Western Governors University - NURS C475 study guide care of old adults.

Western Governors University - NURS C475 study guide care of old adults.-1. Define Baby Boomers. Baby Boomers are aging adults born from . They will reach retirement starting around . 2. List some of the age related changes that can affect communication. • • Reduced vision • Reduced hearing • Impaired cognitive function • Depression • Stress • Chronic illnesses • Dementia 3. Define AAC and the patients that would benefit from it. AAC (Augmentative and Alternative Communication). Refers to all forms of communication that enhance or supplement speech and writing, either, temporarily or permanently. AAC can both enhance (augmentative) and replace (alternative) conventional forms of expression for people who can't communicate through speech, writing, or gestures. 4. What is the most commonly used hearing aid? BTE (Behind the ear). 1 inch long and worn behind the outer ear. A small tube connects with the amplification device behind the ear and delivers amplified sound into the ear canal. The device has an adjustable volume control and is battery powered. 5. Which hearing aid covers the entire range of hearing loss? BTE (Behind the ear) 6. What are the two major types of assistive devices used to improve hearing? Assistive listening devices and hearing aids 7. What are the four major types of assistive listening devices? • • BTE (Behind the ear • OTE (Over the ear) • ITE (in the ear) • ITC (in the canal) • CIC (completely in the canal) Competency #2 Review Questions 1. What are the five A's to tobacco cessation? • Ask about smoking status at each health care visit. • Advise client to quit smoking. • Assess client’s willingness to quit smoking at this time. • Assist client to quit using counseling and pharmacotherapy • Arrange for follow-up within one week of scheduled quit date 2. What are the five R's to tobacco cessation? • Relevance: Ask the client to think about why quitting may be personally relevant for him or her. • Risks of smoking are identified by the client. • Rewards of quitting are identified by the client. • Roadblocks or barriers to quitting are identified by the client. • Repetition of this process at every clinic visit. Most people who successfully quit smoking require multiple attempts. 3. What is the criterion for the pneumococcal vaccine? Pneumococcal vaccine is given once for clients who are 65 years of age or older. There is evidence to support one-time-only revaccination for clients 75 years or older who have not been vaccinated in 5 or more years. 4. In most cases of elder abuse who is the perpetrator? Elder Abuse may include physical, sexual psychological, and financial exploitation, neglect, and violation of rights. Most cases of elder abuse are perpetrated by a family member, and reasons for the abuse include caregiver burnout and stress, financial worries, transgenertional violence and psychopathology in the abuser. Women and dependent elders tend to be the most vulnerable to abuse. 5. In any situation where you suspect abuse, what is the first step? Remove the patient from the abusive situation immediately. 6. For a nursing home resident, how can nursing staff individualize the daily routine? 7. List living options for a patient who has mild-to-moderate dementia. • Long-term Care Facility (a.k.a. nursing home) - provides 24 hr support care to any age who have lost some or all their capacity for self-care due to illness, disability, or dementis • Skilled Nursing Facilities (SNFs) - subacute or transitional care are for those patients requiring more inten