NUR 242 Med-Surg Exam 1. Galen College of Nursing. Latest
2025
1. Four Major subgroups of Late Adulthood: 65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
2. Lifestyle and Practice to Promote Wellness older adults: Yearly flu vaccine
pneumococcal vaccine Shingles vaccine
tetanus and booster every 10
years wear seat belts alcohol
in moderation avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs medications
as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial regular exercise socialization reminisce
3. Common health Issues and Concerns older adults: Decreased nutrition and
hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
4. GFTT ( Geriatric Failure To Thrive) Complex Syndrome: Under nutrition
Impaired mobility
,Depression
Cognitive impairment
5. Depression older adults: Most common mental health/behavioral health problem
among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
6. Dementia older adults: slowly progresses generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
7. Delirium older adults: Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
8. Nurse's role in Rehab: Advocate for the patient and family Create therapeutic rehab
milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and
family
Evaluate effe ctivene ss of plan of care for the patient and family
Use Braden scale - skin break down risk
9. Safe Patient Handing and Mobility (SPHM): -Maintain a wide, stable base with
your feet
, -Put the bed at the correct height - waist level while providing direct care and hip level
when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
10. walker - assisted and cane - assisted procedure: - Apply a transfer belt around
patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
11. walker teaching: - lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
12. cane teaching: - be sure cane is at the height of the patients wrist when the arm is
placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
13. Adaptive equipment: buttonhook extended shoehorn plate guard and spork gel
pad foam buildups hook and loop fasteners long-handled reacher
elastic shoelaces or velcro shoe closure
2025
1. Four Major subgroups of Late Adulthood: 65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
2. Lifestyle and Practice to Promote Wellness older adults: Yearly flu vaccine
pneumococcal vaccine Shingles vaccine
tetanus and booster every 10
years wear seat belts alcohol
in moderation avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs medications
as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial regular exercise socialization reminisce
3. Common health Issues and Concerns older adults: Decreased nutrition and
hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
4. GFTT ( Geriatric Failure To Thrive) Complex Syndrome: Under nutrition
Impaired mobility
,Depression
Cognitive impairment
5. Depression older adults: Most common mental health/behavioral health problem
among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
6. Dementia older adults: slowly progresses generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
7. Delirium older adults: Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
8. Nurse's role in Rehab: Advocate for the patient and family Create therapeutic rehab
milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team, patient and
family
Evaluate effe ctivene ss of plan of care for the patient and family
Use Braden scale - skin break down risk
9. Safe Patient Handing and Mobility (SPHM): -Maintain a wide, stable base with
your feet
, -Put the bed at the correct height - waist level while providing direct care and hip level
when moving patients
- Keep the patient or work directly in front of you to prevent your spine from rotating
- Keep the patient as close to your body as possible to prevent reaching
10. walker - assisted and cane - assisted procedure: - Apply a transfer belt around
patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
11. walker teaching: - lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
12. cane teaching: - be sure cane is at the height of the patients wrist when the arm is
placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
13. Adaptive equipment: buttonhook extended shoehorn plate guard and spork gel
pad foam buildups hook and loop fasteners long-handled reacher
elastic shoelaces or velcro shoe closure
