently been discharged from a hospital.
Medical daycare objectiveto restore or maximize physical and mental functioning to the fullest extent possible.
Multipurpose senior centers community centers that provide lunch programs, home-delivered or congregate meals, socialization, recreational activities, health counseling and screening, information and referral services, and legal and financial counseling services to older adults and their families
Retirement communities developments in the residential areas of the community designed for older people who may own or rent the units. Rec & other support services are available. These people must contract for health care services on their own.
Respite care the provision of temporary, short-term relief to family caregivers
Social daycareprograms are designed to meet the needs of chronically disabled clients and to provide an opportunity for socialization, recreation, monitoring, and other social services
Social daycare objective to restore or maximize physical and mental functioning to the fullest extent possible.
memorize

Objectives

Question Answer
Common myths about older adults (what do people assume about them)that they are: Frail, senile, unhealthy, unhappy, set in their ways irritable, lacking in interest in matters of sexuality, ineffective & undependable as workers.
Dispel the common myths about older adults People may slow down, but most are capable of engaging in normal activities.
Describe the crises that aging families experience Caregivers health can be taxed, they need emotional support and perhaps some resources.
Common health care needs of older adults • Arthritis, cancer, cataracts, diabetes, hearing loss, heart disease, HTN, osteoporosis/hip fxs, stroke, varicose veins.
Nurse needs to know what to meet the behavioral health needs of older adults • Knowledge of normal aging, drug interactions & chronic disease; interviewing, assessment approaches; evidence-based interventions; knowledge of community health & social services.
Mental Health Status Assessment of Older Adults is AKA?Mini-Cog Scale (Cognitive assessment tool)
Mental Health Status Assessment of Older Adults used for?Used as a triage to quickly see if people need a more thorough evaluation.
Why is the mini-cog needed?Alz/dementia is prevalent with age being the greatest risk factor, so early identification of cognitive impairment allows for prompt treatment. Could help slow disease progression, delay functional decline, allow for pre-planning & postpone nursing home placement.
How is the mini-cog administered?Patient is told 3 words then has to repeat the words, patient draws the face of a clock then draws the hands of a clock on a specific time (11:10 has been shown to demonstrate increased sensitivity), finally ask them to repeat the 3 words stated earlier.
How is the mini-cog scored?0-2 = positive screen for dementia and 3-5 = negative screen for dementia
Katz Index of Independence of ADLs (Functional Assessment tool)Measurement of ability to carry out ADLs such as bathing, dressing, toileting, transferring, continence & feeding.
Why is the Katz tool needed?Allows nurse to plan and intervene appropriately according to health status of the older adult.
How is the Katz tool administered and scored?Categories include Bathing; Dressing; Toileting; Transferring; Continence; and Feeding. Patient either gets 1 point for independence in the area (they do not need supervision, direction or personal assistance) or 0 points for Dependence (need supervision, personal assistance or total care). 6 is total independence of ADLs and 0 is very dependent on assistance.
Further definition of Katz scoring A score of 6 indicates full function, 4 indicates moderate impairment, and 2 or less indicates severe functional impairment.
What are instrumental ADLs?ADLs that are not necessary for fundamental functioning but let an individual live independently in the community: use the phone, shop, food prep, housekeeping, laundry, mode of transport (may be taxi/bus/car), responsible for own meds, can handle finances
memorize

Objectives/notes from class

Question Answer
What support systems are available to meet the needs of the aging society?long-term care; home care; adult day care (medical, social or multipurpose centers); respite care
What are the community resources that have been organized & developed to promote a coordinated and comprehensive system of care for older adults?(pg 722-3) Administration on Aging; Alzheimer's Association; Arthritis Foundation; Gray Panthers; National Long-term Care Ombudsman; National Senior Citizens Law Center; Older Women's League; Social Security Administration (AARP may have list of local resources)
- historically est. through federal, state, & local initiatives that have effected needed social action for the welfare of older adults
Responsibilities of community/PHN in meeting the needs of an aging population.Advocacy, Teaching & Counseling (Education), Collaboration
4Ds of suicide in older adults Depression; Debility; Disconnectedness; Deadly means access (do they have the means to actually carry out the act of suicide).
Question to ask an older adult to assess for depression: Have you been feeling any different lately, such as sleeping more than usual or eating more/less?
Question to ask an older adult to assess for Debility: Are you unable to do things that you used to do?
Question to ask an older adult to assess for Deadly means accessDo you own any guns that stay in the house?
Question to ask an older adult to assess for DisconnectednessHow often do you get out of the house?
What is the Geriatric Depression scale?• The GDS is a brief, (long form - 30 items; short form - 15 items) questionnaire in which pts are asked to respond yes or no in reference to how they felt over the past week; may be used with healthy, medically ill & mild to moderately cognitively impaired older adults
• May be used to monitor depression over time in all clinical settings; Any positive score above 5 on the short form should prompt an in-depth psychological assess & eval for suicidality
memorize