Exam 1 Advanced MedSurg Questions and Responses
What are the 5 recommendations for planning care of the older adults Conduct advanced health planning to make decisions related to care Consider increased risk for adverse complications. View as an "at risk" population. Assess for functional and cognitive status, pain, and geriatric syndromes. Allow access to hospital system-based model of care. What are the characteristics for the increased risk for adverse complications in the elderly Medications Polypharmacy (more than 3 meds) Nonadherence Medication errors (more negative outcomes in older people) Geriatric syndromes Immobility Instability Cognitive impairment Incontinence Pressure sores Falls What are the charcteristics of frailty Symptoms Unintentional weight loss Exhaustion Slow walking speed Grip weakness Low physical activity Interventions Resistance exercises (helps muscle strength) Nutrition supplementation What are atypical presentations A handful of signs or symptoms that occur outside of the expected signs and symptoms of a particular disease vague presentation of illness altered presentation of illness non-presentation of illness Good assessment is essential! What are the hallmark signs of atypical presentations (2 big clues for elderly) Pain Behavior change
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