NRS 322 Study Guide - Spring 2018, Comprehensive Midterm Notes - Urinary Incontinence, Time, Syndrome
NRS 322
MIDTERM EXAM
STUDY GUIDE
Fall 2018
• Elderly population
o We hae pereptio ad attitudes aout 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 at others to ko they hae a hroi illess
• 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
ad the there is a risis. After you reoer fro the risis, you do’t reoer fully. You fro
here start a downward trend.
o This can depend on person, genetics, disease process.
find more resources at oneclass.com
find more resources at oneclass.com
• Demographics
o DON’T NEED TO MEMORIZE. Nie to kos.
• 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 hae eough resoures
▪ 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
find more resources at oneclass.com
find more resources at oneclass.com