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Care of the older adult

Terms in this set (31)

Healthy People 2010
develop a set of health care objectives designed to increase the quality and quantity of years of healthy life of Americans and to eliminate health disparities
Primary prevention
activities designed to completely prevent a disease from occurring, such as immunization against pneumonia or influenza
Secondary prevention
directed toward early detection and management of disease, such as the use of colonoscopy to detect small, cancerous polyp
tertiary prevention
efforts are those used to manage clinical diseases in order to prevent them from progressing or to avoid complications of the disease, as is done when beta blockers are used to help remodel the heart in congestive heart failure.
USPSTF
U.S Preventitive Services Task Force
contracting
specific agreement between the nurse and client in which a behavior change is described and a plan for the change is committed to paper.
barriers to physical activity
lack of access to safe areas to exercise, pain, fatigue, and impairment in sensory function and mobility
risks for poor nutrition
multiple chronic illnesses, may have tooth or mouth problems that may interfere with their ability to eat, may be socially isolated, may have economic hardship, may be taking multiple medications that can cause changes in appetite or gastrointestinal symptoms, and may need assistance with self-care
malnutrition
Serum albumin: Less than 3.5 g/d
Normal BMI
BMI 22-27
falls
leading cause of unintentional injury death in older adults in this country
Polypharmacy
the taking of multiple drugs concurrently, whether prescribed or OTC
tetnus shot
recommended re-vaccination after 10 years in the elderly
elderly men
group with the highest rate of suicide
Dementia
chronic and progressive illness characterized by behavioral and cognitive changes that affect memory, problem solving, judgment, and speech and that cause deficits in functional abilities.
Mini Mental State Examination
This exam test the elderlys orientation, registration, attention and calculation, recall(memory) and visou spatial skills. If the patient score less than twenty indicates cognitive impairment. Aids in detecting dementia
CAGE questionarre
• Cut down: Refers to attempts by the client to cut down on drinking
• Annoyance: Related to suggestions by friends or family to cut down on drinking
• Guilt: Relates to client guilt about drinking
• Eye opener: Relates to the need for a drink in the morning to get going
Elder abuse
may include physical, sexual, psychological, and financial exploitation, neglect, and violation of rights
ischemic stroke risk factors
increased age, hypertension, smoking, and diabetes
elderly women
group with increased risk for osteoporosis
False
True or false- older adults are not deficient in vitamins and minerals
calcium
mineral that reduces the risk of bone loss and osteoporosis and decreases the incidence of fractures in both men and women
Modified Caregiver Strain Index
tool that can be used to quickly screen for caregiver strain with long-term
family caregivers. It is a 13-question tool that measures strain related to care provision
Reciprocity
ability to be true to one's self while respecting and supporting the values and views of another
Patient Self-Determination Act of 1990
this law requires that patients are provided the opportunity to express their preferences regarding lifesaving or life-sustaining care on entering any health care service, including hospitals, long-term care centers, and home care agencies. The law also requires that adequate information be supplied to the patient so that he or she can make informed decisions regarding self-determination
advanced directives
Decisions regarding life-saving or life-sustaining care are recorded in legal documents known as__________
living will
alternative documents that direct preferences for end-of-life care issues, providing an "if...then..." plan
informed consent
means that the person clearly understands the choices offered.
autonomy
independent; not controlled by others; self-governing
self-determination
The patient right that is the right to decide
healthy aging
the ability to maintain three key behaviors: low risk of disease and disease-related disability, high mental and physical function, and active engagement of life
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