Acute Care Environment - ✔✔Primary objective is to get the medical condition resolved. The big picture
is important to focus on to incorporate rehabilitative techniques.
Negs of acute care environment - ✔✔lack of quality sleep, med or electrolyte imbalances can cause
confusion, lack of time for staff to assist with ADL's, limited space and privacy, unusual noises and odors,
sensory overload.
Long term care environment - ✔✔required when the older adult needs help meeting everyday needs.
Two categories of residents are found in a long term care facility - ✔✔Short term and long term
skilled nursing facility environment - ✔✔offers subacute care that has a strong rehab focus and a shorter
length of stay
Four most common client care needs (at skilled nursing facilities) - ✔✔physical rehab, stroke rehab,
wound care, and recovery from hip fracture
Home care environment - ✔✔older adult receives care at home from family members or organized
sources such as visiting nurses or home health aides.
The typical caregiver is - ✔✔female and over 65
assisted living - ✔✔separate living quarters, community activity area, and dining room. provides
supervision to relatively independent older adults and some health services
adult day care - ✔✔a setting that provides structured activities during the day much like a child day care.
medical model of adult day care - ✔✔provides health care services along with structured activities during
the day
Page 1/11
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025
, social model of adult day care - ✔✔stresses social activity during structured activities during the day
respite care - ✔✔scheduled stays at a facility to give "time off" to a caregiver
6 services available for those caring for older adults at home - ✔✔respite care, day care, home health,
nutrition programs, senior center, transportation services
home health - ✔✔assistance with ADL's via aide or nursing care via nurses at home
nutrition programs - ✔✔congregate meals or home delivery for a nominal fee, senior centers, meals on
wheels
senior center - ✔✔Gov funded centers that provide recreational activities, lunch, health screening, and
transportation to and from the site
transportation services - ✔✔transportating services for grocery shopping or medical appts
Age related changes - ✔✔absorption, distribution, metabolism, excretion, increased sensitivity, decreased
sensitivity, adverse drug reaction
absorption - ✔✔stomach contents become more alkaline, blood flow to intestines and motility is slowed
leading to slower absorption
NI for absorption - ✔✔always administer meds on time
distribution - ✔✔slower d/t decreased circulation, decreased body water & increased body fat causing a
sustained release and the drug to remain in the body longer. Can cause greater effects or toxicity
NI for distribution - ✔✔Start low with dosage and go slow, checking for toxicity
metabolism - ✔✔occurs in the liver. decrease in liver size and blood flow and functions in the kidney
NI for metabolism - ✔✔A little goes a long way
Page 2/11
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025