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Chapter 20
The Aging Adult
52
Nursing
Undergraduate 1
11/30/2013

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Term
Genetic Theory of aging
Definition
organisms wear out from increased metabolic functioning and become exhausted from energy depletion from adapting to stressors
Term
Immunity theory of aging
Definition
nutrition is thought to play an important role in maintiaining this system. This system declines after younger adulthood as the thymus loses size and function.
Term
Cross-Linkage Theory
Definition
a Chemical reaction that produces damage to DNA and cell death.
Term
Free-Radical Theory
Definition
formed during cellular metabolism are molecules with separated high-energy electrons, which can have adverse effects on adjacent molecules.
Term
Middle Adult - Physiologic Development
Definition
A person must modify his or her self-image and self-concept to adapt successfully to the normal changes of this period of aging. Hormone changes take affect.
Term
Erikson's Theory on the middle adult
Definition
The task are to establish and guide the next generation, accept the changes of aging, and adjust to the needs of aging parents, reevaluate one'e goals and accomplishments.
Term
During and assessment, a 48-year-old woman tells the nurse that she is having hot flashes, fatigue, and mood swings. The nurse recognizes these symptoms as manifestations of what?
Definition
menopause
Term
Based on Erikson's theory, middle adults who do not achieve their developmental tasks may be termed as being in stagnation. What statement would be an example of this?
Definition
I spend all of my time going to the doctor to be sure I am not sick
Term
What nursing diagnoses would be appropriate for the middle adult?
Definition
Risk for Imbalanced Nutrition: More than body requirements
Term
Older adults may be stereotyped as different from other age groups and having outlived their usefulness. What is this term for?
Definition
Ageism
Term
What statement is a myth about older adults?
Definition
Old age means mental deterioration
Term
What is the leading cause of cognitive impairment in old age?
Definition
Alzheimer's disease
Term
What questions would encourage reminiscence?
Definition
"Tell me about how you celebrated Christmas when you were young."
Term
A 90-year-old man who lives alone tells you he has no family or friends. Based on this information, what nursing diagnoses would be appropriate?
Definition
Social Isolation
Term
When teaching the older adult who is recovering from surgery, what is important for the nurse to remember?
Definition
Repeat information as often as necessary.
Term
What statement by and 85-year-old woman would demonstrate that she has met an expected outcome of the plan of care for safety?
Definition
"I am going to take up all my little scatter rugs."
Term
What are the major health problems of an older adult?
Definition
Cardiovascular and pulmonary disease, cancer, Rheumatoid arthritis, diabetes mellitus, obesity alcoholism, and depression.
Term
Ageism
Definition
Negative bias based on age, based on fear/misinformation. Myths and stereotypes. Leads to discrimination and support. Information/opportunities.
Term
Cognitive function of aging adults`
Definition
No significant change. Intelligence incr4eases (60's), learning continues, Need increase time to respond and react. May have short term memory loss.
Term
Things to remember when teaching the elderly:
Definition
Give them adequate time.
Relate to experience.
Decrease distractions and anxiety
adjust for sensory deficits
Family participation
Peers
Simplicity
Repetition
Term
assisted living
Definition
provide services but you have to pay for each service
Term
What percentage of elderly live in a facility?
Definition
5%
Term
adult day care
Definition
Care for the day; not medically trained staff that provide assistance with ADL's and IADL's. Can pas meds but not responsible for meds.
Term
Assisted living
Definition
Living facility, not medically trained staff that provide assistance with ADL's and IADL's. Can pas meds but not responsible for meds.
Term
Group Homes
Definition
or foster care. Home like environment. Guardian or care giver with no little to no medical training.
Term
Extended Care
Definition
24hr a day care with doctors, nurses, and therapy. medicare covers "some" 3 weeks to improve in this facility.
Term
Delirium
Definition
a temporary state of confusion, is an acute illness that can last from hours to weeks and resolves with treatment. Drug interaction, circulatory or metabolic problems, nutritional deficiencies, or worsening illness are likely to real cause. Has a sudden onset. Fine one minute and next minute they are not. No rhyme or reason for actions. Sometimes cause by diabetes, infection, lack of oxygen, substance induced, or dehydration, can go away if treated. If not, can cause permanent changes. DONT use touch to calm...isolate and try to keep them calm.
Term
Sundowning syndrome
Definition
an older adult habitually becomes confused, restless, and agitated after dark.
Term
Cascade iatrogenesis.
Definition
A downward spiral and deline. An episode of confusion and wandering at night may lead to a fall that results in hip fracture.
Term
Dementia
Definition
Pregressive deterioration in intellectual function, memory, and ability to problem solve and learn new skills. Chronic progressive condition caused by the reduction of actecholine. Vascular dementia is caused from circulation deficiencies.
Term
What is the problem with elderly digestion?
Definition
Lack of enzyms needed to digest lipids and carbs.
Term
Depression
Definition
mood disorder, overwhelming sadness, hopelesness, and worthlessness, and decreased interest in activities long term last longer than two weeks.
Term
symptoms of delirium
Definition
impaired memory, tachycardia, impaired perception, mood swings, withdrawal, agitation, psychotic, diaphoresis, flushing, dilated pupils, hypertension, change in sleep.
Term
What must you do first in order to treat delirium?
Definition
Identify cause
Term
What is a "Thief of minds, a destroyer of personalities, wrecker of family finances and filler of nursing homes"
Definition
Alzheimer's Disease
Term
Neuritic plaques
Definition
Tar-like substance found on the brain of Alzheimer's sufferers.
Term
Neurofibriallry tangles
Definition
In Alzheimer's patients, the connections become tangled between communication points of neurons like a knotted necklace.
Term
Aphasia
Definition
Difficulty speaking and location words.
Term
Apraxia
Definition
Difficulty with movement
Term
Agnosia
Definition
Difficulty in recognizing what objects are.
Term
Memory impairment
Definition
Not remembering data, how to balance checkbook, numbers ect..
Term
Defensive behaviors of Alzheimer's sufferers
Definition
try to cover up behaviors, make excuses for lack of memory. May fabricate stories to appear fine
Term
What is the best NANDA for Alzheimers
Definition
Risk for injury
Term
What do Cholinesterase inhibitors do and what are they used for?
Definition
Medication used for Alzheimers. Breaks down actycholine.
Term
Cholinesterase inhibitors
Definition
RACE:
Remenyle
Aricept
Cognex
Exeion
Term
S&S of depression:
Definition
change in sleep
Change in eating
change in weight
Mood alteration
Anxiety
Poor self esteem
Excessive fatigue
Poor memory
Poor concentration
Hypochondriac
Concern with body function
Term
Possible causes in depression:
Definition
Loss of self-esteem
Drugs
Metabolic disorders
Term
Antidepressants
Definition
SSRI's (Prozac), Tricyclic, MAOI's, SSNREI's
Term
Types of elder abuse:
Definition
Physical, Emotional, Neglect, Exploitation
Term
Who are most-likely to be vitims of elder abuse?
Definition
Dependents, poor mental health, poor physical health, disruptive, women
Term
Who are most-likely to be the abusers of elderly?
Definition
Caregiver/spouse
overwhelmed
frustrated
resentful
or someone with a history of violence
Term
S&S of elderly abuse
Definition
Unexplained, repeated injury
Discrepancy between injury and explanation
inappropriate use of medications
fear of caregiver
untreated wounds
poor care
withdrawal and passivity
Failure to seek care
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