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What is affected only minimally by age?
Cognition
What is the primary reason for decreased sexual activity in many older adults?
Lack of a sexual partner
What type of skin is compressed between bony prominences of the body?
Fragile Skin
Why is an adult referred to as a resident rather than a patient?
Because the facility has become their home
What must the planning process be centered around?
The patient
What can make an older adult more susceptible to pressure injuries?
The loss of fat under the skin
What are the two types of arthritis?
Rheumatoid and Osteoarthritis
What type of setting for long term care involves an adult patient renting a small one-bedroom or studio-type apartment and can receive several personnel care services?
Assisted living
Why would someone be moved to a subacute care unit?
When a patient no longer needs to be in a hospital, but still requires medical care
What does short-term or short-stay mean?
Expected to be discharged within 6 months
What type of soap is very drying and isn't a good option for older patients?
Antibacterial Soap
What is the Omnibus Budget Reconciliation Act (OBRA)?
It defines requirements for the quality of care given to residents and covers many aspects of institutional life
What is the Health Care Financing Administration (HCFA)?
It administers and monitors the OBRA guidelines through institutional surveys that are unannounced and reported to the public
What is the cornerstone of clinical practice?
The functional assessment
Who will evaluate the care provided to the patient by the non-licensed staff?
The LPN
What are the three parts of the Resident Assessment Instrument (RAI)?
Minimum Data Set (MDS), Resident Assessment Protocols (RAP), Utilization Guidelines
How often does the interdisciplinary team review the resident's plan of care in the long-term care setting for the resolution of problems or revision of goals and interventions?
What is presbyopia (farsightedness) due to?
loss of elasticity of the lens of the eye
What does bone density testing help to do?
Identifies women at risk for fractures
Pneumonia
Having a patient sit upright, leaning slightly forward with the chin down, allowing adequate time for meals, feeding slowly, reminding to swallow, reducing distractions, and having suction available are all nursing interventions for what?
Dysphagia
Why should the nurse encourage walking and wearing compression stockings?
To stimulate venous return
What type of a contract is a lifetime commitment?
Signing a contract to enter a continuing care retirement community (CCRC)
What type of setting for long term care provides respite care for the family, mental stimulation, socialization, assistance with health maintenance, and supporting maintenance of ADLs?
Adult Daycare
The presence of abnormal sensation, numbness, and burning sensations in the extremities is called what?
Peripheral neuropathy