NUR 242 Med/Surg Exam 1 Questions and Answers with complete solution

Four Major subgroups of Late Adulthood - 65 - 74 young old 75 - 84 middle old 85 - 99 old old 100 and older elite old 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 Common health Issues and Concerns older adults -Decreased nutrition and hydration Decreased mobility Stress and loss Accidents - falls most common/MVA Drug use and misuseMental health/cognition problems (including substance abuse) Elder neglect and abuse GFTT ( Geriatric Failure To Thrive) Complex Syndrome - Under nutrition Impaired mobility Depression Cognitive impairment 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 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 Delirium older adults - Acute and fluctuating onset results from an unfamiliar place Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness 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 planCommunicate with effectively with all members of the health care team, patient and family Evaluate effectiveness of plan of care for the patient and family Use Braden scale - skin break down risk 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 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