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Test 1
Unit 1-4
185
Nursing
Undergraduate 1
08/22/2012

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Cards

Term
Advanced Practice Nurse (APN)
Definition
A title which encompasses the nurse practitioners (NPs), clinical nurse specialists (CNSs), certified nurse midwives (CNMs) and certified registered nurse anesthetists (CRNAs).
Term
Collaborative Practice Model
Definition
Involves nurses, physicians, and ancillary health personnel functioning within a decentralized organizational structure and collaboratively making clinical decisions.
Term
Community-Oriented Nursing Practice
Definition
Nursing intervention that promotes wellness, reduces the spread of illness, and improves the health status of groups of citizens or the community at large with emphasis on primary, secondary, and tertiary prevention.
Term
Continuous Quality Improvement (CQI)
Definition
The ongoing examination of processes used to provide care, with the aim of improving quality by assessing and improving those processes that might improve patient care outcomes and patient satisfaction.
Term
Health-Illness Continuum
Definition
Description of a person's health status as a range with anchors that include poor health or imminent death on one end of the continuum to high-level wellness on the other end.
Term
Community-Based Nursing
Definition
Nursing care of individuals and families that is designed to (1) promote and maintain health and (2) prevent disease. It is provided as patients transition through the health care system to health-related services outside of the hospital setting.
Term
Primary Prevention
Definition
Health care delivery focused on health promotion and prevention of illness or disease.
Term
Secondary Prevention
Definition
Health care delivery centered on health maintenance and aimed at early detection of disease, with prompt intervention to prevent or minimize loss of function and independence.
Term
Tertiary Prevention
Definition
Health care delivery focused on minimizing deterioration associated with disease and improving quality of life through rehabilitation measures.
Term
Adherence
Definition
The process of faithfully following guidelines or directions.
Term
Community
Definition
An interacting population of individuals living together within a larger society.
Term
Feedback
Definition
The return of information about the results of input given to a person or a system.
Term
Health Education
Definition
A variety of learning experiences designed to promote behaviors that facilitate health.
Term
Health Promotion
Definition
The art and science of assisting people to change their lifestyle toward a higher state of wellness.
Term
Learning
Definition
The act of gaining knowledge and skill.
Term
Learning Readiness
Definition
The optimum time for learning to occur; usually corresponds to the learner's perceived need and desire to obtain specific knowledge.
Term
Nutrition
Definition
The science that deals with food and nourishment in humans.
Term
Physical fitness
Definition
the condition of being physically healthy as a result of proper exercise and nutrition.
Term
Reinforcement
Definition
The process of strengthening a given response or behavior to increase the likelihood that the behavior will continue.
Term
Self-Responsibility
Definition
Personal accountability for one's actions or behavior.
Term
Stress Management
Definition
Behaviors and techniques used to strengthen a person's resources against stress.
Term
Teaching
Definition
The imparting of knowledge.
Term
Therapeutic Regimen
Definition
A routine that promotes health and healing.
Term
Wellness
Definition
A condition of good physical and emotional health sustained by a healthy lifestyle.
Term
Chronic Conditions
Definition
Medical or health problems with associated symptoms or disabilities that require long-term management (3 months or longer)
Term
Disability
Definition
Restriction or lack of ability to perform an activity in a normal manner; the consequences of impairment in terms of an individual's functional performance and activity. Disabilities represent disturbances at the level of the person (eg, bathing, dressing, communication, walking, grooming)
Term
Impairment
Definition
Loss or abnormality of psychological, physiologic, or anatomic structure or function at the organ level (eg, dysphagia, hemiparesis); an abnormality of body structure, appearance, and organ or system function resulting from any cause.
Term
Secondary Conditions or Disorders
Definition
Any physical, mental, or social disorders resulting directly or indirectly from an initial disabling condition; a condition to which a person with a disability is more susceptible because of having a primary disabling condition.
