Shared Flashcard Set

Details

HTH 471 E2 Acute Illness and Accidents Chapter 6
Gerontology
135
Health Care
Undergraduate 4
02/12/2013

Additional Health Care Flashcards

 


 

Cards

Term
Three aspects of acute illness
Definition
Rapid onset
Short-term
Usually recoverable
Term
Acute illness is generally caused by
Definition
bacteria and viruses
Term
Takes older people ____ to recover from acute illness
Definition
longer
Term
Diagnosis of infections is harder in
Definition
elders
Term
The availability of antibiotics has improved
Definition
mortality from acute illnesses
Term
Acute infection
Definition
Foreign invader (bacteria, virus, fungus, parasite) enters the body and begins to replicate, using the resources of the human host
Term
What happens when the immune system tries to fight an acute infection?
Definition
fever, chills, inflammation, redness, swelling, pus
Term
__ in __ elders in nursing homes get an infection
Definition
1 in 5
Term
Three complications of acute infections
Definition
Reduced immunity
Diminished pulmonary function to clear foreign matter
Thinner skin = greater risk for wound infection
Term
Infections partner with ______ ______, older people have more of this
Definition
chronic illness
Term
Some medicines lower resistance to
Definition
infections
Term
Six ways to defend yourself from infection
Definition
WASH YOUR HANDS
Wearing gloves when in contact w/ infection
Wearing masks
Minimizing use of catheters, Ivs, etc.
Vaccinating against flu, pneumonia, whooping cough
Using antibiotics carefully
Term
Three downsides of antibiotics
Definition
Many people demand antibiotics and doctors may over-prescribe them, even for viral infections

Over-use of antibiotics results in bacteria becomes resilient creating “super bacteria”

