The Golden Years
In Yeager’s 7th edition, this specific nursing model is used to organize clinical chapters, moving beyond a "body systems" approach to focus on the interplay between aging, chronic illness, and environmental factors.
What is the Gerontologic Nursing Integrative Care Model?
This federal program provides health insurance primarily for those aged 65 and older.
What is Medicare?
This is the most common cause of chronic pain in the older adult population.
What is Osteoarthritis?
This instrument, discussed in McClane’s article, is used specifically to measure the quality of life in the aging population.
What is the LEIPAD instrument?
If the ordered dose of a medication is half the strength of the available tablet, this is the amount of tablets to give.
What is 0.5 tablets?
(Step: Ordered dose / Available dose per tablet)
This holistic approach focuses on the physical, psychosocial, and spiritual needs of the aging population.
What is Person-Centered Care?
This federal-state program assists with medical costs for some people with limited income and resources, often covering long-term care.
What is Medicaid?
This concept describes why older adults may underreport pain, often believing it is a "normal" part of this process.
What is Aging?
McClane highlights this 36-item tool as a standard for screening health needs and quality of life.
What is the Medical Short Form-36 (SF-36)?
If the ordered dose of a subcutaneous injection is 5,000 units and the available concentration is 10,000 units per mL, this is the volume to administer.
What is 0.5 mL?
Step: Ordered dose / Concentration
mL / 10,000 units x 5,000 units / dose = 0.5 mL
This is the primary goal of gerontological nursing: helping older adults realize their highest level of this.
What is Function (or Functional Ability)?
These ethical principles, including autonomy and justice, guide policies regarding end-of-life care and patient rights.
What are the Ethical Principles of Gerontological Nursing?
This non-pharmacological intervention is often integrated into the 7th edition's care plans for pain management.
What is Health Promotion (or Exercise/Positioning)?
This abbreviated tool from the World Health Organization is used to assess quality of life across four domains.
What is the WHOQOL-BREF?
If an intravenous medication order is for 20 mg and the available solution is 40 mg in 4 mL, this is the volume to give.
What is 2 mL?
Step: (Ordered dose / Available dose) * Volume available
4 mL / 40 mg x 20 mg / dose = 2 mL
This type of theory, a new addition to the 7th edition, promotes understanding the link between theoretical frameworks and clinical practice.
What is Aging Theory?
This essential document, most recently revised in 2010 and integrated throughout Yeager’s text, provides the definitive guidelines for the specialized clinical and leadership roles of the RN in caring for older adults.
What are the Standards and Scope of Gerontological Nursing Practice?
These types of drugs are the first line of defense for mild to moderate geriatric pain but require careful monitoring of renal function.
What are NSAIDs?
According to McClane, introducing these into clinical practice is the responsibility of this specific advanced nursing role.
What is the Clinical Nurse Specialist (CNS)?
To infuse 1 liter of normal saline over 10 hours, this is the infusion rate in mL per hour.
What is 100 mL/hr?
Step: Total volume / Total time
1000 mL / 10 hr x dose / L
Gerontological nursing is uniquely known for its comprehensive coverage of these most common types of clinical problems.
What are Medical-Surgical problems?
This specific nursing role is responsible for coordinating care across various healthcare delivery settings to ensure policy compliance.
What is a Care Coordinator (or Case Manager)?
Pain assessment must include these "felt needs" beyond just physical sensation, as emphasized in Yeager's holistic approach.
What are Psychosocial and Spiritual needs?
This is the ultimate "rationale" McClane provides for using screening assessments in geriatric clinical practice.
What are Positive Patient Outcomes?
If the ordered dose of an oral suspension is 500 mg and the available concentration is 250 mg in 5 mL, this is the volume to give.
What is 10 mL?
Step: (Ordered dose / Available dose) * Volume available)
5 mL / 250 mg x 500 mg / dose = 10 mL