The Hospital Experience for Older Adults and Atypical Presentation of Illness
Pain and Sleep
Falls and Pressure Injuries
100
This term refers to tasks needed for independent living.
What is IADLs (Instrumental Activities of Daily Living).
100
This type of dementia is involves early significant behavioral alteration; memory problems are less pronounced in the early stages.
What is Fronto Temporal Dementias
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 is a common assessment tool that is very appropriate to use when assessing pain in a verbal adult without cognitive impairment.
What is the Numeric Rating Scale
100
This percentage of residents in long term care facilities fall?
What is 50%
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 class of medications is used for pain but the older adult taking these medications should be monitored for bleeding, nephrotoxicity, and delirium.
What are NSAIDS
200
This intrinsic factor is a condition that is a common cause of falls that is demonstrated by extreme dizziness and a drop in blood pressure when standing.
What is orthostatic hypotension.
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
This can be instituted when an older adult experiences opioid related constipation?
What is a bowel regimen
300
This is a stage of a pressure injury that incudes very superficial skin loss, may have a ruptured or serum filled blister that is not a skin tear and is typically painful.
What is stage 2 pressure injury.
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
This first line assessment tool of sleep may include medications, co-morbidities, and sleep patterns over two weeks.
What is a sleep diary
400
This stage of a pressure injury with obscured full-thickness and tissue loss as well as eschar and/or slough that obscures the wound bed.
What is an unstageable pressure injury.
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
This is one of the most common sleep problems in older adults and an adverse consequence of it is inflammation.
What is insomnia.
500
One rule of thumb to prevent pressure injuries among incontinent adults in bed is.