Term
Activities of Daily Living (ADLs)
Definition
Self-care activities including bathing, grooming, dressing, eating, toileting, and bowel and bladder care.
Term
Adaptive Device
Definition
A type of assistive technology that is used to change the environment or help the person to modify the environment (eg, a ramp that can be used in place of steps for someone in a wheelchair)
Term
Assistive Device
Definition
A type of assistive technology that helps people with disabilities perform a given task (eg, a lap board with pictures that is used to assist a person who cannot talk to communicate)
Term
Assistive Technology
Definition
any item, piece of equipment, or product system - whether acquired commercially, off the shelf, modified, or customized - that is used to improve the functional capabilities of individuals with disabilities; this term encompasses both assistive devices and adaptive devices.
Term
Disability
Definition
Restriction or lack of ability to perform an activity in a normal manner, the consequences of impairment in terms of an individual's functional performance and activity; disabilities represent disturbances at the level of the person (eg, bathing, dressing, communication, walking, grooming)
Term
Habilitation
Definition
Making able; learning new skills and abilities to meet maximum potential.
Term
Impairment
Definition
Loss or abnormality of psychological, physiologic, or anatomic structure or function at the organ level (eg, dysphagia, hemiparesis); an abnormality of body structure, appearance, an organ, or system function resulting from any cause.
Term
Instrumental Activities of Daily Living (IADLs)
Definition
Complex aspects of independence including meal preparation, grocery shopping, household management, finances, and transportation.
Term
Pressure Ulcer
Definition
Breakdown of the skin due to prolonged pressure and insufficient blood supply, usually at bony prominences.
Term
Rehabilitation
Definition
Making able again; relearning skills or abilities or adjusting existing functions.
Term
Activities of Daily Living (ADLs)
Definition
Basic personal care activities; bathing, dressing, grooming, eating, toileting, and transferring.
Term
Advance Directive
Definition
A formal, legally endorsed document that provides instructions for care ("living will").
Term
Ageism
Definition
A bias that discriminates, stigmatizes, and disadvantages older people based solely on their chronologic age.
Term
Comorbidity
Definition
Having more than one illness at the same time (eg, diabetes mellitus and congestive heart failure)
Term
Delirium
Definition
an acute, confused state that begins with disorientation that if not immediately evaluated and treated, can progress to changes in level of consciousness, irreversible brain damage, and sometimes death.
Term
Dementia
Definition
Broad term for a syndrome characterized by a general decline in higher brain functioning, such as reasoning, with a pattern of eventual decline in ability to perform even basic activities of daily living, such as toileting and eating.
Term
Depression
Definition
The most common affective (mood) disorder of old age; results from changes in reuptake of the neurochemical serotonin in response to chronic illness and emotional stresses related to the physical and social changes associated with the aging process.
Term
Durable Power of Attorney
Definition
A formal, legally endorsed document that identifies a proxy decision maker who can make decisions if the signer becomes incapacitated.
Term
Elder Abuse
Definition
The physical, emotional, or financial harm to an elderly person by one or more of the individual's children, caregivers, or others; includes neglect.
Term
Instrumental Activities of Daily Living (IADLs)
Definition
Activities that are essential for independent living, such as shopping, cooking, housework, using the telephone, managing medications and finances, and being able to travel by car or public transportation.
Term
Orientation
Definition
A person's ability to recognize who and where he or she is in a time continuum; used to evaluate one's basic cognitive status.
Term
Polypharmacy
Definition
The administration of multiple medications at the same time; common in older persons with several chronic illnesses.
Term
Presbycusis
Definition
The decreased ability to hear high-pitched tones that naturally begins in midlife as a result of irreversible inner ear changes.
Term
Presbyopia
Definition
The decrease in visual accommodation that occurs with advancing age.
Term
Sundowning
Definition
Increased confusion at night.
Term
What issues impact the care delivered by community health nurses?
Definition
Economic, political, and social issues.
