Summary NURSC475 Random Things to Know complete solution guide_2021 / NURSC475 Random Things to Know for COTOA & flashcards.
NURSC475 Random Things to Know complete solution guide_2021 / NURSC475 Random Things to Know for COTOA & flashcards. Random Things to Know ● Know passive and active euthanasia- In active euthanasia a person directly and deliberately causes the patient's death. In passive euthanasia they don't directly take the patient's life, they just allow them to die. ... Active euthanasia is when death is brought about by an act - for example when a person is killed by being given an overdose of painkillers. Passive- Withholding meds or feedings, taking off O2. Active: morphine or phenobarbital and actively kills patient. ● Senile Kyphosis- Senile kyphosis occurs with advancing age. Development of this condition can be postural, often corrected with adherence to an exercise and strengthening program. Usually, an underlying condition is the root cause of the deformity. ● Atrophy of sweat glands, what happens- very susceptible to heat and cold. Lack of glands, easily over-heat. Decrease wound healing process. ● Respite care- care for caregivers to allow them time off from caring for their family members. ● Know what is Quality of Life- independence and autonomy ● Orthopenic position- upright to prevent SOB ● Types of assistive devices- gait belts ● Restraints: Death, increase falls, injure self, mortality increase with any restraint, bed rails, mitts, seatbelts in wheelchairs Transitional care Med rec is correct Can they access meds and understand when to call Dr. Electronic records, everything being sent to accepting facility without delays. 3 models of transition care-- BOOST,CTI, TCM BOOST-reduce return for older adults to hospital The Better Outcomes for Older Adults through Safe Transitions (BOOST) intervention that includes predischarge and postdischarge interventions to ● reduce 30-day hospital readmission rates for older adults ● (2) improve patient satisfaction ● (3) identify high-risk patients to prevent adverse events ● (4) improve communication between providers and patients, and (5) better prepare the patient and family for discharge (Society of Hospital Medicine, 2016) ● Strength of the education and communication tools Provides tools to support nurses in improving care transitions Care Transitions Intervention (CTI) Developed by Eric Coleman is a patient-centered 4-week intervention program designed to improve quality of care and contain costs for patients with complex care needs as they transition across care settings. TCM: The nurse acts as the main care manager, who consults with the patient in hospital, at home within 24 hours of discharge, accompanies the patient to post discharge followup visits, and provides weekly home visits and ongoing telephone support for an average of 2 months. The emphasis of TCM is care coordination and continuity of care. Palliative care- for life debilitating diseases and have quality of life but active treatment. Hospice-family involved- 6 mo. or less List the 3 Triple Aim goals. - Better care, better health outcomes, and lower costs. Functional incontinence: unable to get to restroom because of physical or mental conditions. Functional decline: This is a new loss of independence typically associated with decreased mobility & performance of ADLs. -Physical activity promotes optimal aging: walking -Pain is what the patient says it is. -Mourning is cultural and public display of grief through one’s behavior Fraility: Dependency is often described as frailty when there are three or more ADL deficiencies, combined with weakness and chronic exhaustion. To avoid or slow the descent into frailty, exercise is commonly recommended, even for the very old, but there are many other interventions as well. Smoking cessation, alcohol moderation, nutrition, fall and injury prevention, social support, medical screenings, immunizations, sleep hygiene, and medication management are just a few of the other factors to consider. There is plenty that we can control to lower the probability of a dependent life style or frailty or at least to shorten this period of dependency as much as possible. What exercise recommendations would you offer an older adult? Aerobic exercise, 150mins a week. Autonomy- each person has a right to make independent choices and decisions Facilitate autonomy for a patient who lives in a long-term care facility. -Encourage completion of advance directives -Provide patient-centered care -Provide appropriate education and training to patients and their family -Ensure consents and refusals are truly informed -Support and educate patients about their rights -Stay informed of regulatory guidelines and laws related to the elderly -Provide feedback to legislators developing laws that affect the elderly -Know how to assist patients to access resources and navigate insurance and the healthcare system Nonmalfience- Do NO harm ● Hispanic Americans often use folk remedies before traditional Western medicine. o emphasize family interdependence over independence. o self-care is not as important as receiving care in recovery from illness. o first seek the use of homeopathic remedies in conjunction with religious artifacts before engaging a healthcare professional ● Falls are the leading cause of unintentional injury death in older adults in this country. ● Exercise- Walking is one of the most beneficial exercises for older adults in preventing cardiovascular disease and decreasing mortality risk. Wear and tear theory- Cells wear out and cannot function with aging. Medicare: over 65 and some patients with disabilities Medicaid: low income *A fan can relieve dyspnea of a dying patient Isometric exercise- pushing on the wall Isotonic- resistance bands Stroke patient-what communication is best for them. Social security: less money if retire early, 65 Patient dying: wants to hold pain medication- hold until patient wants the medication. Short gut syndrome: Immediately after a patient pass: Smoking: when do you plan to quit? Endocrine: decrease in BMR PA questions that are on the OA *Older women experience bone loss, more susceptible to hip fracture. Raise the toilet seat *Tell vigorous man to go find a new relationship. ..........................................CONTINUED>>>>>>>>>>>>>>>
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475random things to know fo cotoa amp flashcards
