Medical-Surgical Nursing Concepts ss ss
100% Guarantee passing score of 90% or higher
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1. Four Major subgroups of Late Adulthood: 65 - 74 young old
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75 - 84 middle old
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85 - 99 old old
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100 and older elite old
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2. Lifestyle and Practice to Promote Wellness older adults: Yearly flu
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vaccine pneumococcal vaccine
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Shingles vaccine ss
tetanus and booster every 10 years
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ss wear seat belts
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alcohol in ss
moderation avoid
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smoking smoke
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ss detectors
prevent falls - waxed floors and scattered rugs
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ss medications as prescribed ss ss
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,avoid OTC medications unless primary care phyisican directs
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ss Yearly physicial ss
regular exercise ss
ss socialization
ss reminisce
3. Common health Issues and Concerns older adults: Decreased nutrition
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ss and hydration
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Decreased mobility ss
Stress and loss
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Accidents - falls most common/MVA ss ss ss ss
ss Drug use and misuse
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Mental health/cognition problems (including substance abuse)
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ss Elder neglect and abuse
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4. GFTT ( Geriatric Failure To Thrive) Complex Syndrome: Under
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ss nutrition Impaired mobility ss ss
Depression
ss Cognitive
ss impairment
5. Depression older adults: Most common mental health/behavioral health
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prob- lem among older adults.
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Use Geriatric Depression Scale form
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Mood disorder having cognitive, affective, physical manifestations
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, s s Primary (lack of neurotransmitters)
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Secondary or situational ss ss
6. Dementia older adults: slowly ss ss ss
ss progresses generally chronic ss ss
intellectual impairment ss
Most common Alzheimer's
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Multi-infarct dementia, the second most common resulting from a vascular
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ss disorder
7. Delirium older adults: Acute and fluctuating
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ss onset results from an unfamiliar place
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Symptoms - inattentiveness, disorganized thinking, and altered level of
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ss conscious- ness ss
8. Nurse's role in Rehab: Advocate for the patient and
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ss family Create therapeutic rehab milieu
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provide whole person patient-centered care
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Collaborate with healthcare team for patient outcome and develop care plan
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ss Communicate with effectively with all members of the health care team, patient
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ss and family
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Evaluate effe ctivene ss of plan of care for the patient and
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ss family Use Braden scale - skin break down risk
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9. Safe Patient Handing and Mobility (SPHM): -Maintain a wide, stable base
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ss with your feet
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