Gerontology Test

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One to Three Months

In this time before death, the patient may gradually spend more time sleeping during the day. May withdraw. Okay for patient not to eat or drink.

One to Two Weeks

In this time before death, the patient make demonstrate increased confusion and may not open his/her eyes. Also, restless behavior may be noted. They might communicate with loved ones who have previously passed away; beginning transition.

One to two days-hours

In this time before death, the patient may display a surge of energy. It may seem like they are better. They may eat.

heart size

this condition, related to the cardiovascular system remains unchanged in the abscence of pathology.

tooth loss

this process in a part of the GI system is not a normal part of aging.

incontinence

this process of the GU system is not a normal part of aging.

chronic

in this type of pain, often times the vital signs will be normal because the pt has gotten used to it

propoxyphene, meperidine, methadone, pentazocine

these 4 medications are contraindicated in older adults

arachidonic acid

people with inflammatory conditions such as arthritis should eliminate this which can be found in food such as animal products, high fat dairy, and egg yolks.

acetaminophen

this is the most commonly used medication with older adults. does not have ANY anti-inflammatory benefits.

half life

due to a 40% increase in this older adults are more at risk for toxicity, overdose, etc.

mental dysfunction

this can be an early sign of problems with medications.

aminoglycosides

these antibiotics require close monitoring due to risk of hearing loss & renal failure.

tricyclic antidepressants

these type of antidperessants have side effects in older adults such as anticholingergic effects, orthostatic hypotension, and arrythmias.

spirituality

this has to do with relationships & feelings. It is something which transcends ourselves and connects us to a higher power.

religion

this involves human created structures, rituals, symbols, and rules for relating to a higher power.

faith, importance, community, address

what does FICA (the tool used to assess spirituality) stand for?

acute problem

this type of issue in an adult is a significant problem, sometimes a medical emergency, requiring an immediate attention.

UTI

this in the older adult can be manifested by cognitive changes, loss of appetite, or incidences of urinary incontinence.

depression

this is a treatable mental illness tha can result in signifigant co-morbidities including fatality if not taken seriously.

feedings/fluids

giving these things IV is an ethical debate. Dying patients don't get hungry and there is a risk for aspiration.

dyspnea

this respiratory occurrence will increase anxiety. raising the head of the bed and giving o2 will help.

18 months

up until this point of time, grief is normal.

disenfranchised

this type of grief is experienced when the loss can not be openly acknowledged or is not socially sanctioned.

complicated

this type of grief is experienced when a death is chronic, delayed, exaggerated, or masked.

5

a score over this number on the geriatric depression scale is considered suggestive of depression.

delirium

this is a reversible alteration in cognition. It has a rapid onset, and is usually due to acute conditions.

dementia

this is irreversible impairment in cognition due to disease/injury to the brain. slow onset.

mini-cog

this assessment is used to evaluate the possibilty of alzheimers disease.

SPICES

this helps to identify potential problems for elderly people and helps provide information to do prevention.

Sleep disorders, problems with feeding, incontinence, confusion, evidence of falls, skin breakdown

this is what SPICES stands for

geriatric depression scale

this is an assessment tool used to look for depression in older adults. participants are asked questions about how they have felt over the last week.

confusion assessment method

this technique is used to look for delirium in patients.

mini-cog

this test involves asking the person to remember 3 words, have them draw the clock, and then remember the words.

Beers criteria

this is used to identify drugs which may be contraindicated in elderly pts.

B,B12,calcium, iron, and D

Due to atrophy of the intestines, these vitamins can be malabsorbed in the older adult.

increase in residual volume

this predisposes older adults to respiratory infections.

decline in the weight of the brain

this is a normal age-related change of the nervous system

96.9-98.3

what are the average normal body temperatures of older adults?

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