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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Spiritual assessment exam FICA
Cognitive assessment exam MMSE
Functional (ADLs) assessment exam KATZ
Psychological assessment exam GDS (for depression)
Health hx includes... - (red) current meds and dietary supplements
- (red) functional hx
- demographic info
- PMH
- social hx
- review of systems
FIFE frailty index for elders
- hallmark of frailty: marked by
-- loss of function
-- loss of physiological reserve
-- high risk of falls
-- longer to recover when sick
-- oftentimes results in more frequent and longer hospital
stays
-- overall increasing mortality
Our goal as nurses --> PREVENT FRAILTY
What type of assessment should we do for Comprehensive assessment
geriatric patients?
Prevention (from frailty/illness) is... key
A __________ murmur is... A diastolic murmur is NEVER NORMAL
Urinary incontinence is... NOT a normal part of aging
- seen more as an inconvenience rather than a treatable issue
- stigmatized, under-diagnosed, under-treated
, Urinary incontinence types (acute) Transient
- sudden onset
- CAUSED BY TREATABLE FACTORS
- hospitalized older adults
- meds
Urinary incontinence types (chronic) (5) Established - sudden or gradual onset
- stress: increased intra abdominal pressure (cough, laugh,
sneeze, bend over), women > men
- urge: inability to suppress need, often associated with
overactive bladder
- overflow: inability to fully empty the bladder, men > women
d/t BPH (hesitancy, slow flow, dribbling)
- functional: strictly environmental barriers (unbuttoning pants,
slow d/t crutches, etc.), normal functioning bladder
- mixed UI: two types of UI's (like stress and urge)
When bulk and strength of skeletal muscle sarcopenia
declines, it is called...
Hearing disorder types (4) - Presbycusis: age related hearing loss
-- MOST COMMON SENSORY DEFICIT IN THE OLDER
POPULATION
-- high-frequency
- Noise induced: mechanical injury from sound
-- continuous noise exposure (ie. from work)
- Conductive" abnormalities w/ mid/inner ear
-- perforated eardrum, cerumen, tumors, etc.
- Sensorineural hearing loss
Most common causes of vision loss (not - macular degeneration: LEADING CAUSE OF SEVERE VISION
normal) IN OLDER ADULTS
- cataracts
- glaucoma
- diabetic retinopathy
Nursing interventions to prevent pressure - skin care
injuries - nutrition (hydration, protein)
- repositioning and mobilization
- patient and family education
What is Beers Criteria? list of drugs that are dangerous in the elderly and should be
avoided if possible
What is the TUG test? Timed Up and Go Test:
Patient is timed to determine how long it takes them to get up
from a chair, walk across the room, and return back to their
chair
- they should be able to do it in 12 seconds
- if it's longer than 12 seconds, they are at a higher risks for
falls