...STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers * What are the five racial groups listed in your text? * How would you perform discharge teaching to an Hispanic patient * Apply effective and respectful communication strategies in the care of older adults and their families. * List some of the changes of aging that could affect therapeutic communication * Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices. How should you address the older adult during therapeutic communication? ...
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...GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers (those born from 1946–1964) reach retirement age (as of 2011) A large group of people born between 1946 and 1964, in the time after the Second World War. * What are the five racial groups listed in your text? African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander/Asian, Hispanic, White * How would you perform discharge teaching to an Hispanic patient Teach the family as well because more than likely, pt is going home and family is his/her primary caregivers. * Apply effective and respectful communication strategies in the care of older adults and their families...
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...client’s characteristics that affect therapy outcome. Psychotherapy and Older Adults Resource Guide Introduction Since about 1990, changes in the Medicare reimbursement system have allowed psychologists to provide services to older adults with Medicare coverage. These changes, in combination with managed care and market place changes have made older adult clients attractive as a client population to increasing numbers of psychologists and other mental health service providers. As the Baby Boomers become older adults over the next several years, one can expect both the need and the demand for mental health services to increase: Need is likely to change because Boomers have higher prevalence of depression and other mental disorders than do the GI Generation and Depression era cohorts; Demand may change because Boomers have typically been psychologically minded and relatively high consumers of mental health services. Key questions in thinking about working with older adults concern whether psychological interventions can be expected to work with older adults. If they work, are adaptations from work with younger adults necessary? In this resource page, research bearing on both of these questions is summarized. Does therapy work with older adults? Before turning to psychological interventions, which are the main focus of this resource guide, it should be noted that psychological assessment with older adults is more specialized than are interventions. The higher prevalence of the...
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...Presentation of Illness in Older Adults 2 An atypical presentation of an illness in an older adult can appear as a subtle, nonspecific, or unusual manifestation that is outside the normal range of signs and symptoms for a specific illness. Nursing care of an older adult requires a through assessment of acute, chronic or complex illnesses. Illness in older adults is complicated by numerous medical problems and the physical changes of aging. Identification of an illness can be overlooked simply because symptoms might be reported vaguely. Multiple overlapping factors such as environmental, sociologic, physiologic and psychologic aspects need to be considered in the nursing assessment. It’s essential that nurses recognize atypical presentations of illness in older adults early to help improve patient care. Early detection can reduce the risk of missed diagnoses, death and/or prolonged hospitalization, and reduce rates of co-morbidity from treatable geriatric syndromes (GrayMiceli, 2007). Aging causes physiologic changes to the body. These normal age related changes could be similar to changes seen in the presence of pathological conditions. This causes a problem when normal changes mask early signs of an acute illness. Changes to the musculoskeletal system can affect a patient’s ability to function. Reduced bone mineral density leads to osteoporosis and an increased risk for fall-related fractures (Ebersole, Hess, Touhy, & Jett 2012, p. 48-49). Age related changes to the cardiovascular...
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...Harrigan & Lyons, 2015). The issue of depression in the older adult population is especially complex as causes and outcomes are inter-related and interactive; nurses must consider many variables when assessing and carrying out care for these individuals. Untreated depression can have significant consequences such as poor pain control, poor recovery from illness or surgery, cognitive deficits, increased risk for falls, impaired ability to carry out ADLs leading to a loss of independence, worsening physical health problems, substance use, social isolation, and suicide (Harrigan...
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...Management of Diabetes in Adults Age 65 and Older: An Evolving Concept Analysis Yaounde Ross University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, RN, MN, DNP June 4, 2012 Management of Diabetes in Adults Age 65 and Older: An Evolving Concept Analysis Managing chronic illnesses like diabetes is becoming progressively essential in high-risk groups. The concept of managing diabetes in persons 65 and older, carry much responsibility by those who provide care and those receiving care. With marvel surrounding the first set of baby boomers who turned age 65 in January of 2011; it became evident that this country would embark upon its greatest challenge yet in managing the care of older adults. With this in mind, the management of chronic illnesses like diabetes and its associated complications is expected to become even more complex and difficult, with the realization that much is to be considered in preparation to care for this age group. In this analysis using the term management, as it relates to the older adult, implies direct guidance to treatment that is both accessible and practical. Review of Literature To better understand management of diabetes as a concept in adults age 65 and older, a review of disciplines is necessary to offer clarity in obtaining a greater sense of knowledge of the burden this disease places on the patient. In examining this concept...