Term
What is a community?
Definition
A group of people and institutions that share geographic, civic, and/or social parameters.
Term
How do communities vary?
Definition
By characteristics and health needs.
Term
What are health indicators?
Definition
Mortality rates, disease prevalence, levels of physical activity, obesity, tobacco use, and substance abuse.
Term
What are health indicators used for?
Definition
Describing the health status of a community and serve as targets for the improvement of a community's health.
Term
In population-focused nursing why are assessments and interventions made?
Definition
To define "at risk populations (ex. individuals with hypertension, poor nutrition, weight problems.)
Term
What is the focus of care for community-oriented nursing?
Definition
- health of the community as a "whole"
- Client: community
Term
What are the nursing activities associated with community-oriented nursing?
Definition
Health care: Surveillance and evaluation of the community's collective health, and the implementation of strategies to promote health and prevent disease.
Term
What is the focus of care for community-based nursing?
Definition
- Health of individuals, families, and groups within a community.
- Client: individual, family, or group of individuals
Term
What are the nursing activities associated with community-based nursing?
Definition
Illness care: Provision of direct primary care in the settings where individuals and families live, work, and "attend" (schools, camps, parishes)
Term
What are the principles guiding community health nursing practice?
Definition
Ethical Considerations, Advocacy, Epidemiology, Epidemiological Calculations, Epidemiological Triangle, The Epidemiological Process, Community-Based Health Education
Term
What are ethical considerations for the practice of public health?
Definition
Preventing harm, doing no harm, promoting good, respecting both individual and community rights, respecting autonomy and diversity, and providing confidentiality, competency, trustworthiness, and advocacy.
Term
What is the definition of Respect for Autonomy?
Definition
Individuals select those actions that fulfill their goals.
Term
What is a community health nursing situation for respect for autonomy?
Definition
Client's right to self-determination (making a decision not to pursue chemotherapy)
Term
What is the definition of nonmaleficence?
Definition
No harm is done when applying standards of care.
Term
What is a community health nursing situation for nonmaleficence?
Definition
Developing plans of care that include a system for monitoring and evaluating outcomes.
Term
What is the definition of beneficence?
Definition
Maximize possible benefits and minimize possible harms.
Term
What is a community health nursing situation for beneficence?
Definition
Assessment of risk and benefits.
Term
What is the definition of distributive justice?
Definition
Fair distribution of the benefits and burden in society is based on the needs and contributions of its members.
Term
What is a community health nursing situation for distributive justice?
Definition
Determining who will be eligible for health care services based on income and fiscal resources.
Term
What are the roles of a nurse?
Definition
- Informer
- Supporter
- Mediator
Term
What is basic to client advocacy?
Definition
- Clients have the right to make decisions affecting their own health and welfare.
Clients have the right to expect a nurse-client relationship that is based on trust, collaboration, and shared respect, related to health, and considerate of their thoughts.
- Clients are responsible for their own health.
- It is the nurses's responsibility to ensure access to services that meet the client's health care needs.
- In order to be an advocate for the client, the nurse must be assertive, recognize that the values of the client and family must be a priority even when they conflict with health care providers, and intervene politically if necessary.
Term
What is epidemiology?
Definition
The investigative study of disease trends in populations for the purposes of disease prevention and health maintenance.
Term
What does epidemiology rely on?
Definition
Statistical evidence to determine the rate of spread of disease and the proportion of people affected.
Term
How is epidemiology useful for community-based nursing?
Definition
By providing a broad understanding of the spread and transmission of disease.
Term
How does using the scientific problem-solving method help nurses?
Definition
It makes pinpointing health needs in the community and developing appropriate approaches possible.
Term
What does the study of epidemiology involve?
Definition
Studying the relationships among an agent, a host, and an environment (referred to as the epidemiological triangle).
Term
What is an agent?
Definition
The animate or inanimate object that causes the disease.
