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Diet
- 1. Older adults should consume a well balanced diet and daily allowances of nutrients.
- 2. When special diets are indicated, older adults need to learn how to read and interpret the info provided on packaging labels.
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Exercises
- 1. Can help keep the joints flexible, maintain muscle mass, control blood glucose levels and weight, and promote a sense of well being.
- 2. The type, level, and amt of exercise that is most beneficial differs for each person and should be based on physician recommendations.
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Tobacco and Alcohol
- 1. Even the body of an older person can repair damage once smoking is discontinued.
- 2. Cessation may be difficult when smoking has bee na longstanding habit
- 3. Alcohol may be used as a means of coping with depression, sleep disorders, or other problems.
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Physical Exams and Preventive Overall Care
- 1. Older adults should be examined at least once a year by their physicians
- 2. Provides opportunity for physicians to detect problems before they become more serious, monitor and treat chronic conditions, and prevent health problems.
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Dental Exams and Oral Care
- 1. Dental exams should be obtained and inspection of the oral cavity performed on a regular basis. atleast once a year.
- 2. Older adults who wear dentures still need regular oral exams older than 65 account for more than half of the new cases of oral cancer each year
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Maintaining Health Attitudes
Older adults who maintain a positive outlook on life tend to follow a good health practices and remain healthier longer
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Religious Beliefs
Beliefs can promote health maintenance or interfere with good health practices and result in increased health risks.
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Cultural Beliefs
Reliance on home health remedies is common in many cultures
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Knowledge and motivation
plays a key role in maintaining health and promotion safety. essential to make good choices
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Motility
People with limited physical mobility, transportation, or money are like to experience difficulty.
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Perception of Aging
- 1. Perception regarding aging greatly affects a person's motivation and willingness to participate in health maintenance activities.
- 2. Person who feels capable and in control of his or her life is more likely to be willing to change behaviors and to work at maintaining health.
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Impact of Cognitive and Sensory Changes
- 1. Increase the risks for personal neglect or injury.
- 2. Seriously impaired, commonly lack awareness of their own needs
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Impact of Changes Related to Accessibility
Access may be limited by decreased physical mobility.
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Unpaid Caregivers
- 1. are family or friends of the older adult
- 2. primary caregivers provide for most of the day to day needs
- 2. secondary caregivers help with shoppinp, transportation, home maintenance.
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Paid Caregivers
- 1. from highly ethical organization that provides a valuable service to elders
- 2. others are less scrupulous and may even increase risks for a vulnerable person
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Types of Home Services
- 1. Thorough assessment by a trained professional RN or social worker can best determine how much and what type of help needed.
- 2. Best delivered by RNs,LPNs, LVNs, health aides, housekeepers, dieticians and social workers as well as OTs PTs and Speech therapist.
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Nursing Intervention
- 1. Assess the person's ability to resume normal health maintenance practices
- 2. Teach skills required to monitor health status if and when pt returns home
- 3. Consult with social worker or with agencies that can assist with practices
- Home
- 1. Assess the existing health maintenance practices
- 2. Explain and reinforce positive behavior
- 3. Assist in identifying fam or community resources promote health maint.
- 4. Use any appropriate interventions that are used in the institutional setting.
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