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...Today older adult’s life expectation has improved due to the advancement of health care. Nurses must be educated and knowledgeable in order to understand and treat the complicated physical, emotional, physiological, and mental health needs of older adults. Illness in older adults can be multifaceted due to the multiple medical problems and physical changes of aging. As a nurse, it is imperative to have an adequate knowledge of atypical symptoms when taking care of elderly patients. Health care staff can easily misdiagnose an elderly patient. Atypical symptoms are defined as a presentation of illness as vague, and altered presentation of illness (Gray-Miceli, 2005). By aiming on the management of acute and chronic medical conditions...
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...functioning. The article Poor Decision Making Is a Consequence of Cognitive Decline among Older Persons without Alzheimer’s Disease or Mild Cognitive Impairment is about decision making is an important determinant of health and well-being across the lifespan but is critical in aging, when many influential decisions are made just as cognitive function declines. The increasing evidence suggests that older adults, even those without dementia, often make poor decisions and are selectively vulnerable to scams. The memory and aging project did a experiment with 420 non-demented persons to see if cognitive evaluations and subsequently completed assessments of decision making and susceptibility to scams. In this study, the researchers tested the hypothesis that poor decision making is consequence of cognitive decline among older people without AD or MCI. Decision making is a complex behavior that require higher order cognitive functions and is critical in aging when some of life’s most influential decision are made. For reasons unknown, older person are highly vulnerable to poor decision choices. Using data from 420 non-demented persons, they first tested the hypothesis that the rate of cognitive decline prior to the decision making assessment predicted the level of decision making. Then, they excluded persons with MCI at the time of decision making assessment and directly examined the relation of the prior rate of cognitive decline with decision making amongst people without any...
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...Lilly’s Insulin Pump Healthcare Nursing Short paper Having type 1 diabetes is a major comorbidity in young and older adults. Diabetes education is the mostly taught by the healthcare providers, nurses, and nutritionists. In the case of Lilly who has an Associate Degree in Computer Drafting, needs more education on the insulin pump usage. Lilly and her husband have reported to the community health clinic that there was malfunctioning of Lilly’s insulin pump and having difficulty of following the manufacturer’s instructions. According to the health clinic personnel, the insulin pump was functioning normal. Lilly and her husband need to have reinforced insulin pump education that will satisfied their needs and for Lilly’s safety. Lilly’s age and her husband is unknown in this case study. In this paper, various communications, teaching methods and tools will be used to help and to assist Lilly and her husband about the safety uses of the insulin pump in three different possible age groups to fit their learning needs. Physical and mental assessments are need to give clear understanding what needs to be address before teaching the insulin pump for both Lilly and her husband. Is Lilly capable of using the insulin pump? Do Lilly or her husband have any history of cognitive disabilities such as dementia, Parkinson’s disease, Alzheimer’s disease and other neuro impairments? Does Lilly check her glucose finger sticks accordingly as prescribed by the healthcare provider...
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...Analyzing the Psychology of Aging Jason Russ Analyzing the Psychology of Aging Not only is the country’s population growing, it is aging as well. Older adults are the fastest growing population on the charts right now. There is no point and time when a person overnight just becomes “old.” Obviously everyone knows we simply just age; it comes with getting older. This thing called “aging” happens to everyone at a different rate. In this particular essay I will briefly be discussing five parts of psychology aging, and cognitive functioning in the elderly. Psychology of Aging, Theories of Aging, the Physical Dimension, the Cognitive Dimension, and the Social Dimension. The psychology of aging focuses on the behavioral changes which occur during the normal aging process. Age differences in learning, memory, perceptual and intellectual abilities will be investigated. In addition, emphasis will be placed on the neural correlates and cognitive consequences of disorders of aging such as Alzheimers disease(Belsky, J.1999). Aging introduces a number of psychological and physical changes in the human body and engaged researchers in this field of study. The growing population in industrialized countries has become a serious issue in the 21st century. Life expectancy has increased significantly over the 20th century. For example, in 1900 a baby born in an industrialized country would usually live to between 47 and 55, while a baby born in the 21st century would be expected to...