Term
What is a host?
Definition
The living being that will be affected by the agent.
Term
What is an environment?
Definition
The setting or surrounding that sustains the host.
Term
Incidence (new cases)
Definition
(Number of cases in the population at a specific time) / (population total) x 1000 = _______ per 1000
Term
Prevalence (existing disease in a population at a particular time)
Definition
(Number of cases in the population at a specific time) / (population total) x 1000 = _______ per 1000
Term
Crude Mortality Rate
Definition
(Number of deaths) / (population total) x 1000 = _______ per 1000
Term
Attack Rate
Definition
(Number of people at risk who develop a certain disease) / (total # of people at risk)
Term
Infant Mortality Rate
Definition
(Number of infant deaths before 1 year of age in a year) / (Number of live births in the same year) x 1000 = _____ per 1000
Term
What is an epidemic?
Definition
When the rate of disease exceeds the usual level of the condition.
Term
What are examples of obstacles to learning?
Definition
Age, cultural barriers, poor reading and comprehension skills, language barriers, barriers to access, and lack of motivation.
Term
Behavioral Theory
Definition
Focus is on changing behavior through the use of reinforcement methods.
Term
Cognitive Theory
Definition
Focus is on changing thought patterns through the use of methods that offer a variety of sensory input and repetition.
Term
Critical Theory
Definition
Focus is on increasing depth of knowledge through the use of methods such as discussion and inquiry.
Term
Developmental Theory
Definition
Focus is on the human developmental stage and methods that are age-specific and age-appropriate with importance given to "readiness to learn."
Term
Humanistic Theory
Definition
Focus is on feelings and relationships, and methods are based on the principle that learners will do what is in their best interests.
Term
Social Learning Theory
Definition
Focus is on changing the learners' expectations and beliefs through the use of methods that link information to beliefs and values.
Term
Visual Learners
Definition
Learn through "seeing" and methods such as note taking, video viewing, and presentations.
These learners "think in pictures"
Term
Auditory Learners
Definition
Learn through "listening" and methods such as verbal lectures, discussion and reading aloud.
These learners "interpret meaning while listening."
Term
Tactile-kinesthetic Learners
Definition
Learn through "doing" and methods such as trial and error, hands-on approaches, and return demonstration.
These learners gain "meaning through exploration."
Term
What are the three levels of prevention?
Definition
- Primary
- Secondary
- Tertiary
Term
Primary Prevention Focus
Definition
Prevention of the initial occurrence of disease injury
Term
Secondary Prevention Focus
Definition
Early detection of disease and treatments with the goal of limiting severity and adverse effects.
Term
Tertiary Prevention Focus
Definition
Maximization of recovery after an injury or illness (rehabilitation)
Term
What are examples of community health nurse preventions for primary prevention?
Definition
- Nutrition Counseling
- Family planning and sex education
- Prenatal Classes
- Providing Immunizations
- Safety Education
Term
What are examples of community health nurse preventions for secondary prevention?
Definition
- Screenings (breast, cervical, testicular)
- Treatment of STD's
- Treatment of tuberculosis
Term
What are examples of community health nurse preventions for tertiary prevention?
Definition
- Nutrition counseling
- Exercise rehabilitation
- Support groups
Term
What factors influence community health?
Definition
Family and cultural values, social and environmental influences, and economic concerns.
Term
What are examples of vulnerable populations?
Definition
Children, older adults, clients who are physically/mentally disabled, unemployed, or homeless.
Term
What does a community assessment include?
Definition
Evaluating the adequacy of health services within the community and the accessibility of those services by those needing access.
Term
What are some examples of barriers to health care?
Definition
Inadequate health care insurance, language barriers, cultural barriers, geographic isolation, social isolation, inconvenient hours, lack of personal or public transportation to health care facilities.
Term
Medicare
Definition
- Provides hospital and medical insurance to individuals who are 65 years and older, permanently disabled, and/or have end-stage renal failure.
