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Chapter Five Gerontological Nursing and Health Promotion

Terms in this set (48)

the study of aging and older adults, is a nursing speciality, multidisciplinary, focuses on healthy and successful aging, address diversity among older adults
gerontology
what is a nurses focus in promoting wellness?
increase quality of life and optimal functioning
when did gerontology start? when did gerontology start to be written about by journal of gerontology?
1. 1960's 2. 1940's
what is the Golden Sneakers?
exercise classes free to members over age 65.
gerontology and geriatrics are areas of professional specialization that have evolved since the mid 1960's to address the unique needs of older adults.
false, started in 1940's
focuses on medical problems of older adults, shifted from curing to caring, interventions are based on holistic assessment
geriatrics
how many competencies are there for older adult care?
19
who documents gerontological nursing scope and standards?
american nurses association
nurses have important roles in health promotion, interventions, which are essential for preventing chronic conditions, reducing mortality, and improving quality of life for older adults
true or false
true
individuals experience of sense of well being, harmony, and unity
health
ability of older adult to function at highest capacity, essential for preventing chronic conditions, reducing mortality, and improving quality of life
wellness
how many steps are recommended a day?
10,000
leading company providing funds for geriatric research, company providing funds for geriatric research and they do research themselves. They support Future of Nurses Leading Change Advancing Health
Robert Wood Foundation
programs or interventions that focus on behavior changes, directed toward improved health and well being of individuals.
health promotion
screenings for older adults
colonoscopy every 10 years if no problems, every 3 if polyps are found, audiological services, eye doctor yearly check up, and yearly blood work
number one growing exercise in older adult
tah chi which is yoga with motions
number one factor that extends life and quality of life
physical activity
nurses have an important role in teaching older adults about what?
A. benefits of physical activity
B. chronic disease control
C. medication side effects
D. smoking cessation
A
Stages of Change Model: Stage One Precontemplation
unaware of the problem/ ignoring the problem
Stages of Change Model: Stage Two Contemplation
intent to change, examples in book show people who see some reasons to change but still have reasons against it as well
Stages of Change Model: Stage Three Preparation
some ambivalence, examples in book show people attempting to slowly make a change making a plan to incorporate this
Stages of Change Model: Stage Four Action
behavior change has been made, starting to make this change slowly
Stages of Change Model: Fifth Stage Maintenance
continues healthy behavior, keeping up with it, this stage is hardest to maintain
Dates to know: John A Hartford Foundation begins to commit significant long term support for advancing gerontological nursing in clinical settings and schools of nursing
1990'2
dates to know: the ANA and Hartford Foundation for Geriatric nursing begin to offer grants to 54 speciality nursing programs to enhance competency in caring for older adults
2002
dates to know: AACN and national organization of nurse practitioners publish competencies for adult gerontology primary care nurse practitioners
2016
breast Cancer Screenings: what race gets least amount and most
asian/pacific islanders get most, black adults get least
colorectal cancer screenings: what race gets least and most amount
asian/pacific islanders get most, white adults get least
diabetic screenings: what race gets least and most amount
asian/pacific islanders get most, hispanic adults get least
influenza vaccine: what race gets least and most
black adults get most, white adults get least
pneumococcal vaccination what race gets least and most
hispanic adults get most, white adults get least
what four vaccines do older adults need?
shingles vaccine, pneumococcal vaccine, influenza vaccine, tetanus diphtheria pertussis vaccine (Tdap)
what is the shingles vaccine? when do older adult get it?
comes from chicken pox, extremely painful rash, usually along nerve line, can be in eye, straight line, age 60
what is the pneumococcal vaccine?
pneumonia shot, harder to get when older because can get really sick from pneumonia
how often do we get tetanus vaccine?
every 10 years, unless hit something metal before
what kind of exams should women get?
pap smears and pelvic exams annually until three consecutive negative exams, then every 2-3 years until 65 years of age.
mammogram age 50-74, every 1-2 years
what kind of exams should men get?
digital rectal examination annually, prostate specific antigen blood test
four types of exercise
endurance, strength, balance, and flexibility
why is endurance important?
everyday activities become easier to do, want 30 minutes a day
why is strength important?
helps person remain independent and complete adls, 30 minute two or more days a week
why is balance important?
help prevent falls and improve safety, do this anytime anywhere
why is flexibility important?
more freedom of movement for daily activities.
increasing the older adult's confidence in accomplishing the desired behavior
self efficacy
helping older adults identify values in order to reconcile differences between expectations and behaviors
values clarification
increasing the older adult's awareness about risks that are identified objectively but are not associated with immediate symptoms
consciousness raising
using positive thinking to focus on ways of overcoming barriers
restructuring
immediately and frequently reinforcing benefits, which are classified as tangible, social or self generated
focusing on benefits
involving family and friends in healthy behaviors
strengthening social support
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