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Geriatric
Gerotology Exam one
| Question | Answer |
|---|---|
| Ageism | Dislike of aging and older people based on belief that aging makes people: Unattractive, Unitelligent, and unproductive |
| Part A medicare | Inpatient hospital care |
| Part D medicare | Prescription Drugs |
| Advanced Directives | Directs your medical decision there are 2 types |
| Durable Power of Attorney | Legal decision making authority to for health care to a designated person |
| Living will | Informs the physician that the individual wishes to die naturally (DNR) 2 physicans must agree in writing |
| Self Neglect | Failure to provide for self because of lack of awareness. Common with mental illness or demintia |
| Physical abuse | Causes physical pain or injury |
| Neglect | Caregiver fails to provide the needs for the elder person (hygiene) |
| Emotional Abuse | Isolating, ignoring, depersonalizing older adults |
| Financial Abuse | Resources of a older person that are stolen or misused by a person who the elder trusted |
| Abandonment | When a person responsible for the care of the elder leaves and deserts the elder |
| Signs of elder abuse | Bruises. malnutrition, poor hygiene, burns, pressure ulcer, verbilizes being left alone |
| Support group | Where caregivers share their experiences |
| Respite Care | Allows the Primary care giver time away. A chance for the care giver to go to church, shopping, ect. |
| Diet recommended daily | MyPlate 25% of fruit, vegatables, protein, grains |
| Exercise | 30 mins daily, maintain muscle mass, control blood glucose, weight, promote sense of well being. |
| Pneumonia | 65+ 2 doses 1 then 5 years later |
| Influenza (flu) | Yearly |
| Tetanus booster | Every 10 years |
| Shingles (Zoster) | Age 60+ Once |
| Polypharmacy | Multiple meds |
| Dental Exam | Twice yearly. Every 6 months |
| Unpaid Caregivers | Usually family/friends Volunteers from church. |
| Primary caregiver | Daily needs, Shower, toilet, clothes |
| Secondary | Shopping, transport, home maitanence |
| Paid Caregiver | Agencies can be done from simple to complex. |
| Internal Safety Risk Factors | Vision, Auditory changes, Decreased sensitivity to taste and smell. Physiologic changes (altered balance, Decreased mobility) |
| Fall prevention: | Orient patient, Evalute pts medication, Keep bed locked and lowered, Toilet, Call light, anwser call light promptly, Provide nightlight |
| Orthostatic Hypotension | Standing up to fast |
| External Risk Factors | Fire hazards, Home security, Vehicular accidents, Thermoregulation, Hyperthermia, Heat stroke, |
| R.A.C.E | Rescue Activate/Alarm Confine Extinguish |
| Hypothermia | Core body temp of 95 or below DOWN |
| Signs of hypothermia | Confusion, Low respiratatory and heart rate, cool skin, pallor(pale) |
| Hyperthermia | Higher than normal body temp. |
| Signs of Hyperthermia | Letheragy, Leg cramps, Warmth, Tachacardia |
| Heat stroke | Temp over 104 or higher, Chest pain, diffuculty breathing, HA, Dizziness |
| N/V/D | Nausea, Vomiting, Diarriah |
| Dyspnea | Breathing |
| Factors that contribute to hypothermia in older adults | Decreased muscle tissue, decreased sub fat, decreased sensory perception |
| Serious heat related problems include: | Profound weakness, Mental changes, throbbing headache, Vomiting |
| Patient on a antihypertensive medication should: | Stand up slowly from sitting or lying position |
| Depth perception | Ability to judge distance of objects from the observer and from each other |
Created by:
Payten97