Health Needs of Older Adults; Remediation Questions and answers

Health Needs of Older Adults; Remediation Questions (Include question, question number, and answer for each question below) 1. What factors are assessed in the Braden scale? sensory perception, skin moisture, activity, mobility, nutrition, and friction/shear. 2. Describe the CAM tool. a standardized instrument developed for clinicians to identify delirium, an acute change in mental status from baseline, quickly and accurately. l status altered from baseline (acute onset or fluctuating) ention ganized thinking ed level of consciousness 3. Describe a clinical situation in which you might utilize the CAM tool. It can be used to distinguish dementia and delirium. 4. How is the SPICES tool utilized? The SPICES assessment tool is an efficient and effective instrument for obtaining the information necessary to prevent health alterations in the older adult patient. SPICES is an acronym for the common syndromes of the elderly requiring nursing intervention, including sleep disorders, problems with eating or feeding, incontinence, confusion, evidence of falls, and skin breakdown. 5. What is the difference between physical assessment & functional assessment? Nurses typically conduct a functional assessment in order to identify an older adult’s ability to perform self-care, self-maintenance, and physical activities, then plan appropriate nursing interventions based on the results. Physical assessment with a “systems” approach reviews each body system by first taking a history and then conducting a physical examination. It is important to ask questions that produce an accurate description of the older adult’s physical health status, and furthermore, explore the meaning and implications of physical health status on an individual basis. 6. Describe physical changes that occur in aging that will affect medication dosing. Aging organs and body systems are less responsive to a drug's effect. Age-related changes affect how the patient responds to drug therapy because both the therapeutic and the adverse effects are altered. -The nurse needs to be aware that many older adults take multiple prescribed and over-the- counter drugs.