Body System changes
this body system becomes less efficient. high rates of heart disease make it more difficult to determine if changes are related to illness or age.
What is the cardiovascular system?
RAI: helps facility staff to gather definitive info on a residents strengths and needs, which must be addressed in an individualized care plan.
What is resident assessment instrument?
The study of human aging
What is gerontology?
a helpful indicator of nutritional status
What are labs?
program through which a palliative type of care intensifies as the patient gets closer to death
What is hospice?
slough (yellowish/tan) or eschar (brownish,black, leathery)
What is unstageable?
changes in posture occur, decreased ROM, slowed movement, regular exercise helps maintain this system
What is the musculoskeletal system?
MDS: smallest amount of data to be collected, standardized, due within 7 days of admission.
What is minimum data set?
the medical specialty of diagnosis and treatment of elderly adults (specific to medical treatment)
What is geriatrics?
Coagulation tests.
What are PT, PTT and INR?
Calcium, phosphorus, sodium, magnesium, chloride, potassium
What are mineral electrolytes?
visibly damaged skin, not intact, partial loss of dermis.
What is stage 2?
These changes can cause a great deal of concern for people. Peristalsis slows and loss of smooth muscle tone delays gastric emptying. Frequent, small meals recommended.
What is the gastrointestinal system?
Putting a nursing care plan into action
What is implementation?
The doctor that developed transpersonal caring and the science of human caring
Who is Dr. Jean Watson?
a clear diet plus foods that are liquid and at room temp but not necessarily clear.
What is a full liquid diet?
Immunizations recommended for older adults
What are Tdap, seasonal influenza, shingles, pneumococcal and Covid-19?
skin visibly damaged with full loss of the skin tissue that will expose bone, tendons, ligaments
What is stage 4?
These changes affect ALL body systems. Motor neurons work less efficiently and reaction time slows.
What is the Nervous System?
DASH
What is dietary approaches to stop hypertension (therapeutic diet)?
a tool that can quickly be used to identify cognitive impairment
What is mini-cog?
Decreased GI mobility, decreased hepatic enzymes, less total body water are all ______ changes that affect __________ in older adults
What are physiological changes that affect pharmacology in older adults?
withdrawl, reduced food intake, change in breathing patterns, noisy respirations, changes and skin temp and color are all.....
What are imminent signs of death?
skin is completely intact, very red. Does not blanch.
What is stage 1?
Repositioning is extremely important. Remember to use pillows/foam pads to redistribute weight on bony prominences to protect from pressure wounds.
What is the integumentary system?
ADPIE
PLST: increased anxiety with loss of freedom and control. nursing priority is to decrease stress.
What is progressively lowered stress threshold?
What is sometimes the only indicator of Digoxin toxicity in the elderly?
What is weakness/fatigue?
measures plasma glucose over 3-4 months. Diabetes pts have goal of 7% or less.
What is glycolated hemoglobin (HbA1c)?
skin visibly damaged and not intact. full loss of skin tissue. Wound edges may be "rolled" away. Bone, tendon, muscle not visible. Yellow (fatty tissue) visible.
What is stage 3?
minimal age related decline(least affected of all systems), gradually and easily compensated for. increased aspiration, increased risk of pulmonary infection, diminished oxygen saturation.
What is the respiratory system?
this consists of 3 components which include: physical place where care is taking place, equipment used in providing that care, people involved in the care
What is the environment of care model?
a transition from materialistic and rationalistic perspective to a more cosmic and transcendent view of life.
What is gerotranscendence?
What is beers criteria?
a sound elderly people cannot hear
What are high pitched tones?
people assume this is a normal symptom of aging
What is urinary incontinence?