Old and loving it
Things don't work like they used to.
DDD: Dementia, Delirium or Depression?
Let's be safe out there.
Potpourri
100
This is the term for a person who is 100+ years old.
What is a centenarian?
*Also accepted: Elite-Old
100
Aside from dry, thin skin that is at risk for pressure injury, our older population may also suffer from dry, itchy skin ___________ or tan/brown macules, ____________ (age spots).
What is pruritis and lentigo?
100
A progressive impairment of intellectual (cognitive) function.
What is dementia?
100
This is the leading cause of accidental death in the elderly.
What are falls?
100
Cerebrovascular accident is another term for _________.
What is stroke?
200
This is the term for a patient who has medical problems and is 75 years old or older.
What is frail old?
200
Because of this condition, sometimes the elderly patient can have a bone spontaneously break, such as a hip.
What is osteoporosis?
200
A reversible condition, usually related to a cause, and typically has a rapid onset. Once the cause is identified, treatment, including reversibility, is often possible.
What is delirium?
Ch. 33 p. 1108
200
If a patient uses 5 or more medications, this is termed ___________.
What is polypharmacy?
A medication reconciliation should be performed with every encounter with the patient.
200
An impaired ability to coordinate movement is termed ________.
What is ataxia?
Ch. 33 p. 1110
300
A primary prevention practice for older adults is ____________.
What is vaccination?
Ch. 33 p. 1081
300
This is the sensory awareness where the body knows its location in the space it occupies. This is known as ___________.
What is proprioception?
300
Feelings of sadness, hopelessness, and a lost of interest in things that once brought pleasure. This condition can be acute or chronic.
What is depression?
300
Which statement prompts further investigation?
A. "I should make sure the pathway is clear to the bathroom."
B. "I cannot go out in public because I will have an accident."
C. "I can wear an incontinent pad and change it when it becomes soiled."
D. "I should go to the bathroom when I first feel the urge and not wait until the last minute."
B
The nurse should explore how long the accidents have been occurring and if it involves bowel, bladder or both.
300
Sensorineural hearing loss in the older population, resulting in difficulty hearing high-pitched tones & conversational speech is termed __________.
What is presbycusis?
400
The goals set forth for the older American population to improve health, functioning and quality of life for older adults can be found at ______________.
What is Healthy People 2030?
400
Confusion or incontinence may be signs of a(n) ________ in the older adult.
What is a urinary tract infection?
p. 1093 Ch. 33
400
This is the most common type of dementia.
What is Alzheimer's dementia?
Ch. 33 p. 1108
400
Prevention of falls begins with __________.
What is exercise? Ch. 33 p. 1111
Prevention of falls begins with exercise that increases strength, balance, endurance & body awareness.
400
True or False?
Prevention of osteoporosis begins in childhood.
TRUE!
It begins with a diet high in calcium and vitamin D.
Ch. 33 p. 1101
500
This test is considered a preventative screening and should begin at age 50, so long as there is no family history of colorectal CA.
What is a colonoscopy?
Table 33.1 Ch. 33 p. 1082
500
This abnormal curvature of the upper back, sometimes called a Dowager's hump, can contribute to reduced area in the chest cavity which can lead to increased work of breathing and can affect the respiratory effort of the patient.
What is kyphosis?
500
While misperceptions affect all three disorders, this disorder is characterized by hallucinations.
What is delirium?
Table 33.13 p. 1109
500
Nurses are ___________ reporters, and are required to report suspected abuse to the authorities when it is appropriate to do so.
What is a mandated reporter?
500
The goal of treatment for the older person with diabetes, is to maintain a stable metabolic state through diet management, weight control and __________.
What is exercise?
Ch. 33 p. 1102