N546 Nursing Management of Aging
Adults
Palliative care - ANSany point in disease progress
care during serious diagnosis
any setting
can continue treatment
Hospice care - ANSsupport through dying process
for terminally ill living <6mo
usually at home
no longer treated
Nursing role in providing palliative care - ANSPresence
communication skills
coordination
evidence based practice
physiological domains of quality of life - ANSaddress functional ability
strength/fatigue
sleep/rest
symptoms: nausea, appetite, constipation, pain
psychological domains of quality of life - ANSsymptoms: distress, anxiety, depression, worry,
fear
cognition/attention
social domains of quality of life - ANSfinancial burden
caregiver burden
roles/relationships
affection/sexual function
appearance
spiritual domains of quality of life - ANShope
suffering
meaning of pain
religion
transendence
specific older adult health disparities - ANSheart disease
hypertension
, cancer
diabetes
arthritis
high rates of disease incidence, prevalence, morbidity/mortality, life expectancy
specific older adult health literacy issues - ANSlimited english proficiency
poverty
less education
minority group
functional consequence theory - ANSobservable effects of actions, risk factors, age related
changes that influence QOL or activities
age related changes - ANSinevitable, progressive, irreversible changes
degenerative, can include potential for growth spiritually
increases vulnerability to detrimental effects
risk factors - ANSincrease vulnerability of older adults to negative functional consequences
significant detrimental effects on health and function
cumulative and progressive, exacerbated by age related changes
disease, environment, lifestyle, support, psychosocial, adverse med effects, attitude
positive functional consequences - ANSfacilitate highest level of functioning, least dependency,
best QOL
automatic actions or purposeful interventions
compensate for age related changes
negative functional consequences - ANSinterfere with older adult's functioning or QOL
inc. vulnerability to risk factors
dec. health fxn
countries with highest life expectancy - ANSJapan, Singapore, Macau
common characteristics of centenarians (7) - ANSlean, healthy BMI
high intake of plant foods
no history of smoking
high levels of cognitive fxn
better than average ability to handle stress
strong social network
family history of longevity
senescence - ANSpost-reproductive period leading to increased probability of death
cellular senescence - ANSfailure of cells to divide
Adults
Palliative care - ANSany point in disease progress
care during serious diagnosis
any setting
can continue treatment
Hospice care - ANSsupport through dying process
for terminally ill living <6mo
usually at home
no longer treated
Nursing role in providing palliative care - ANSPresence
communication skills
coordination
evidence based practice
physiological domains of quality of life - ANSaddress functional ability
strength/fatigue
sleep/rest
symptoms: nausea, appetite, constipation, pain
psychological domains of quality of life - ANSsymptoms: distress, anxiety, depression, worry,
fear
cognition/attention
social domains of quality of life - ANSfinancial burden
caregiver burden
roles/relationships
affection/sexual function
appearance
spiritual domains of quality of life - ANShope
suffering
meaning of pain
religion
transendence
specific older adult health disparities - ANSheart disease
hypertension
, cancer
diabetes
arthritis
high rates of disease incidence, prevalence, morbidity/mortality, life expectancy
specific older adult health literacy issues - ANSlimited english proficiency
poverty
less education
minority group
functional consequence theory - ANSobservable effects of actions, risk factors, age related
changes that influence QOL or activities
age related changes - ANSinevitable, progressive, irreversible changes
degenerative, can include potential for growth spiritually
increases vulnerability to detrimental effects
risk factors - ANSincrease vulnerability of older adults to negative functional consequences
significant detrimental effects on health and function
cumulative and progressive, exacerbated by age related changes
disease, environment, lifestyle, support, psychosocial, adverse med effects, attitude
positive functional consequences - ANSfacilitate highest level of functioning, least dependency,
best QOL
automatic actions or purposeful interventions
compensate for age related changes
negative functional consequences - ANSinterfere with older adult's functioning or QOL
inc. vulnerability to risk factors
dec. health fxn
countries with highest life expectancy - ANSJapan, Singapore, Macau
common characteristics of centenarians (7) - ANSlean, healthy BMI
high intake of plant foods
no history of smoking
high levels of cognitive fxn
better than average ability to handle stress
strong social network
family history of longevity
senescence - ANSpost-reproductive period leading to increased probability of death
cellular senescence - ANSfailure of cells to divide
