What are six physiological changes to the CARDIOPULMONARY system in older adults?
- ↓ endurance - ↓ valves & blood vessels stiffen up from calcium deposits - ↑ rate & ↓ depth of respirations - ↓ number of alveoli & cilia = ↑ chance of pneumonia - ↓ cough reflex & strength = ↑ risk of aspiration - ↑ orthostatic hypotension
What are five physiological changes to the GI system in older adults?
- ↓ digestive juices & peristalsis = constipation (leading to ileus/colostomy) - ↓ appetite - ↓ thirst = ↓ kidney function - ↑ constipation & complaints of indigestion (suggest they don't lay down until 30 minutes after eating) - ↑ incidence of insulin resistance & anemia = metformin
What are seven physiological changes to the GENITOURINARY system in older adults?
- ↓ kidney function - ↓ bladder capacity - ↑ BUN & creatinine - ↑ residual urine - ↑ prostate size = ↑ chance of prostate cancer - vaginal dryness & thinning - incontinence is not part of aging
What are four types of adaptions for the older adult?
1. Regular exercise = lubricates joints, bone density 2. Limit or stop driving 3. Assistive devices = cane, walker, w/c, glasses 4. Living conditions
what is psychosocial: Life review?
1. Telling stories of past events = reminiscing 2. Common in ALL cultures 3. Establishes ego integrity or despair
what happens with retirement? (3)
↓ income ↑ time ↓ interactions with other people, but this could ↑
What is reminiscing?
- telling stories of past events - a way for older adults to relive & restructure life experiences & is part of achieving ego integrity
What is love and belonging (3)?
1. Physical touch = depends on culture 2. Friendships = could either ↑ or ↓ 3. Valued and useful = sometimes don't feel this
what is role reversal? (3)
1. Chronic illness and disability requires dependence on spouse or children 2. Emotionally draining = economic needs, assuming new parental roles, while taking care of your family 3. Sandwich generation
what are three types of elder abuse?
1. Physical, emotional, sexual 2. Neglect 3. Economic exploitation
- progressively serious & fatal - forgetfulness & impaired judgment - eventually will forget family & familiar surroundings
- a temporary state of confusion, an acute illness that can last from hours to weeks & resolves with treatment - confusion triggered by drugs, hospitalization, circulatory or metabolic problems, or illness
- extreme or prolonged sadness - difficulty concentrating
confused, agitated, restless after dark
(can be confused with dementia, it is a common problem with dementia)
What approach should the nurse take when handling a patient with dementia?
Incorporate established behavior patterns
excepts & follows rules of religion - follows society roles & expectations
develop their own beliefs & attitudes
- integrating faith & truth to see the reality of their own beliefs integrated other view points into their own
trusts a greater power & believes in the future
What are the nursing goals in relation to risk factors?
Prevent or reduce common risk factors that contribute to functional decline, impaired quality of life and excess disability
What are the four best practice assessment tools?
1. SPICES 2. Katz ADL Index 3. Lawton IADL scale 4. The Mini Cog
What are four physical nursing diagnoses?
1. Risk for Injury 2. Risk for Infection 3. Sedentary Lifestyle 4. Ineffective Health Maintenance
What are four cognitive & psychosocial nursing diagnoses?
1. Risk for Loneliness 2. Social Isolation (ex. isolation from kids) 3. Caregiver Role Strain 4. Risk for Disabled Family Coping (everyone is different)
What are three nursing interventions for Risk for injury?
1. Prevention and early identification (Hendrich II Fall Risk Model) 2. Safety measures 3. Regular exercise
What are the s/s for Risk for ineffective health maintenance?