Chapter 41
Chapter 41
Misc.
Misc.
Misc.
100
What is benign senescence?
Normal aging changes in the body.
100
What is the primary goal with confused patients?
Primary goal is to produce a feeling of well-being.
100
Name some changes in the digestive system with aging.
- Dental caries and tooth loss
- Decreased gag reflex
- Decreased sense of taste
- Decreased muscle tone at sphincters
- Decreased gastric secretions
- Decreased peristalsis
100
What are some nursing interventions for Alteration in Elimination - Constipation?
200
Describe benign senescent forgetfulness?
Age-associated memory impairment
Modest decline in short-term memory
Slight and gradual decline in cognitive skills
200
What are some psychosocial approaches to working with a confused patient?
Reality orientation
Validation therapy
Reminiscence
Remotivation therapy
Resocialization
200
What can contribute to polypharmacy?
Impaired senses, multiple chronic disorders, impaired cognitive functioning, forgetfulness, multiple providers prescribing, borrowing drugs from others, use of multiple pharmacies, miscommunication or lack of education, use of over-the-counter medications.
300
What is the loss of neurons in the frontal and temporal lobes that leaves a patient unable to process and integrate new information as well as retrieve memory?
Alzheimer's disease
300
How does Alzheimer's disease affect the family?
- Family experiences changes in lifestyle, privacy, and socialization
- Adjustment can be enhanced by integrating the care of the family into the nursing care plan
- Financial problems and multiple role responsibilities add to the burden
- Families should be encouraged to consider adult daycare or respite care if the elder resides at home
300
What are some signs of maturity?
- Acknowledge and express feelings with restraint
- Laugh at yourself
- Accept responsibility for your actions
- Tolerate frustration
- Accept diversity and individuality in others
- Ability to trust others
- Display self-confidence
- Cope with stress
- Discipline yourself
- Handle problems without losing sight of your goals
300
What constitutes malpractice?
Duty
Breach of duty
Harm
Proximal cause
400
What kind of medications do they use to treat Alzheimer's symptoms?
Cholinesterase inhibitor drugs - Donepezil, Rivastigmine
Indomethacin, estrogen, Vitamin E, folic acid, statins
400
As a patient with Alzheimer's or confusion is having increasing impairment, what are some good suggestions for the family in order to keep them at home?
400
How do we promote mobility?
- Address mobility needs
- Educate older adults about the importance of engaging in lifelong activity
- Encourage walking at least three times a week if daily activity is not possible
- Encourage strength training
- Craft activities and arthritis programs can help preserve fine motor skills
500
Define confusion.
Difficulty remembering, learning, following directions, and communicating needs.
500
How can a patient or family with an Alzheimer's family member prepare for the future?
500
Name some signs and symptoms of depression in an older adult.