- Consists of Part A, B, C, and D.
Term
Medicaid
Definition
Provides financial assistance to states and counties to pay for health care services for older adults with low socioeconomic status, clients with disabilities, and families with dependent children.
Provides in/outpatient hospital care, lab and radiology services, physician services, skilled nursing care at home or in a nursing home for persons older than 21 years, and early periodic screenings, diagnosis, and treatment for those younger than 21 years.
Term
Medicare Part A
Definition
Hospital care, home care, limited skilled nursing care
Term
Medicare Part B
Definition
Medical care, diagnostic services, physiotherapy
Term
Medicare Part C
Definition
Also known as the Medicare Advantage plan - is a combination of Part A and Part B and is provided through a private insurance company
Term
Medicare Part D
Definition
Prescription drug coverage
Term
Community Assessment
Definition
Comprehensive approach that identifies the community as a client.
Term
What are the foundations for population-specific program planning?
Definition
Community assessment and diagnosis.
Term
The community health nurse is a key player in assessing the needs of the community. This role includes:
Definition
- Interacting with community partners serving the community at large.
- Witnessing the interaction b/w community programs & the response of the client to the services.
- Identifying future services based upon the visible needs of population groups.
Term
What are the components of a community assessment?
Definition
- People
- Place or environment
- Social systems
Term
Windshield Survey
Definition
Descriptive approach that assesses several community components by driving through a community.
Term
What are the strengths of a windshield survey?
Definition
Provides a descriptive overview of a community.
Term
What are the limitations of a windshield survey?
Definition
- need for a driver so the nurse can visualize and document the community elements.
- may be time consuming
- results based only on visualization and does not include input from community members
Term
What are the components of a windshield survey?
Definition
- People
- Place
- Location of health services
- Natural environment
- Human-made environment
- Housing
- Social Systems
Term
Format for writing a community nursing diagnosis
Definition
Risk of (specific problem or risk in the community) among (the specific population that is affected by the problem or risk)related to (strengths and weaknesses in the community that influence the problem or risk)
Term
What factors should be considered when setting priorities among identified community problems?
Definition
- Community awareness of the problem
- Community readiness to acknowledge and address the problem
- Available expertise/fiscal resources
- Severity of the problem
- Amount of time needed for problem resolution
Term
What are helpful strategies when implementing community health programs?
Definition
- thorough assessment
- accurate interpretation of data
- collaboration with community partners
- effective communication patterns
- sufficient resources
- logical planning
- skilled leadership
Term
What are barriers to implementing community health programs?
Definition
- inadequate assessment
- inadequate or misconstrued data
- no involvement with community partners
- impaired communication
- inadequate resources
- lack of planning
- poor leadership
Term
Community health nurses practice as:
Definition
- Home health nurses
- Hospice nurses
- Occupational health nurses
- Parish nurses
- School Nurses
- Case Managers
Term
The aggregates that receive services from community health nurses
Definition
- individuals from infancy to death
- families
- groups within the community
Term
Where does a home health nurse provide care?
Definition
- traditional homes
- assisted living facilities
- nursing homes
Term
What do home health nurses need to pay attention to when evaluating a living environment for safety?
Definition
Non secure rugs, electrical outlets, and extension cords, the use of oxygen, safety devices in the bathroom, and other potential environmental hazards.
Term
What are older adults at greatest risk for?
Definition
FALLS
Term
Where is hospice(palliative) care provided?
Definition
home, hospice centers, hospitals and long-term care settings
Term
Hospice Care
Definition
Comprehensive care delivery system for the terminally ill that is usually implemented when the client is not expected to live longer than 6 months. Further medical care aimed towards cure is stopped and the focus becomes relief of pain and suffering, and enhancing quality of life.
Term
What are examples of what special/vulnerable populations are victims of?
