|||\\\
676.Exam 1. Hiv exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
transitional care model - correct answer✔✔in hospital plan and home f/u for chronically ill |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
high risk old ppl |||\\\ |||\\\ |||\\\
rn led, multi-discipline
|||\\\ |||\\\
coordination and continuity |||\\\ |||\\\
patients home= primary setting |||\\\ |||\\\ |||\\\
goal- long term positive outcomes |||\\\ |||\\\ |||\\\ |||\\\
young old - correct answer✔✔65-74 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
old old - correct answer✔✔85+ years
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
old ppl in healthcare - correct answer✔✔account for large percent of population
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1/2 of office visits |||\\\ |||\\\ |||\\\
2/3 healthcare money, more females |||\\\ |||\\\ |||\\\ |||\\\
old age myths - correct answer✔✔most live in nh
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
it begins at age 65
|||\\\ |||\\\ |||\\\ |||\\\
changes assoc w aging - correct answer✔✔gradual, vary among individuals |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
inc risk- medication misuse, hospitalization, falls, delirium, disability, immobility
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,|||\\\
dx/interventional procedures |||\\\
heterogeneity- become different physiologically as age- need to know normal to recognize |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
disease
skin changes w age - correct answer✔✔Loss of subcutaneous fat vulnerability to pressure
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
sores |||\\\
Atrophic changes in sweat glands |||\\\ |||\\\ |||\\\ |||\\\
Thickened fingernails & toenails |||\\\ |||\\\ |||\\\
Generalized loss of body hair and head hair |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Decrease in # of functioning pigment-producing cells-->graying |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Some remaining pigment cells enlarge--> "age spots"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Skin changes increase vulnerability to infections/disorders
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
gi changes w age - correct answer✔✔Atrophy of secretion mechanisms
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Decreasing motility of the gut |||\\\ |||\\\ |||\\\ |||\\\
Loss of strength/tone of muscular tissue & supporting structures
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Changes in neurosensory feedback |||\\\ |||\\\ |||\\\
Enzyme & hormone release |||\\\ |||\\\ |||\\\
Innervation of the tract |||\\\ |||\\\ |||\\\
Diminished response to pain & internal sensations |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nervous system changes - correct answer✔✔Increased motor response time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Slower psychomotor performance |||\\\ |||\\\
Slowing intellectual performance |||\\\ |||\\\
Decreased complex learning |||\\\ |||\\\
Decreased hours of sleep |||\\\ |||\\\ |||\\\
,|||\\\
respiratory changes w age - correct answer✔✔Airways & tissues become less elastic & more |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
rigid with age |||\\\ |||\\\
Power of respiratory & abdominal muscles becomes reduced--hinders diaphragmatic
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
movement
skeleton changes w age - correct answer✔✔Decreased height and weight (after age 80)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Loss of bone substance (osteopenia)
|||\\\ |||\\\ |||\\\ |||\\\
kidney changes w age - correct answer✔✔Decreased creatinine clearance, renal blood flow
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and concentration ability
|||\\\ |||\\\
cardio changes w age - correct answer✔✔In the absence of disease, the heart tends to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
maintain its size |||\\\ |||\\\
Heart valves tend to increase in thickness with age
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
BP tends to go up with age
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Systolic stabilizes at about age 75 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Diastolic stabilizes at about 65 then may gradually decline |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
changes in eye w age - correct answer✔✔Decreased acuity, accommodation, color sensitivity,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
depth perception |||\\\
Hyperopia (far-sightedness) |||\\\
presbyopia- hardening of lens, hard to see close up |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
hearing changes w age - correct answer✔✔Degenerative changes of ossicles
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Obstruction of eustachian tube |||\\\ |||\\\ |||\\\
Atrophy of cochlear hair cells |||\\\ |||\\\ |||\\\ |||\\\
High frequency hearing loss and pitch discrimination
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, |||\\\
talking about changes w patients - correct answer✔✔common doesnt mean normal. if they
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
think normal wont talk about it
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
set expectation
|||\\\
geriatric d/o are normally disabilities not diseases |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ADLs - correct answer✔✔Dressing
|||\\\ |||\\\ |||\\\ |||\\\
Eating
Walking
Going to the bathroom |||\\\ |||\\\ |||\\\
Bathing
=severe functional disabilities and define dependency |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
IADL - correct answer✔✔Shopping
|||\\\ |||\\\ |||\\\ |||\\\
Housekeeping
Accounting/bill paying |||\\\
Food/meal preparation |||\\\
Travel/driving
cause dysfunction, lead to dependency
|||\\\ |||\\\ |||\\\ |||\\\
Weak link concept - correct answer✔✔many elderly have one system thats their weak link
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
EX- cns- dementia, stroke
|||\\\ |||\\\ |||\\\
neuromuscluar- neuropathy, oa, |||\\\ |||\\\
influences presentation of diseases |||\\\ |||\\\ |||\\\
