Guide – Gerontological
Nursing | Practice
Questions & Exam
Review
|Guaranteed success|
, Referrals needed when discharging a Home health, PT/OT, social work, dietitian, DME
patient with chronic disease supplier, hospice/palliative care, and primary care.
Learning challenges for older adults Slower processing, sensory deficits, short-term
memory changes, and fatigue require short, plain
sessions.
Care actions for older adults with Provide hands-on assistance, maintain skin integrity,
ADL difficulty in advanced stages preserve dignity, use assistive devices, and pace
care.
Preadmission assessment goals for Establish baseline function, reaction time, cognitive
older adults status, personal preferences, and individual goals.
Features of an "elderly friendly" home Good glare-free lighting, grab bars, clear large
or hospital signage, non-slip floors, accessible call systems,
minimal clutter.
FANCAPES assessment tool Evaluates Fluids, Aeration, Nutrition,
Communication, Activity, Pain, Elimination, and
Socialization/Safety.
SPICES assessment tool Screens for Sleep disorders, Problems eating,
Incontinence, Confusion, Evidence of falls, and Skin
breakdown.
Elder abuse — getting Interview alone privately, ask open-ended non-
information/interviewing judgmental questions, build trust, document
objectively, and report.
Planning transfer from hospital to Involve patient/family/interprofessional team, assess
long-term care care needs, financial options, location preferences,
and complete medical handoff.