Definition
violence, substance abuse, mental health, homelessness, rural and migrant health, poverty, poor self esteem, young or advanced age, chronic stress, emotional instability, environmental factors
Term
Health
Definition
State of complete, physical, mental, and social well-being and not merely the absence of disease or infirmity
Term
Wellness
Definition
- Conscious and deliberate
- Being involved in self-care activities
Term
What are the four components of wellness
Definition
1. Capacity to perform to ability
2. Ability to adjust and adapt
3. Feeling of well-being
4. Feeling of harmony
Term
Components of Health Belief Model
Definition
- Demographic/disease factors
- Barriers
- Resources
- Perception
Term
Parts of the Transtheoretical Model of Change
Definition
- Precontemplative
- Contemplative
- Decision Making
- Action
- Maintenance
- Termination
Term
4 Components of Health Promotion
Definition
- Self Responsibility
- Nutritional Awareness
- Stress Reduction/Management
- Physical Fitness
Term
What are the central goals of healthy people 2020?
Definition
Access to health services, clinical preventive services, environmental quality, injury and violence, maternal, infant and child health, mental health, nutrition, physical activity, and obesity, oral health, reproductive and sexual health, social determinants, substance abuse, and tobacco
Term
Steps in Epidemiology
Definition
- Determine Problem
- Formulate Theory
- Gather Info
- Make plan
- Put into Action
- Evaluate
- Follow Up
Term
Population
Definition
based on location/specific region
Term
Aggregate
Definition
subgroup of a community
Term
Structure
Definition
demographics, who makes up the community
Term
Status
Definition
Biological Factors, risk factors, social status
Term
Process
Definition
interactions in community, how are problems solved.
Term
Lillian Wald
Definition
The first community health nurse
Term
Florence Nightingale
Definition
Established a training school for nurses.
Term
What factors have increased the need for community health care?
Definition
- Changes in federal legislation
- Tighter Insurance regulations
- Decreasing health revenues
- Alternative health care delivery systems
Term
What are the types of community nursing?
Definition
- public health nursing
- community based nursing
Term
What are the primary concepts of community based care?
Definition
- Continuity of care
- Collaboration
- Promotion of Self-care
- Preventive Care
Term
Which level of preventive care is the least expensive/invasive?
Definition
Primary Prevention
Term
What are important things to keep in mind when conducting a community assessment?
Definition
Physical environment, education, safety and transportation, health and social services, communication, economics, recreation
Term
What is done during the planning phase?
Definition
establish goals/objectives, establish teams, establish a timeline, develop interventions, assess for supplies/personnel, plan for evaluation
Term
How is community nursing different from hospital based nursing?
Definition
Care for individuals, families, and groups outside hospital setting
Nurse is a guest coming into patient home or community setting
Nurse may provide direct care or resources or advocacy to larger group in community setting.
Term
What is a home health nurse?
Definition
Educator, advocate, care coordinator, and caregiver.
Term
What are community resources and how can you find them?
Definition
- groceries, pharmacies, senior citizen programs, physician, dentist, transportation
- Directories, telephone book, internet
Term
When does discharge planning begin?
Definition
At admission!
Term
What are examples of teaching techniques?
Definition
Lectures, group discussion, demonstration/practice
Term
What are the ten leading causes of death?
Definition
heart disease, cancer, stroke, accident, respiratory, diabetes, alzheimer's, kidney disease, septicemia, rheumatoid arthritis, sickle cell
Term
What has lead to increase chronic illness and disability?
Definition
Decrease in mortality from infectious diseases, lifestyle factors, longer life spans, and improved screening, diagnostic procedures
Term
What are they eight stages of the trajectory model?
Definition
Pre-Trajectory, Trajectory Onset, Stable, Unstable, Acute, Crisis, Comeback, Downward, Dying
Term
What are the leading causes of death in older adults?
