NRS 322 Study Guide - Spring 2018, Comprehensive Midterm Notes - Urinary Incontinence, Time, Syndrome

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NRS 322
MIDTERM EXAM
STUDY GUIDE
Fall 2018
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Elderly population
o We hae pereptio ad attitudes aout age that are’t true.
o We don't want to make assumptions
Hinders making a care plan for that patient
o Be aware of judging people based on how they appear or look based on their age
Ageism
o Do’t ake assumptions of when people may be possibly be retired.
Chronic Illness
o Something they will live with for the rest of their lives
o It will often continue to get worse
o 31 million people will have a chronic illness
o People have to learn how to prevent and manage a crisis
o Carrying out prescribed Treatment Regiment
Decided to do it and follow through with it. It will take time and it will be a change
o Controlling symptoms
How they manage the chronic illness. Takes time
o Reordering Time
How can they preserve their energy
o Adjusting to changes in course of disease
Changes will come as the disease progresses. It may get worse or become more
intense. They are often unpredictable.
o Preventing Social Isolation
People can become more dependent on other people and this can become very
difficult
Very intense depression can occur
o Attempting to normalize interactions with others
People do’t at others to ko they hae a hroi illess
Chronic Illness Trajectory
o How does that illness progress
o There is always a downward progression.
o It starts stable and the something acute happens. You recover hack to where you started
ad the there is a risis. After you reoer fro the risis, you do’t reoer fully. You fro
here start a downward trend.
o This can depend on person, genetics, disease process.
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Demographics
o DON’T NEED TO MEMORIZE. Nie to kos.
Special Older Adult Populations
o Chronically ill older adults
Arthritis, diabetes, heart disease
Older Adult Women
Women live longer than ,man; often live in poverty. Could be a care giver for
someone else
Cognitively impaired older adults
Parkinson's dementia
Rural Older Adults
Barrier to getting healthcare (transportation)
Social Isolation
Finances
How do they get to the healthcare, and get all of the care they need
Homeless Adults
Great increase in mortality and morbidity rates
They do’t hae eough resoures
Fear plays a big role
Frail Older Adults
Nursing Management
o Nursing Assessment
Never assess BP with clothing on.
o SPICES
Used to help remember spsecific things that may be different between adult and
elderly
Sleep: how are they sleeping, sleep disorders, Less REM sleep? Are they getting up
and urinating
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