Theory
This theory of aging focuses on successful aging through movement and engagement in physical and social aspects of life
Activity theory
Apraxia
lack of purposeful movement
List some nursing interventions for confused elders
supportive care for care giver, assess pain and discomfort
assess falls
monitor food intake
simple directions
consistent routine
symbols rather than signs (cant read)
limit number of choice
loss of motivation, hyperemesis,
euphoria, hallucinations, anx, stoned
OD- depersonalization, increase HR, decrease BP
withdrawal- irritable, aggressive, chills, sweaty, abd pain, weight loss
cannabis/ weed
List CIWA scoring categories that may incline us to think ETOH withdrawal
N/v
tremors
sweating
anx
agitation
tactile/auditory/visual hallucinations or disturbances
headache
This theory is about progressing through stages according to specific tasts that must be mastered
Developmental task theory
Agraphia
inability to write
When do we use reminiscence therapy vs validation and reality orientation?
Explain what each one is
reminiscence therapy- recall past experiences, aim to improve wellbeing, can use sensory cues, helps reduce depression, agitation and improve self esteem
validation- accepting individuals reality used in later stages, helps with emotional understanding
reality orientating- use clocks, calendars, reminders, current time, place, person used in early dementia and delirium
effects- fast, addiction, mood swings, wt loss, skin sores, rotten teeth
intox- recklessness, sweaty,
OD- seizures, coma, cardiac arrest
withdrawal- cravings, tics, SI, paranoid, N/V, diarrhea
methamphetamines
what is projection?
place the blame on someone else
This theory is classified by mutual withdrawal occurring between two or more aging individuals
Disengagement theory
inability to recognize objects, people, sounds and smells
Which drug is it?
takes 15 mins to work,
Intox- muscle twitching, restlessness, nervousness,
OD- pupils dilation, drowsiness, headache, fever, hypertension and then hypotension
Caffeine, CNS stimulant
intox- poor judgment, hallucinations, palpitations
OD- psychosis, aggressive, seizures, coma, memory loss
withdrawal- flashbacks, not addictive, may develop tolerance
hallucinogenics- LDS, mushrooms
Dissociative drugs- PCP, ketamine
explain codependency and why it is dangerous
enabling to the person can be detrimental to health
person never hits rock bottom and therefore continues in destructive behaviors
Explain the differences between delirium and dementia. focus on onset, causes, and symptoms
What can often get confused as either of these two?
Delirium- sudden onset, causes- infection, infection, ETOH, Drugs, anesthesia, pain metabolic changes, symptoms- lethargy, altered alertness, hallucinations, delusions.
Dementia- gradual onset Causes- age, genetics, smoking, TBI, cardiovascular disease, isolation symptoms- decline, confusion in evening, irritability, memory loss, paranoid, depression
depression
Hyperosmolarity
urge to put things in your mouth
Name the drug:
intoxc- drowsiness, altered mood,
od- pinpoint pupils, resp depress, coma
Withdrawal- N/V, cramps, diarrhea, insomnia, watery eyes, increase HR, resp and temp
high risk for relapse
Opioids
Which two withdrawals are most dangerous and may cause death?
ETOH and Benzos
what is displacement?
target strong emotions towards non-threatening person or thing
This theory of aging is about maintaining stability in personality and lifestyle
continuity theory
confabulation
unable to remember everything so they make up fibs to fill in the gaps
CNS depressant
intox- euphoria, slurred speech, delusions, hallucinations
OD- seizures, asphyxiation, aspiration, suffocation
brain damage with too much use
Inhalants- gases, aerosols, solvants
what is the withdrawal timeline with alcohol and when do these symptoms occur?
6-8 hours, 8-10 hours, 12-24 hours
1. shakes, tremors, jitters
2. psychotic/perception symptoms
3. withdrawal seizures tonic clonic