Patients do not take antibiotics as prescribed, stopping before the prescription runs out leaving the most resilient bacteria in the body
Term
Elders are ____ likely to get common cold but ________ if infected
Definition
less, complications
Term
Symptoms of the common cold
Definition
Congestion, runny nose, sneezing/coughing
Term
Common cold is a ______ infection on the cells of nose and throat
Definition
viral
Term
What can increase risk of getting the common cold
Definition
Stress, poor health, lack of sleep, immobility, hospitalization, and smoking
Term
The best way of avoding the common cold is
Definition
washing your hands
Term
Is the flu viral or bacterial
Definition
viral
Term
Flu can be _____ to elders
Definition
deadly
Term
Five symptoms of the flu
Definition
Fever, chills, aches, confusion, weakness
Term
Flu can lead to
Definition
bronchitis or pneumonia
Term
Flu shot
Definition
can help, but immunity lasts only a few months and only against specific strains—needed every year
Term
Flu is treated with
Definition
OTC medications for symptoms; complications can be treated with antibiotics
Term
Acute bronchitis usually follows
Definition
a cold or flu and is characterized by a productive cough
Term
Acute bronchitis is treated with
Definition
inhalers, and antibiotics in those with immunosuppression
Term
Acute bronchitis can progress to
Definition
pneumonia
Term
Pneumonia
Definition
Inflammation of the alveoli
Term
Alveoli
Definition
(sacs where oxygen and carbon dioxide exchange)
Term
Inflammation = _____ = shortness of breath
Definition
mucus
Term
Symptoms of pneumonia
Definition
fever, chills and difficulty breathing – elders exhibit weakness, confusion and lethargy
Term
Treatment of pneumonia
Definition
antibiotics– now a vaccine is available, covered by Medicare
Term
______ pneumonia is a threat to elders
Definition
aspiration
Term
Most elders who get pneumonia are
Definition
critically ill and/or living in an institution
Term
Ulcers
Definition
small holes in the lining of the esophagus, stomach or intestine
Term
Ulcers can
Definition
bleed (leading to anemia) or cause pain.
Term
Ulcer pain can occur
Definition
at night or before meals, and may occur with gas or nausea
Term
Ulcers are treated with
Definition
acid blockng medications
Term
Some ulcers are caused by _____ and are treated with _______.
Definition
bacteria, antibiotics
Term
To prevent or heal ulcers, watch out for
Definition
coffee, cola, acid foods, aspirin, smoking or stress
Term
Gallstone
Definition
Stones-calcium or cholest. in the gallbladder that may cause belching, bloating, nausea
Term
Gallbladder attack
Definition
gallstone blocks a duct to or from the gallbladder
Term
The incidence of gallstones increases with
Definition
age
Term
Can diagnose gallstones with
Definition
an ultrasound
Term
Which gender is more at risk for gallstones
Definition
women
Term
Risk factors for gallstones
Definition
obesity, rapid weight loss, high cholesterol/fat diet, family history
Term
Treatment for gall stones
Definition
surgery or lifestyle modification
Term
Apendicitis
Definition
An inflammation in the appendix caused by bacteria
Term
Appendicitis affects which age group
Definition
usually affects teens and those under 30
A small proportion of cases happen after 60 and complications are higher
Term
Symptoms of apendicitis
Definition
fever, nausea, abdominal pain– often are not found in elders making diagnoses difficult and death more likely
Term
Treatment of apendicitis
Definition
removal of appendix
Term
Most common disorder of the colon
Definition
Diverticular disease
Term
About ___ of those 65 and older have diverticular disease
Definition
50%
Term
Diverticular disease
Definition
A small pouch or diverticulum protrudes through the colon wall. If a piece of food or stool gets trapped in the pouch, diverticulitis occurs, but this is rare V
Term
Symptpms of diverticular disease
Definition
Ab pain, bloody stools, change in bowel habits
Term
Treatment for diverticular disease
Definition
Often a high-fiber diet and increased fluid intake can treat and prevent the disorder, may need surgery
Antibiotics and stool softeners can also be used
Term
Diverticulosis
Definition
pouches and very common
Term
Diverticulitis
Definition
when things get stuck in the pouches and very rare
Term
Diarrhea
Definition
Most people have experienced loose, watery stools that run its course in a day or two
Term
Causes of diarrhea
Definition
medication, overuse of laxatives, infection
Term
Treatment of diarrhea
Definition
Increase fluid intake and reduce dehydration, use the BRAT (bananas, rice, apples, and _____) diet
Term
If diarrhea does not clear up, it may be a sign of a
Definition
chronic illness
Term
____ ____ may occur if diarrhea follows constipation
Definition
fecal impaction
Term
Septicemia
Definition
An infection in the blood stream that affects the entire body = blood poisoning
Term
Septicemia is common in
Definition
in those who are already debilitated
Term
10th leading cause of death of elders
Definition
septicemia
Term
Symptoms of septicemia
Definition
high/low temp, chills/sweats, confusion, low bp, rapid heartbeat
Term
Treatment of septicemia
Definition
antibiotics, IVs, close monitoring
Term
The most common type of bacterial infections in the elderly and in institutions
Definition
UTI
Term
UTI
Definition
The bacteria starts at the urethra and can move up into the bladder, kidney, prostate
Term
UTIs are often caused by
Definition
E. coli from the rectum
Term
Which gender is more likely to have
Definition
women
Term
What can prevent UTIs
Definition
Cranberry juice and “front to back” wiping can prevent
Term
Thinning and drying of vaginal walls make elders more susceptible to
Definition
vaginal infections
Term
Yeast infections and bacterial vaginosis are common among
Definition
all women, not just elders
Term
Treatment for vaginal infections
Definition
