The Hospital Experience for Older Adults and Atypical Presentation of Illness
Sleep
Pain
100
This term refers to tasks needed for independent living.
What is IADLs (Instrumental Activities of Daily Living).
100
This geriatric syndrome is not a normal part of aging and has major implications including decreased sense of well-being and longer hospitalizations. Assessing for it includes asking about medical history, particularly GU/GYN, medications, and past surgeries.
What is incontinence.
100
This is the most important thing to do first when an older adult is hospitalized.
What is implementing protocol-based early mobilization for acute and critically ill patients.
100
This condition may help normalize circadian rest/activity rhythm.
What is increased daylight exposure and physical activity.
100
This type of pain occurs from trauma, burns, infection, and arthritic conditions.
What is nociceptive pain.
200
A nurse is using this assessment approach when a patient's husband describes the patient's functional abilities.
What is report by proxy.
200
Chronic fatigue, weight loss, exhaustion, and decreased physical activity are all components of this age-associated medical syndrome.
What is Frailty.
200
These are risk factors for atypical presentation of illness.
What is age-related physical changes, comorbidities, and medical interventions
200
This is the preferred nursing tool for assessing subjective sleep patterns and sleep quality.
What is a sleep diary.
200
This type of analgesic should not be applied over areas with low body fat or areas with a great deal of body heat.
What is transdermal patch.
300
The CAM can be used to assess for this fluctuation in mental status.
What is delirium.
300
This is the most appropriate instrument to use in the assessment of the geriatric syndrome of incontinence for a patient who reports intermittent problems with incontinence.
What is a bladder diary record (Urinary Incontinence Assessment: Transient Incontinence Assessment)
300
This hospital intervention program to prevent loss of function and disability for older adults provides non-pharmacologic interventions to maintain and improve function.
What is Hospital Elder Life Program.
300
REM sleep comprises this percent of total sleep time.
What is 25%
300
Chronic (or persistent) pain usually lasts for this long after treatment.
What is 6 months.
400
Bathing, dressing, getting in and out of bed, eating, toileting, walking, and grooming are examples of this.
What is ADLs.
400
This is what a geriatric syndrome will most typically result from.
What is three or more medications.
400
Decline in function, thromboembolic disease, atelectasis, pressure ulcers, and constipation are just a sampling of the consequences of this, which is common in hospitalized older adults.
What is immobility.
400
What is insomnia.
What is 50% of those between the ages of 75 and 84 have this sleep problem.
400
This can be an expression of pain in older adults with dementia.
What is behavioral symptoms of dementia (e.g., agitation, anxiety, wandering)
500
The following 8 terms are part of the FANCAPES comprehensive assessment with frail, medically complex older adults.
What is fluids, aeration, nutrition, communication, activity, pain, elimination, socialization, and social skills.
500
These are the 6 components of the assessment tool SPICES.
What is sleep disorders, problems with eating or feeding, incontinence, confusion, evidence of falls, and skin breakdown.
500
This is a major reason physicians do not recommend mobility for hospitalized patients.
What is to reduce the metabolic rate and energy expenditure while in the hospital.
500
The results of a sleep assessment conducted by the nurse reveal a sleep latency of 80 minutes and sleep efficiency of 65% in an older patient who lives at home independently. Your first priority nursing intervention should be this.
What is What is to encourage the patient to stay up later and get up earlier.
500
This is the primary population for use of PAINAD scale.