WGU C475 WITH 100% CORRECT ANSWERS 2024

Active euthanasia Actively kills patient; A person directly and voluntarily causes patient's death; example: giving an overdose with painkillers such as morphine or phenobarbital Passive euthanasia Indirectly takes patient's life; allows individual to die; withholding meds or feedings, taking off O2 Senile kyphosis Occurs with advancing of age; development can be postural, often corrected with adherence to an exercise and strengthening program; usually an underlying condition is root cause of the deformity atrophy of the sweat glands (in advanced age) Very susceptible to heat or cold; lack of glands causes to easily overheat; can cause decreased wound healing process Respite care For caregivers; allows caregivers time from caring for their family members Quality of Life (QOL) autonomy and independence 3 models of transition care BOOST, CTI, TCM The Better Outcomes for Older Adults through Safe Transitions (BOOST) Includes pre-discharge and post-discharge interventions to lower 30-day hospital readmission rates of older adults; ID high-risk patients for adverse events; prepare patient & family for discharge; better communication between providers & patients Transitional Care Model (TCM) Nurse acts as the main case manager-consults with the patient to post-discharge follow-up visits such as weekly home visits & ongoing telephone support for an average of 2 months; emphasis: care coordination & continuity of care Care Transitions Intervention (CTI) Eric Coleman; 4-week program - improve quality of care & contain costs for patients with complex care needs as they transition across care settings. 4 pillars: 1) Assistance with self-management of meds 2) patient-centered medical record kept by the patient 3) timely follow-up with primary physician or specialist 4) list of S/Sx - worsening of condition Uses a Transitions Coach: follows the patient pre- & post-discharge from hospital Triple Aim Goals Better care, better health outcomes, lower costs Functional incontinence urine loss caused by the inability to reach the toilet because of environmental barriers, physical limitations, loss of memory, or disorientation Functional decline Decreased ability to independently perform activities of daily living, such as dressing, bathing, shopping, and bill paying.; associated with decreased mobility Autonomy The right to make independent choices and decisions Nonmalificence (ethical principle) duty to do no harm Falls leading cause of accidental injury or death in older adults Wear and tear theory cells wear out and cannot function with aging Medicare A federal program of health insurance for persons 65 years of age and older Medicaid Health insurancr for low-income individuals/families Isometric Exercise Examples Quad sets/ham sets; Wall push-ups; Gluteus squeezes, Plank, Wall Sit, Glute Bridge & Hollow Body Hold (Ball squeezes between legs) isotonic exercises Bicep Curls, Bench Press, Sumo Squats & Low Row. Dementia Permanent decrease, chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning. 15 to 20 cases Standard case load for Transitional Care Nurse Engagement with others One of the elements of psychosocial well-being for an older adult Psychosocial Well-Being (60+) Integrity vs. Despair - Sense of satisfaction, acceptance with oneself & station in life vs despair/anger - Goal: to be SATISFIED - HL= loss of independence - time of role reversal for kids & their elderly parents - Difficulty with daily tasks vs. personal dignity - Possible that a well-meaning child can overmanage their parent Engagement with others Part of psychosocial well-being for an older adult orthopneic position relieved by sitting or standing erect; orthopneic position: sitting and leaning forward, to facilitate breathing; upright to prevent shortness of breath Gait belt(s) A type of assistive device Restraints mortality is increased with these devices; Death, increase falls, injure self, bed rails, mitts, seatbelts in wheelchairs Transitional Care Med record is correct; Can they access meds and understand when to call doctor?; Electronic records, everything being sent to receiving facility without delays Hospice a home providing care for the sick, especially the terminally ill; Family involved, 6 months or less Physical activity Promotes optimal aging; walking