48/6 Correct Answers Nursing assessment tool implemented in
Fraser Health Authority (FHA) acute care institutions since 2012
Screening document covers 6 functional areas for older adults
70+ years, to be done within first 48 h of admission to hospital
6 functional areas are:
-Bowel and bladder management
-Cognitive functioning
-Functional mobility
-Medication management
-Pain management
-Nutrition and hydration
4AT Correct Answers -alterness
- AMT 4: age, date of birth, current year, place
- attention
-acute changes or cluctuation course
6 standards of practice Correct Answers Standard 1. Relational
Care
Standard 2. Ethical Care
Standard 3. Evidence Informed Care
Standard 4. Aesthetic/Artful Care
Standard 5. Safe Care
Standard 6. Socio-Politically Engaged Care
ac Correct Answers before meals
,ACT FRIST Correct Answers 1. Assess patient (vital signs)
2.Inform instructor immediately
3.Medication error report
4.Supervisory nurse informed (with instructor)
5.doctor/ prescriber informed as appropriate
6.Ongoing assessment of patient
acute care for elders Correct Answers units, based on the
underlying premise that older adults have complex and unique
needs that can be addressed by a socially trained
interprofessional team to prevent functional decline during
hospitalization
Administer drug accurately Correct Answers Ten rights, three
checks
Aseptic or sterile techniques
Talk to patient (this is your ____ it is for _____ it may make you
feel _______ if you experience ______ press the call bell and let
us know)
Adult day centres Correct Answers have become a major
community-based resource for the care of dependent older adults
adverse drug events Correct Answers also called adverse drug
reactions or adverse medication effects) are the unintended and
undesired outcomes of a medication that occur in doses
normally used in humans
Age attribution Correct Answers the tendency to attribute
problems to aging process rather than to pathological and
potentially treatable conditions
,age related changes Correct Answers are inherit physiological
process that increase the vulnerability of older people to the
detrimental effects of risk factors
Age related physiological changes that affect the action of
medications in older adults: Correct Answers Decline in renal
function (eGFR)
Hepatic blood flow declines: decrease ability in the liver to
metabolize medicine
Decreased muscle mass and water content
Low serum albumin (protein): higher concentration of
medication left in the blood, higher levels of toxicity and
adverse effects
Altered receptor sensitivity
Ageism Correct Answers The prejudices and stereotypes that
are applied to older people based on age and the negative
attitude toward aging and older people
- in medical care
-in the workplace
-in care homes
-in media
Aging anxiety Correct Answers all ages have a fear and worries
about detrimental effects associated with older adulthood such
, as social losses, financial insecurity, changes in appearance and
declines in health and functioning
aging Correct Answers begins at birth and is defined by persons
meaning and experience
agitation Correct Answers abnormal level of verbal, vocal or
motor activity
Alzheimer's disease Correct Answers accounts for 60% to 80%
of the cases of dementia
alzhiemers Correct Answers -Difficulty remembering events,
spatial cognitive problems, issues with spaces
-Protein plaque on the brain can cause disease
anosognosia Correct Answers which is the diagnostic term for
lack of awareness, is assessed by having the person who is being
evaluated and a family member or caregiver independently
answer questions related to the person's behaviors and daily
activities
antiaging: Correct Answers views aging as a process that can be
stopped and the life span as something that can be extended for
up to 200 years
Anticholinergic effects Correct Answers Anticholinergics are
drugs that block the action of acetylcholine, a neurotransmitter,
or a chemical messenger, that transfers signals between certain
cells to affect how your function works