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...--- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Review major structures and functions of both central and peripheral nervous system. (Carolyn Jarvis, Physical Examination and Health Assessment, 3rd ed., pages 688-692 Structure and function of the CNS and PNS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements of a patient's health status. Inspecting the condition of a surgical incision or wound, describing an observed behavior, and measuring blood pressure...
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...CPSY 6341 – Psychological Assessment Walden University Symptom Severity and Functional Impairment The treatment of individuals with suspected psychological issues can be a very complicated process. In trying to design the best and most effective treatment plan, a clinician or psychologist must first employ the use of certain tests, which are aimed at examining and assessing the mental status and mental functional ability of a client. The purpose of this paper is to provide a comparative analysis of two tests of symptom severity and two tests of functional impairment. The tests of symptom severity are the Mini Mental State Examination (MMSE) and the Structured Interview of Reported Symptoms (SIRS-2). The functional impairment tests are the Ohio Functional Assessment Battery (OFAB) and the Burns Brief Inventory of Communication and Cognition. Comparing and analyzing these tests will allow for the choosing of which test is the most appropriate for a client who have exhibited several different symptoms that indicates a possible presence of dementia, or a related cognitive deficit. The Mini Mental State Examination (MMSE) Folstein, Folstein, McHugh & Fanjiang (2001) describes the Mini Mental State Examination (MMSE) as “a brief, individually administered measure mental state, which is an assessable measure of cognitive status in adults.” The purpose of the MMSE is use to screen patients and determine if there’s an existence of cognitive impairment, and if so, what...
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...Running Head: Older Adults 1 Essential Care of Frail Older Adults Mary Anne V Wheeler Lane Community College Abstract This paper explores the Institute for Healthcare Improvement’s map for the patient process of essential care for the elderly. It summarizes the IHI map and then discusses the specific goals of The Joint Commission (TJC) and how they relate to the IHI map. The paper then continues on to discuss how the standards of TJC are put into effect at McKenzie Willamette hospital to provide the essential care for the older patient. Essential Care of Frail Older Adults Overview On the improvement map from the Institute for Healthcare Improvement’s (IHI) website, the patient process “Essential Care for Frail Older Adults” is outlined. IHI states that the purpose of this process is to “Ensure coordinated, reliable, and safe care for frail older patients as they enter the hospital.” As the title of the map indicates this patient process is related to the care of our older adult patients. The IHI website indicates that it would be moderately challenging to implement this patient process for the following reason “Either it involves multiple units or disciplines OR requires a substantial shift in culture an/or operations, but not both of these.” This patient process will need to be implemented in any medical facility that may treat the frail older adult including medical, surgical and emergency departments of hospitals along with nursing...
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...physical examination.| d.|Use the health care provider’s medical history to obtain subjective data.| ANS: A In an emergency situation the nurse may need to ask only the most pertinent questions for a specific problem and obtain more information later. A complete health history will include subjective information that is not available in the health care provider’s medical history. Family members may be able to provide some subjective data, but only the patient will be able to give subjective information about the bleeding. Because the subjective data about the cause of the patient’s bleeding will be essential, obtaining the physical examination alone will not provide sufficient information. DIF: Cognitive Level: Apply (application) REF: 45 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 2. Immediate surgery is planned for a patient with acute abdominal pain. Which question by the nurse will elicit the most complete information about the patient’s coping-stress tolerance pattern? a.|“Can you rate your pain on a 0 to 10 scale?”| b.|“What do you think caused this abdominal pain?”| c.|“How do you feel about yourself and your hospitalization?”| d.|“Are there other major problems that are a concern right now?”| ANS: D The coping-stress tolerance pattern includes information about other major stressors confronting the patient. The health perception–health management pattern includes information about the patient’s ideas...
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...Delirium in the Older Adult Population Delirium is a common issue found in older adults in the hospital and often not recognized until the illness develops, showing more evident and severe symptoms. Delirium is most commonly seen in the intensive care unit (ICU) and its frequency suggests an evident need for increased prevention. This paper will review an article by Susan Seliger, Another Hospital Hazard for the Elderly (see Appendix for more information), and look at various other perspectives focussing on the main arguments, as well as looking at personal understandings and biases, to better relate to and work with delirious older adults. Summary of the Article To summarize Susan’s article, “Another Hospital Hazard for the Elderly”, it...
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