Documentation
documentation
what is the genetic theory of aging?
genes control the "genetic clock"
genes predetermine when one dies
name 5 major causes of accidental injury in older adults
changes in vision/hearing, loss of muscle strength, slower reflexes and reactions, decreased sensory ability, illness and medication, lighting, rugs
the best way to evaluate learning
demonstrate back
common physiologic responses to pain
increased BP, increased pulse, increased RR, pupil dilation, pallor, increased adrenaline and glucose
only documents unusual events or changes in condition, activities assumed to be done unless otherwise stated, checklist, long term care facilities, V/S need to be charted
Age range of middle adult and older adult
40-65
65+
depression
The three questions patients should ask
what is my main problem? what do i need to do? why is it important for me to do this?
pain resistant to therapy, persists despite intervention
intractable pain
List 3 purposes of the patient health record
reimbursement, education, research, quality improvement, diagnostic and therapeutic orders, care planning
what cognitive changes do middle age adults experience?
little changes from young adult, may have slower responses
SPICES
sleep disorders, problems with eating/feeding, incontinence, confusion, evidence of falls, skin breakdown
a loss experienced as a result of natural development process
maturational loss
the process by which the sensation of pain is inhibited or modified
SOAP
subjective, objective, assessment, plan
What is the main obstacle middle adults face (Erikson)?
generativity vs stagnation
victims of elder abuse tend to be... (4)
female, lower income, isolated, lack social support
state of grieving due to loss of loved one; or period of mourning
bereavement
examples of opioids and what they are used for
morphine, codeine, oxycodone, hydromorphone
used for moderate to severe pain
name 4 reportable incidents
falls, medication errors, equipment failure, complaint, treatment related injury, missed/incorrect diagnosis, employee exposures
transformation of ones view from reality from a rational, social, individually focused, materialistic perspective to a more transcendent vision characterized by maturity and wisdom with a decreased emphasis on superficial relationships
gerotranscendence
delirium vs dementia
delirium: temporary state of confusion, resolves with treatment and once cause is treated
dementia: gradual, progressive, irreversible
what is a living will
lists specific instructions from the patient if there is a situation in which they cannot make decisions
appendicitis is an example of what kind of pain?
visceral pain