FAU-Chronic Care Adult and Aging Exam 1 Questions and Answers Fully Solved 100%

Acquired Disability - Occur as a result of: -An acute and sudden injury -Acute nontraumatic disorders -Progression of a chronic disorder Americans with Disabilities Act of 1990 Definition of Disability - Physical or mental impairment that substantially limits one or more major life activities -Record of, or regarded as, having such an impairment Beta Blocker Contraindications - -Bronchial Asthma -Allergic Rhinitis -Right ventricular failure from pulmonary hypertension -Heart failure -Depression -Diabetes-Dyslipidemia -Heart Block -Peripheral vascular disease -Heart rate <60bpm Beta Blocker Nursing Care - -Mental depression manifested by insomnia, lassitude, weakness, and fatigue -Avoid sudden discontinuation -Lightheadedness and occasional nausea, vomiting, and epigastric distress -Check heart rate before giving! -Inform that might cause sexual dysfunction and that other medications are available if problems with sexual function or satisfaction occur *Elderly at increased risk for toxicity with decreased renal and liver function so take BP in 3 positions and observe for hypotension* Beta Blockers - -Atenolol (Tenormin) -Betaxolol (Kerlone) -Bisoprolol (Zebeta) -Metoprolol (Lopressor) -Nadolol (Corgard) -Propranolol (Inderal) -Timolol (Blocadren)Reduce pulse rate in patients with tachycardia and blood pressure elevation -Indicated for patients who also have stable angina pectoris and silent ischemia *You can continue beta blockers before surgery but NOT ACE inhibitors* Categories of Disability - Developmental Acquired Age-Associated Chronic Care - Consists of carrying out the lifestyle changes and regiment designed to control symptoms and prevent complications Chronic Conditions - -Medical conditions or health problems with associated symptoms that require long-term (3 months or longer) management -Irreversible -Have prolonged course -Unlikely to resolve spontaneously Chronic Illness - -The experience of living with a chronic disease or condition -The individual's perception of the experience -The individual's and others' responses to the chronic disease or conditionComeback - Gradual recovery after an acute period and learning to live with or overcome disabilities and return to an acceptable way of life within the limitations imposed by the chronic condition or disability Involves: -Physical healing -limitations stretching through rehabilitative procedures -Psychosocial coming-to-terms -Biographical reengagement with adjustments in everyday life activities Developmental Disabilities - Those that occur any time from birth to 22 yrs Result in impairment of : -Physical or mental health -Cognition -Speech -Language -Self-care Ex. Spina bifida, cerebral palsy, Down Syndrome, muscular dystrophy Many are genetic in origin or occur from birth trauma or severe illness or injury at a very young age Diastolic Pressure - the pressure on the arteries between heart beats and when the heart is filling up with blood and o2 Disability - Restriction or lack of ability to perform an activity in a normal manner-The consequences of impairment in terms of an individual's functional performance and activity -Represent disturbances at the level of the person: bathing dressing communication walking grooming *Not all disabilities are the result of chronic illness and not all chronic illnesses cause disability* Disabled - People with chronic conditions think of themselves as disabled only when complications develop or the symptoms interfere with ADLs False Blood Pressure Readings - -Small cuff will give a false high reading -Too large of a cuff will give a false low reading The most practical way to quickly and properly size a BP cuff is to pick a cuff that covers two-thirds of the distance between your patient's elbow and shoulder. -Should be sitting upright with limb at mid-heart level Focus of Chronic Condition Management - -Prevention -Lifestyle changes -Health promotion and maintenance -managing symptoms -Avoiding complications and acute illness-Maintaining functional status