Antibiotics, antifungal cream or estrogen cream cure most infections
Term
Elders are less likely to get ______ ______ vaginal infections
Definition
sexually transmitted
Term
Pressure Ulcers
Definition
Wearing away of skin caused by pressure
Term
Pressure ulcers are usually found in
Definition
in debilitated elders- can’t shift
Term
Where are pressure ulcers commonly found
Definition
heels, lower back, knee, pelvis, hip, butt
Term
If not treated, bed sores can become _____ and ____
Definition
infected and deep
Term
pressure ulcers can develop after
Definition
only a few
hours of pressure
Term
To prevent bed sores,
Definition
attentive care is necessary
Term
Shingles
Definition
Painful, blistering, red rash caused by a reactivation of the chicken pox virus – a latent infection
Term
___ who live to 85 will have at least one case of shingles
Definition
50%
Term
Complication of shingles
Definition
nerve damage =months/yrs of pain
Term
If elder gets shingles,___ of them get postherpetic neuralgia
Definition
75%
Term
Treatment of shingles
Definition
Antiviral drug within three days of the rash to help
A vaccine is approved for shingles
Term
Shingles is highly contagious if you've never had
Definition
chicken pox
Term
Pressure Ulcers
Definition
Wearing away of skin caused by pressure
Term
Pressure ulcers are usually found in
Definition
in debilitated elders- can’t shift
Term
Where are pressure ulcers commonly found
Definition
heels, lower back, knee, pelvis, hip, butt
Term
If not treated, bed sores can become _____ and ____
Definition
infected and deep
Term
pressure ulcers can develop after
Definition
only a few
hours of pressure
Term
To prevent bed sores,
Definition
attentive care is necessary
Term
Shingles
Definition
Painful, blistering, red rash caused by a reactivation of the chicken pox virus – a latent infection
Term
___ who live to 85 will have at least one case of shingles
Definition
50%
Term
Complication of shingles
Definition
nerve damage =months/yrs of pain
Term
If elder gets shingles,___ of them get postherpetic neuralgia
Definition
75%
Term
Treatment of shingles
Definition
Antiviral drug within three days of the rash to help
A vaccine is approved for shingles
Term
Shingles is highly contagious if you've never had
Definition
chicken pox
Term
Nosocomial infection
Definition
A sickness that an individual contracts in a hospital or nursing home
Term
Why are nosocomial infections so dangerous
Definition
Dangerous because they often involve the most resistant bacteria and they attack the most vulnerable patients
Term
Health care workers need to do what to prevent nosocomial infections
Definition
WASH their HANDS! and practice other good hygiene habits
Term
Hyperthermia
Definition
When body temperature is 100° F or more
Term
Heat stroke
Definition
body temperature of 105° caused by insufficient sweating, hot, dry skin and altered mental status, can be life-threatening
Term
Treatment of heat stroke
Definition
Must be treated immediately with ice baths and medical personnel should be contacted
Term
Heat exhaustion
Definition
slower onset
and not life threatening. Caused
by loss of water and salts. Rest
and liquids
Term
Hypothermia
Definition
Body temperature drops below 95° F
Term
Symptoms of hypothermia
Definition
“umbles” and shivering. The person may not feel cold
Term
Treatment of hypothermia
Definition
Warm the person up and monitor their breathing
Term
Complication of hypothermia
Definition
irregular heartbeat
Term
Nineth leading cause of death in elders
Definition
accidents
Term
_____ vs. ______comes into play in accident prevention
Definition
independence vs safety
Term
Elders are more likely to have an accident because
Definition
Gait disturbances
Vision and hearing difficulties
Reduced sensation
Confusion/disorientation
Multiple medications and illnesses
Environmental conditions
Term
Falls account for ____ of all accidental deaths
Definition
50%
Term
Most common injury with a fall
Definition
is bone fracture – Hip fractures are the most debilitating
Term
Falls can be created by
Definition
Urgent need to urinate
Walking aids hinder
Term
Fear of falling
Definition
fallophobia
Term
Restraints do not prevent
Definition
falls
Term
_______ covers annual health risk assessments and customized prevention plans!
Definition
medicare
Term
Eight ways to prevent falls in elders
Definition
Maintain adequate lighting
Clear out any rugs and wires
Handlebars in bathroom
Replace slippery floors
Walker
Use an extension device
Don’t rush to answer the telephone
Consider using a mobile help device
Term
Elders drive the ____, but account for the _____ accidents on a per mile basis
Definition
least, most
Term
Increased risk of driving problems
Definition
Vision problems
Chronic illnesses
Medications
Health crisis while driving
Term
Driving represents ______ and it is difficult to admit that you cannot drive
Definition
independence
Term
The majority of accidents occur at
Definition
crosswalk intersections, often with no traffic lights or stop signs
Term
Elders often are not fast enough to cross on a green walk light. What percent can make it?
Definition
1%
Term
____ can be difficult to navigate
Definition
curbs
Term
Most fatal pedestrian accidents happen at _____
Definition
dusk
Term
Elders ________ are more likely to die from suffocation or choking
Definition
75+
Term
signs of choking
Definition
Most victims cannot speak and they
attempt to grab at the throat, some
suddenly stop eating and pass out
Term
Treatment for choking
Definition
abdominal thrusts, back slaps and compressions can help
Term
With elders, most fires start from
Definition
faulty electrical products or while cooking
Term
Most deaths occur because of gas or smoke inhalation, not ____
Definition
burns
Term
Burns due to ______ are more common than burns from ____ (reduced perception of pain and heat)
Definition
scalding, fires
Supporting users have an ad free experience!