CARE OF OLDER ADULT OBJECTIVE ASSESSMENT WITH VERIFIED SOLUTIONS.

4 health disparities for African Americans? Hypertention, diabetes, cardiovascular disease, cancer Effective communication techniques for pts with cog impairment? Avoid confrontation naming. Use daily factual posting. Use white boards. Calendars. Daily facts/activities How did the baby boomers impact the current healthcare system? People 85 and older are the largest population and will only continue to increase. Reduce chronic disease. Aging pop will contribute to a healthy lifestyle and avoid risky factors Environmental and biopsychosocial consequences impact functioning. Nursings role is risk reduction to minimize age associated disability to enhance safety/quality? Millers functional consequences theory of aging Which teaching preferences are desired by older adults? Easy to access, hands on, nontech, relative to the world, independence, accessible ASAP This model uses an insurance system and is usually financed jointly by employers and employees thru payroll deduction. Unlike US no profit is gained. Doctors and hospitals are usually private. Bismarck Where is the bismarck module used? Germany, France, Belgium, Netherlands, Switzerland, and japan List the 3 triple aim goals? Improve pt experience of care, improve health of population, and reduce cost of healthcare Covers blood, home health services, hospice, inpatient hospital care, and transitional care? Part A medicare Only part of Medicare that does not require premium? Part A Covers MD services, outpatient services, med equipment, mental health, home care, prevention, lab services? Part B Medicare Premium is deducted from Social security, then 20%? Part B medicare Covers prescriptions, deductibles, premiums, and copays? Part D Medicare There's a donut hole? Medicare part D Once a certain amount of money is spent in a year then cost increases until next year? Part D Medicare 7 components of Affordable Care Act? Eliminate limits for services, eliminate insurance companies from rescind coverage, free prevention care, public health fund, affordable, QI, accessible Why is it important for nurses to be familiar with healthcare systems in other countries? Provide info for how to deal with challenges in the growth of the aging pop Risk of hypnotic drugs? Delirium, falls, fractures Assessment for sleep? STOP BANG STOP BANG stands for? Snoring tiredness observed apnea, BMI age neck circumference gender Physiology implication of dysphasia? Malnutrition and resp disorders Psychological and social implications of dysphasia? Eating is no longer enjoyable, loss of self esteem, increased sense of isolation 2 supp for prevention of falls? Calcium and vit D How do natural products cause harm? Increased risk for drug interaction Advantage of brown bag? Clinician can see how many pills are left versus date of next refill 4 common causes of depression? Health decline, mult meds, dead loved ones, moving out of private home 4 ways to manage anxiety? 10 Decrease environment stimuli, stay with pt, make no demands, support copying strategies, do not argue, speak slowly, avoid reciprocal anxiety, reassure pt, reorientation, respect space 7 duties of transitional care nurse? Assess in hospital/ home, educate on self care, manage meds, symptom recognition, scheduling follow ups, transportation How can transitional care prevent readmit to hospital? Ensuring pt and caregiver understand med reconciliation, proper self care, availability of transportation, prevent decline, and symptoms to recognize Factors that lead to poor outcomes in transitional care? Poor education/ communication/ assessment, med discrepancies, lack of follow up care, healthy literacy issues, lack of support systems, cultural barriers What would be on transfer form besides demographics? Assessment, treatments, wounds, current meds, allergies, level of independence, recent diagnostic testing, PCP notes Name the three care transition models? BOOST, CTI, TCM Provides tools to support nurses in improving care transitions? BOOST Developed my Eric Coleman that uses a transition coach to follow pt b4 and after discharge? CTI 4 parts of CTI? Assistance with self-management of meds, Medical records, f/u, s/sx Model that focuses on continuity of care? TCM Roles of nurse in TCM? See pt in hospital/ at home, f/u appointments, weekly visits, monthly calls 4 key components of TCM? Continuity of care at hospital discharge, focus on pt and caregiver understanding of symptoms, management of chronic health issues, med management Improve transition for Medicare pts from hospital to another care setting to save money? Community based care transitions QI program to reduce hospital admissions of nursing home residents? INTERACT