One of the five characteristics of decision-making capacity (ANS-1) is the capacity to express
one's feelings and decision to another. 2) must be able to process information about decisions
related to treatment options
3) able to weigh the risks and benefits as applied to their own situation
4) think about what personal values they hold that impact their decision
5) come to a decision that stays the same over time a primary role of nurses... - ANS-is to help
older adults identify and address the modifiable factors that can lead to diseases, disability, and
death as well as those health-promoting factors that can contribute to a longer and healthier life
Age of eligibility for Medicare (even if homeless): ANS-65 years old Artificial Nutrition and
Hydration (ANS) "The current scientific evidence on which these position statements are based
concludes that ANH advanced dementia is not beneficial (i.e., it does not prolong life or prevent
suffering) and that the burdens associated with treatment outweigh any potential benefits."
Atypical illness presentation: ANS-vague, not present, or altered Example: a shift in cognitive
status biologic aging is... - ANS-the gradual and progressive decline in physiologic functioning
that occurs throughout adulthood and ends in death
cascade iatrogenesis - ANS-a medical procedure/drug causes a bad outcome; linked to
complication
cascade iatrogenesis examples - ANS-pt has surgery and then develops a pressure ulcer
A medication causes an injury to the patient. characteristics of environments of
interprofessional collaboration: - ANS-- the patient and family are always at the center of care
- Members of the healthcare team communicate effectively - The full participation of all parties
is encouraged by a shared decision-making strategy. characteristics of frailty in an older adult -
ANS-- unintended weight loss
- perpetual exhaustion - limited grip strength - slow walking speed
- Insufficient physical activity *Three or more are needed to be considered frail. common
causes of death across populations - ANS-cancer & heart disease
common characteristics of centenarians (people who live long) - ANS-lean/healthy body mass
index, high intake of plant based foods, no hx of smoking, high levels of cognitive functioning,
better than average ability to handle stress, strong social network, family hx of exceptional
longevity
ANS-memory loss, confusion, immobility, weight loss, falls—common symptoms and concerns
associated with serious illness that affect the physiological, psychological, social, and spiritual
domains of quality of life competency vs decision making capability - ANS-competency - ability
to fill one's role and handle one's affair (determined in a court of law)
ability to understand, make, and be accountable for choices (as determined by healthcare
professionals) ANS-- aging is a social process is one of the dominant themes of sociocultural
perspectives on aging. - societies are structured according to age-based roles
- New groups of people move through the population's age structure as a whole. examples of
gerotranscendence - ANS-decrease self-centeredness, less concern with body and material