U2 Concepts of Aging, Fluid Balance, Spiritual Care

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Created by:

michelleannedennis  on March 22, 2012

Subjects:

Intro to Nursing

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U2 Concepts of Aging, Fluid Balance, Spiritual Care

What is Ageism?
Discrimination based solely on age
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What is Ageism? Discrimination based solely on age
What is Gerontological nursing? The study of aging and older adults.
Involves advocating for the health of older adults.
What does the "wear and tear" theory of aging say? Our vital parts start to wear out. Humans are like automobiles. The faster an organism lives, the quicker it dies. Cells wear out due to internal and external stress.
What is Sarcopenia? Decrease in muscle fibers
What does the Endocrine theory say about aging? Events occurring in the hypothalamus and pituitary are responsible for changes in hormone production and response that result in the organism's decline.
What does the Free-radical theory say about aging? Unstable groups of atoms result from the oxidation of organic materials such as carbohydrates and proteins. These radicals cause changes in the cells and they cannot regenerate themselves.
What does the Genetic theory say about aging? The organism is programmed for a certain number of cell divisions and then death is inevitable.
What does the Cross-linking theory say about aging? Irreversible aging of proteins such as collagen is responsible for the ultimate failure of tissues and organs. As cells age chemical reactions create cross-linkages between proteins and these bonds cause loss of elasticity and stiffness.
What does the Immunologic theory say about aging? The immune system decreases in function as we age and produces more autoimmune responses.
What is Erikson's stage for Young Adults? Intimacy vs. Isolation
What is the leading cause of death for young adults? Motor vehicle accidents
What is Erikson's stage for middle adults? Generativity vs. self-absorption
What is crystallized intelligence? Things that an adult knows well about one subject.
What is Erikson's stage for Older Adults? Integrity vs. Despair
What is the difference between Delirium and Dementia? Delirium is more short term, Dementia is slow moving but long term
What causes "age spots" ? Clustering of melanocytes
What is Presbyopia? The inability to focus vision due to loss of flexibility of the lens. Causes decreased near vision.
What is presbycusis? Loss of hearing ability related to aging
How many liters of water are in our body total? 40L
What percent of our weight is water? 60%
How many thirds of water is in the ICF? 2/3
How many thirds of water is in the ECF? 1/3
List the four ways that water moves across membranes? 1) Diffusion
2) Osmosis
3) Active Transport
4) Filtration
Explain osmosis Water moves from lower concentration of solutes to higher concentration of solutes.
Explain Diffusion Movement of particles from high concentration to low concentration
Explain Filtration Fluid and solutes move together across a membrane from an area of higher pressure to an area of lower pressure. Ex: fluid and nutrients moving from capillaries of arterioles to the interstitial fluid.
Explain Active Transport Using energy (ATP) to move solutes across cell membranes from less concentration to more concentration.
What is insensible loss? Evaporation of water through surface of skin or through breath.
What role does ADH have in regulating body fluids? It prevents kidneys from spilling off water.
What does the renin-angiotensin-aldosterone system do in regulating body fluids? Increases blood volume through sodium and water retention.
What is Acidosis and Alkalosis? Acidosis = acidic = less than 7.35 (Respiratory problems)
Alkalosis = basic = more than 7.45 (kidney malfunction)
Which gender is more at risk for body fluid imbalances? Women
How do you evaluate Edema? Press toward a boney prominence
How far you have to press to reach the bone = amount of Edema.
What is Pitting Edema? When the skin doesn't bounce back up immediately.
When the blood pressure drops, the pulse goes ____ Up
What does "Tenting of skin turgor" mean? The skin is dry and stands up due to dehydration
What is transcendence? The capacity to reach out beyond yourself
What does "full presencing" mean? Being present physically, mentally, and emotionally.

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