Unit III
Unit IV
Unit IV_continued
More Terminology
End of Life
100
Elastic stockings and anticoagulants are commonly used in both the prevention and treatment of this
What is venous thromboembolism?
100
The norm for what a reasonable individual providing care would do in a similar circumstance
What is standard of care?
100
Emphasis on a resident’s quality of life as well as the quality of care New expectations that each resident’s ability to walk, bathe, and perform other activities of daily living will be maintained or improved absent medical reasons A resident assessment process leading to development of an individualized care plan 75 hours of training and testing of paraprofessional staff
What are a few of the changes brought about in long term care from the Omnibus Budget Reconciliation Act of 1987
100
Duty-Relationship to the patient or assuming care of the patient Negligence-Failure to follow standard of care Injury-Physical or mental harm OR a violation of the patient’s rights
What are conditions that warrant malpractice?
100
Professional greivers
What is the aspect of dying and the professional nurse?
200
The risk of this is so high in older people that some health care providers suggest that any symptom in an older adult be suspected as being related should be considered until proven otherwise.
What is adverse reactions to drugs?
200
involves the commission of an improper act, as exemplified by the nurse's actions.
What is Negligence?
200
A responsibility of nursing professionals in long term care that is completed on every new admission, is standardized, and comprehensive
What is Minimum Data Set (MDS)?
200
to prevent harm to patients
What is Nonmaleficence
200
The process of this is very complex from multiple aspects Physical Emotional Social spiritual
What is death and dying?
300
A newly admitted older patient is demonstrating restlessness, irritability and dyspnea.
What is Hypoxia?
300
Assessment to identify problems and risks Early discharge planning Encouragement of independence Monitoring of medications Prevention of complications Environmental safety protections Education
What is Nursing Interventions to Minimize Risk and Promote Optimal Function specific to acute care for older adults?
300
consult the guidelines of the ANA, institutions ethics committee, and external standards such as Joint Commission
What is the best way for nurses to minimize the struggle in making ethical decisions when care for the older adult?
300
to respect our words and duty to patients
What is Fidelity?
300
Nursing care and interventions during this stage should: Focus on accepting the person’s use of defenses No conflicting messages Accept their reaction Provide an avenue for honest dialogue
What is nursing interventions related to the stage of denial?
400
demonstrable phenomenon, but one that is partially modifiable
What is Immune senescence ?
400
Age related changes make the elder more vulnerable Atypical presentation of illness or injury which can delay diagnosis Altered response to treatment making stabilizing efforts more difficult At great risk for serious complications and death
What is the 4 A's of emergency care for older adults?
400
hold abusers accountable, rehabilitate the offender, and to order restitution
What are interventions in the abused elder that go beyond the scope of nursing practice?
400
to be fair, treat people equally. Give an example specific to the older adult population.
What is Justice? Example: withholding treatment based upon age or ability to pay
400
Nursing care and interventions during this stage include: Quiet and calm approach Facilitate spiritual needs Teach family necessary stage in the transition to acceptance
What is depression?
500
Drugs affecting the action of acetylcholinesterase can slow the progression of this but they do not constitute a cure.
What is Alzheimer's disease?
500
All activities conducted in the same manner All individuals treated in the same manner Strict and inflexible schedules Rules Activities promoted the goals of the institutions and not the individual.
What is long term care during the time period prior to the 20th century?
500
a legal document you can use to give someone else the authority to take specific actions on your behalf, it remains valid and in effect even if you become incapacitated and unable to make decisions for yourself as opposed to it ending if you become incapacitated.
What is durable power of attorney and power of attorney? A power of attorney remains "durable" in the event an elder is unable to make decisions for themself.
500
stresses, challenges and negative consequences associated with providing assistance to a person in need. Give an example
What is caregiver burden? Example=an older adult caring for an aging parent who is exhibiting signs of depression, social isolation and frequent minor health ailments.
500
Common problem in dying patients Physical discomfort of dyspnea Causes of dyspnea Pleural effusion Oxygenation Anxiety Nursing care and interventions Elevating head of the bed Relaxation techniques Administration of atropine or furosemide for excess secretions Administration of narcotics to control respiratory systems
What is physical care challenges associated with the respiratory distress and dying process?
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