What is food insecurity and are older adults at risk?
Not knowing when the next meal will come. Yes, they are at risk.
Which sector of healthcare is the fastest growing?
Gerontological nursing
This service is provided to those who serve or have served in the military
What is Care for Veterans
Which of the following is an expected finding in a 78-year-old-man.
A: Increased sebaceous gland activity
B: Increased skin elasticity
C: Increased course ear hair
D: Increased lung capacity
C
This type of urinary incontinence occurs when one sneezes.
What is stress incontinence
True or False:
Coffee is a great choice for hydration.
False
True or False:
The gero nurse should use a holistic approach to clients. Although they shouldn't worry about ensuring proper communication to those who are not able to hear or see.
False
This person is appointed by the patient to make decisions when they (the patient) aren’t able to.
What is Power of Attorney
Name 3 normal aging findings of the skin.
1. thins
2. less melanin --> lighter skin
3. liver spots, age spots
4. less elastin leading to sagging
5. sebaceous glands atrophy leading to dry skin
What are 2 nursing interventions to prevent constipation?
Exam meds that can cause constipation
Fiber
2-3 L H2O
Physical activity (Walk for 20-30 min/day)
Environmental
Toileting regimen
Meds (Laxatives, OTC meds, Enemas)
List 3 assessment findings of dehydration.
Weight loss
Orthostasis
Dry mucous membranes in the mouth and nose
Dysphagia
Decreased urine output with dark urine
Longitudinal furrows on the tongue
Incoherent speech
Rapid pulse rate
Extremity weakness
Dry axilla
Sunken eyes
What are 2 interventions that we can use to help a client who is refusing to eat and has dysphagia?
1. Speech Language Pathology Consult
2. Chin Tuck
3. Find out foods the client prefers
4. Modified diet (pureed, thickened liquids, change of texture)
5. Encourage smaller bites of food
This program is different state to state. Those eligible are 65+, low income, disabled, and even kids
What is Medicaid
The kidneys are smaller and don't work as efficiently due to the normal aging process.
List 2 nursing interventions to help with incontinence.
Scheduled voiding, Pelvic floor exercises (Kegel), Habit training (diary), Bladder retraining, Prompted voiding, Lifestyle modifications, Changing environment, Medications, Use absorbent products, Surgery
You perform a nutritional assessment on an 84 year old patient. She shares that she "mainly only drinks ensures and takes a bunch of over the counter supplements. That's ok right?" How do you respond?
Nutritional supplements are ok, but should not be the main source of nutrition.
A 74-year-old recently retired as a nurse. She decides to volunteer at the hospital to help patients get checked in for surgery. This is an example of which theory to aging?
A: Social-Exchange Theory
B: Disengagement Theory
C: Continuity Theory
D: Role Theory
D: Role Theory
Looks at the person's role in society (nurse) and adapting to a changed role (retired nurse still wanting to help people).
This part of Medicare covers medications
What is Medicare Part D
Select all the age related changes in older adults:
A: Stiff Blood Vessels
B: Increased Immunity
C: Delayed Reaction time
D: Decreased Tactile and Vibratory Senses
E: Efficient Gas Exchange
A, C, D
What are 3 normal changes in the gastrointestinal system?
Loss of enamel and dentin
Brittle roots
Dry mouth due to decrease salivation
Decrease gastric motility
Villi decrease in function
Slower peristalsis
What are 3 consequences or issues related to undernutrition?
Infection, pressure injuries, anemia, hypotension, impaired cognition, prolonged hospital stays, reduced quality of life, increased morbidity and mortality
You are caring for an older adult client who's mental status has changed since you've assessed them an hour ago and is confused. The client does have a temperature of 100.2 F. and has had an indwelling cather in place for the past 2 days. What is this client at risk for?
A: Urge Incontinence
B: Infection
C: Constipation
D:Nothing, it's a normal finding
B: Infection
This part of Medicare covers acute care hospitalization and short term rehab
What is Medicare Part A
What are two age related reasons for hearing loss?
1. Cerumen build up (thick and dry ear wax)
2. Presbycusis (reduction of vibration of bones in the ears)
What type of urinary incontinence is caused by not making it to the bathroom due to an obstacle (like the location of the bathroom)
What is functional incontinence