Definition
heart disease, malignant, neoplasms, cerebrovacular diseases, chronic obstructive pulmonary diseases
Alzheimer's Disease, Diabetes Mellitus, pneumonia, influenza, kidney disease/failure, accidents, septicemia
Term
What are the cardiovascular changes in older adults?
Definition
Enlarged heart, hardening of valves, decrease pacemaker cells, thickening valves, heart muscle losing elasticity, decreased stroke volume, Ca+ and fat deposits accumulate in veins and arteries, diminished response to stress, decreased heart rate, slower recovery rate, slight increase in BP
Term
What are the respiratory changes in elderly?
Definition
Decreased resp. efficiency, increase in residual lung vol., Decrease in muscle strength, endurance, vital capacity, decreased gas exchange, diffusing capacity, decreased cough efficiency, kyphosis leads to decrease in lungs expanding
Term
How can a nurse help maintain respiratory function in elderly?
Definition
encourage exercise, adequate fluid intake, pneumococcal and influenza immunizations, avoidance of people who are sick
Term
What are the integumentary changes in the elderly?
Definition
Decreased subq fat, interstitial fluid, muscle tone, glandular activity, nerve response, diminished secretions, capillary fragility, reduced capillaries in skin, baldness, reduced elasticity, thin skin
Term
What strategies promote healthy skin?
Definition
no smoking, avoiding sun exposure, wear sunscreen 15spf, use lotions, avoid hot soaks in tub, maintain optimal hydration and nutrition, daily baths/showers are not necessary.
Term
What changes in the reproductive system in elderly females?
Definition
vaginal narrowing, decreased elasticity, decreased vaginal secretions, production of estrogen and progesterone stop, relaxed muscle tone of vagina and perineum
Term
What are the changes in the reproductive system for elderly males?
Definition
Less firm testes, decreased sperm production, decreased libido, and erectile dysfunction may develop
Term
What are the changes in the genitourinary system in elderly males?
Definition
benign prostatic hyperplasia
Term
What are the changes in the genitourinary system in elderly females?
Definition
relaxed perineal muscles, detrusor instability(urge incontinence), urethral dysfunction (stress incontinence)
Term
What are the changes in the genitourinary system for the elderly (male and female)?
Definition
decrease in kidney mass and function, decreased filtration rate, diminished tubular function, less efficiency with reabsorbing and concentrating urine, slower restoration of acid-base balance
Term
What are the changes in the gastrointestinal system in the elderly?
Definition
Decreased sense of thirst, smell and taste; decreased salivation; difficulty swallowing food; delayed esophageal, gastric emptying; reduced gastric motility; diminished absorption of Fe, Ca+, vitamin B12, VitaminD and tolerance of fat
Term
What are the changes in sleep for the elderly?
Definition
Decreased melatonin, elderly tend to wake up frequently, sleep apnea
Term
What are the changes in the musculoskeletal system for the elderly?
Definition
Loss of bone density, loss of muscle strength & size, degenerated joint cartilage, decreasing bone mass, joint disease, back pain, impaired mobility, poor balance
Term
What are the changes in the nervous system for the elderly?
Definition
reduced speed in nerve conduction, increased confusion with physcial illness, loss of environmental cues, reduced cerebral circulation, changes in gait and balance
Term
What are the changes in vision for the elderly?
Definition
decreased ability to focus on close objects (presbyopia), inability to tolerate glare, difficulty adjusting to changes of light intensity, decreased ability to distinguish colors
Term
What are the changes in hearing for the elderly?
Definition
decreased ability to hear high-pitched sounds (presbycusis), tympanic membrane thinning, loss of resiliency
Term
What are the changes in taste and smell for the elderly?
Definition
decreased ability to taste and smell
Term
Is intelligence and learning affected by aging in a majority of people?
Definition
No, response time is slowed but they are still just as capable mentally.
Term
How does aging alter drugs?
Definition
absorption- GI slows down
metabolism- liver function decreased
distribution- CV/circulation diminished
excretion- kidney function diminished
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