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NURS 2518 Midterm Exam Study Guide.
Risk factors - answer✔conditions that increase the risk of the older adult to negative health outcomes
Geriatric syndromes - answer✔health states that tend to occur only in later life that do not fall into
discrete disease categories
Functional ability - answer✔the cognitive, social, physical and emotional abilities to carry out the normal
activities of life
Function - answer✔the neutral or positive interaction between a persons health and the performance of
social and physical activities
Disability - answer✔the negative aspects of the persons health, social and environmental condition that
is determining the performance of the individual
Impairment - answer✔physical abnormality that underlies the limitation of disability
Frailty - answer✔a condition in which the body has few reserves and any change cause cause health
problems
Symptoms of frailty - answer✔unintentional weight loss, weakness, exhaustion, slowness and low levels
of physical activity
Shifting perspective model of chronic illness - answer✔wellness in the foreground, moving in the
direction of wellness (instead of away from illness)
ADLs - answer✔eating, toileting, ambulation, bathing, dressing and grooming
IADLs - answer✔cleaning, yard work, shopping, managing money, taking medications
Katz index - answer✔ranks ADL skills has independent, assistive or dependent
Barthel index - answer✔more specific description of type of assistance needed with ADLs
Functional independence measure - answer✔measures mobility, cognition, social functioning and ADLs
Minimum data set (MDS) - answer✔completed for 14 days after resident admission into PCH and ranks
as independent, set up assistance, supervision, limited assistance, 1-2 person assist, 1-2 person
dependence
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11/8/2024 12:08 PM
Ageism - answer✔the prejudices and stereotypes that are applied to older people bases on their age
Personhood - answer✔a standing or status that is put upon one person, by others, in the context of
relationship and social being
Kitwoods holistic model of the person living with dementia - answer✔peoples abilities are as much
related to their environment than the abilities of their brain
Pillars of Kitwoods holistic model of the person with dementia - answer✔Neurological impairment,
health & physical fitness, life history, personality, social psychology
Excess disability - answer✔patient losing ability to do ADLs because they stop doing them
Problem focused coping - answer✔actions are meant to eliminate or reduce the underlying cause of the
stress
Emotional focused coping - answer✔actions are meant to control the stress response
Meaning focused coping - answer✔actions look for ways to modify a response through talking or
reflecting
Life course theory - answer✔the stressor experienced by the older adult is a result of the times they
have lived in and the situations/experiences they encounter
Gerotranscendence theory - answer✔indicates that people in their later life appraise life's stress
differently and value what they have (satisfied with their life)
Pharmacokinetics - answer✔what the body does with drug once administered (ADME)
Polypharmacy - answer✔use of more medications then clinically indicated (chronic use of 5 of more)
Risks of polypharmacy - answer✔increased risk for medication interaction, adverse drug reaction, or
misuse of medication
Anticholinergic syndrome - answer✔occurs when a person takes too many medications that block
acetylcholine and can cause cognitive impairment, acceleration of neurogenerative process, and
confusion symptoms
Comprehensive medication assessment - answer✔"brown bag assessment", medical assessment, match
medical diagnoses to prescribed medications and review need for current medication
Beers criteria - answer✔A list of medications that are generally considered inappropriate when given to
elderly people
Neuroplasticity - answer✔ability for the brain to adapt to the needs of the environment
Cognitive reserve - answer✔the ability of the brain to build and maintain new neurons and the
connections between them