OLDER ADULTS TEST 1- CARDIAC AND
GERIATRIC SYNDROMES
r maximize overall health - the key focus of a comprehensive evaluation is to develop a coordinated plan
to ________
adolescence - the difference between ADLs and IADLs is that IADLs are learned in ___________
ADLs - bathing, eating, walking, dressing, toileting, and transferring
IADLs - taking meds, cooking, laundry, and arranging transportation
if unable to preform it doesn't necessarily mean that they can't live independently
multiples of the same medication - issues with polyprovider and polypharmacy is that there is a
possibility of a patient taking _______________
inability to perform activities - functional caused by normal aging changes combined with bedrest or
immobility results in physiologic changes which causes an ______________
functional status - the nursing assessment of an older adult should focus on their _____________
gather baseline and assessment - the first thing to consider for the plan of care for older adults
sacropenia - an evolving geriatric syndrome that is the loss of muscle mass and coordination related to
aging
young old - ages 60-74
middle old - ages 75-84
old old - ages 85 and older
roles of nurses - to help support and align resources, so older adults can live as independently as
possible with the highest quality of life
admitting diagnosis - acute hospitalization focuses solely on the admitting diagnosis
isolated - the more ________ and older adult becomes, the greater risk of falling through the cracks
look at their environment and functional health status
cardiac an respiratory diseases - ______________ as well as cancer are leading cause of death for older
adults
geriatric syndromes - multifactoral health conditions that occur when impairments of multiple systems
overwhelm the person's homeostasis
they are clinical conditions in older people that don't fit into discrete disease categories
, they can complicate comorbidities
classic geriatric syndromes - delirum, falls, incontinence, malnutrition, eating and or feeding problems,
sleep problems, pressure ulcers
evolving geriatric syndromes - sacropenia, polyprovider, polypharmacy
polyprovider - an evolving geriatric syndrome that occurs when an older adult has multiple doctors they
see
bad because it causes a removal of holistic care, a treatment of one condition can cause a detriment of
another
polypharmacy - an evolving geriatric syndrome that occurs when an older adults gets their prescriptions
filled at multiple pharmacies
bad because it removes the pharmacist as the last check, the more medications the higher demand on
the aging GI and GU systems
increase - 4 things that ______ the risk of developing geriatric syndromes:
- older age
- baseline cognitive impairments
- baseline functional impairments
- impaired mobility
geriatric syndromes - presence of ________ can lead to: increased mortality, longer hospitalizations, and
increased use of resources
functional status - SPICES assesses the older adult's ___________
SPICES - an alert system that refers to only the most frequently occurring health problems of older adults
sleep problems - s in SPICES
problems with eating/feeding - p in SPICES
incontinence - i in SPICES
confusion - c in SPICES
evidence of falls - e in SPICES
skin breakdown - s in SPICES
de-conditioning - hospitalization can cause _________ which causes a decrease in muscle mass and
other physiologic changes that results from either aging or immobility or both and contribute to overall
weakness
chronological age - a poor indicator of ability and overall health
GERIATRIC SYNDROMES
r maximize overall health - the key focus of a comprehensive evaluation is to develop a coordinated plan
to ________
adolescence - the difference between ADLs and IADLs is that IADLs are learned in ___________
ADLs - bathing, eating, walking, dressing, toileting, and transferring
IADLs - taking meds, cooking, laundry, and arranging transportation
if unable to preform it doesn't necessarily mean that they can't live independently
multiples of the same medication - issues with polyprovider and polypharmacy is that there is a
possibility of a patient taking _______________
inability to perform activities - functional caused by normal aging changes combined with bedrest or
immobility results in physiologic changes which causes an ______________
functional status - the nursing assessment of an older adult should focus on their _____________
gather baseline and assessment - the first thing to consider for the plan of care for older adults
sacropenia - an evolving geriatric syndrome that is the loss of muscle mass and coordination related to
aging
young old - ages 60-74
middle old - ages 75-84
old old - ages 85 and older
roles of nurses - to help support and align resources, so older adults can live as independently as
possible with the highest quality of life
admitting diagnosis - acute hospitalization focuses solely on the admitting diagnosis
isolated - the more ________ and older adult becomes, the greater risk of falling through the cracks
look at their environment and functional health status
cardiac an respiratory diseases - ______________ as well as cancer are leading cause of death for older
adults
geriatric syndromes - multifactoral health conditions that occur when impairments of multiple systems
overwhelm the person's homeostasis
they are clinical conditions in older people that don't fit into discrete disease categories
, they can complicate comorbidities
classic geriatric syndromes - delirum, falls, incontinence, malnutrition, eating and or feeding problems,
sleep problems, pressure ulcers
evolving geriatric syndromes - sacropenia, polyprovider, polypharmacy
polyprovider - an evolving geriatric syndrome that occurs when an older adult has multiple doctors they
see
bad because it causes a removal of holistic care, a treatment of one condition can cause a detriment of
another
polypharmacy - an evolving geriatric syndrome that occurs when an older adults gets their prescriptions
filled at multiple pharmacies
bad because it removes the pharmacist as the last check, the more medications the higher demand on
the aging GI and GU systems
increase - 4 things that ______ the risk of developing geriatric syndromes:
- older age
- baseline cognitive impairments
- baseline functional impairments
- impaired mobility
geriatric syndromes - presence of ________ can lead to: increased mortality, longer hospitalizations, and
increased use of resources
functional status - SPICES assesses the older adult's ___________
SPICES - an alert system that refers to only the most frequently occurring health problems of older adults
sleep problems - s in SPICES
problems with eating/feeding - p in SPICES
incontinence - i in SPICES
confusion - c in SPICES
evidence of falls - e in SPICES
skin breakdown - s in SPICES
de-conditioning - hospitalization can cause _________ which causes a decrease in muscle mass and
other physiologic changes that results from either aging or immobility or both and contribute to overall
weakness
chronological age - a poor indicator of ability and overall health