676.Exam 1. Hiv exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
transitional care model - correct answer✔✔in hospital plan and home f/u for chronically ill |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
high risk old ppl |||\\\ |||\\\ |||\\\
rn led, multi-discipline
|||\\\ |||\\\
coordination and continuity |||\\\ |||\\\
patients home= primary setting |||\\\ |||\\\ |||\\\
goal- long term positive outcomes |||\\\ |||\\\ |||\\\ |||\\\
young old - correct answer✔✔65-74 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
old old - correct answer✔✔85+ years
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
old ppl in healthcare - correct answer✔✔account for large percent of population
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1/2 of office visits |||\\\ |||\\\ |||\\\
2/3 healthcare money, more females |||\\\ |||\\\ |||\\\ |||\\\
old age myths - correct answer✔✔most live in nh
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
it begins at age 65
|||\\\ |||\\\ |||\\\ |||\\\
changes assoc w aging - correct answer✔✔gradual, vary among individuals |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
inc risk- medication misuse, hospitalization, falls, delirium, disability, immobility
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,|||\\\
dx/interventional procedures |||\\\
heterogeneity- become different physiologically as age- need to know normal to recognize |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
disease
skin changes w age - correct answer✔✔Loss of subcutaneous fat vulnerability to pressure
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
sores |||\\\
Atrophic changes in sweat glands |||\\\ |||\\\ |||\\\ |||\\\
Thickened fingernails & toenails |||\\\ |||\\\ |||\\\
Generalized loss of body hair and head hair |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Decrease in # of functioning pigment-producing cells-->graying |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Some remaining pigment cells enlarge--> "age spots"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Skin changes increase vulnerability to infections/disorders
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
gi changes w age - correct answer✔✔Atrophy of secretion mechanisms
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Decreasing motility of the gut |||\\\ |||\\\ |||\\\ |||\\\
Loss of strength/tone of muscular tissue & supporting structures
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Changes in neurosensory feedback |||\\\ |||\\\ |||\\\
Enzyme & hormone release |||\\\ |||\\\ |||\\\
Innervation of the tract |||\\\ |||\\\ |||\\\
Diminished response to pain & internal sensations |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nervous system changes - correct answer✔✔Increased motor response time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Slower psychomotor performance |||\\\ |||\\\
Slowing intellectual performance |||\\\ |||\\\
Decreased complex learning |||\\\ |||\\\
Decreased hours of sleep |||\\\ |||\\\ |||\\\
,|||\\\
respiratory changes w age - correct answer✔✔Airways & tissues become less elastic & more |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
rigid with age |||\\\ |||\\\
Power of respiratory & abdominal muscles becomes reduced--hinders diaphragmatic
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
movement
skeleton changes w age - correct answer✔✔Decreased height and weight (after age 80)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Loss of bone substance (osteopenia)
|||\\\ |||\\\ |||\\\ |||\\\
kidney changes w age - correct answer✔✔Decreased creatinine clearance, renal blood flow
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and concentration ability
|||\\\ |||\\\
cardio changes w age - correct answer✔✔In the absence of disease, the heart tends to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
maintain its size |||\\\ |||\\\
Heart valves tend to increase in thickness with age
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
BP tends to go up with age
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Systolic stabilizes at about age 75 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Diastolic stabilizes at about 65 then may gradually decline |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
changes in eye w age - correct answer✔✔Decreased acuity, accommodation, color sensitivity,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
depth perception |||\\\
Hyperopia (far-sightedness) |||\\\
presbyopia- hardening of lens, hard to see close up |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
hearing changes w age - correct answer✔✔Degenerative changes of ossicles
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Obstruction of eustachian tube |||\\\ |||\\\ |||\\\
Atrophy of cochlear hair cells |||\\\ |||\\\ |||\\\ |||\\\
High frequency hearing loss and pitch discrimination
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, |||\\\
talking about changes w patients - correct answer✔✔common doesnt mean normal. if they
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
think normal wont talk about it
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
set expectation
|||\\\
geriatric d/o are normally disabilities not diseases |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ADLs - correct answer✔✔Dressing
|||\\\ |||\\\ |||\\\ |||\\\
Eating
Walking
Going to the bathroom |||\\\ |||\\\ |||\\\
Bathing
=severe functional disabilities and define dependency |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
IADL - correct answer✔✔Shopping
|||\\\ |||\\\ |||\\\ |||\\\
Housekeeping
Accounting/bill paying |||\\\
Food/meal preparation |||\\\
Travel/driving
cause dysfunction, lead to dependency
|||\\\ |||\\\ |||\\\ |||\\\
Weak link concept - correct answer✔✔many elderly have one system thats their weak link
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
EX- cns- dementia, stroke
|||\\\ |||\\\ |||\\\
neuromuscluar- neuropathy, oa, |||\\\ |||\\\
influences presentation of diseases |||\\\ |||\\\ |||\\\
