Exam 1

Discrimination against people because of increasing age.

One of the four major typs of dementia. Most recognized.

Acute confusional state, potentially reversible cognitive impairment due to a physiological cause.

Generalized impairment of intellectual functioning that interferes with social and occupational functioning.

Not normal part of aging. A treatable medical illness.

The branch of medicine dealing with the diagnosis and treatment of diseases and problems affecting older adults.

A seldom-used term, considers the nursing care of older adults to be the art and practice of nursing.

Concerned with assessment of the health and function status of older adults; diagnosis, planning, and implementing health care and services to meet the identified needs; and evaluating the effectiveness of such care.

The study of all aspects of the aging process and its consequences.

Genetically programmed physiological mechanisms within the body control the process of aging.

A communication technique that makes an older adult more aware of time, place, and person.

Recalling the past.

View aging as the result of random cellular damage that occurs over time.

An alternative approach to communication with a confused older adult.

• -We are living longer
• -Baby boomers are starting to "gray"

• -Young Old=65-74
• -Old Old=75-84
• -Oldest Old or Frail Elderly=85+

Diminishes the wellbeing and threatens the independence of older adults.

• -To be old is to be sick
• -You can't teach an old dog new tricks
• -The secret to successful aging is to choose your parents wisely
• -Older people don't pull their own weight

• -Aging as living (adaptation/participation)
• -Aging as education (life-long learning)
• -Aging as art (self expression)
• -Aging as a peak experience (wisdom)
• -Aging as a spiritual journey
• -Aging as a developmental process

• Purpose and meaning in life.
• -Believe prayer assists with healing.
• -Use religious beliefs as a means of coping.

• -Sexual desires diminish with age
• -Mostly due to medication or disease process
• -Sexual intercourse is mainly a younger persons activity for the purpose of procreation
• -Older adults need to touch and be touched.

• Chronic disorder of decreased bone mass that leads to fragility, and incresed risk of fracture, a diminished stature.
• -porous bone
• -bone lost more quickly than replaced.

Smoking, diet lacking calcium, lack of sun exposure (vitamin D), imbalance of sodium or protein, too much caffeine or alcohol, lack of exercise, female sex, norther European or Asian decent, small lean frame, small bones, family history, early menopause, prolonged amenorrhea, decreased estrogen, impaired eyesight, inadequate physical activity, poor health, steriod use.

• 1500mg per day of Calcium
• 15 minutes of sun exposure per day for Vitamin D
• Regular weight bearing exercise
• Hormone replacement therapy
• Prevent falls

Loss of skin elasticity, thinning hair, slower nail growth, decreased cough reflex, decreased vital capacity, fewer alveoli, thickening of blood vessel walls, loss of vessel elasticity, decreased cardiac output, increased systolic bp, decreased peristalsis, decrease neurotransmitters, presbyopia, loss of acuity for high-frequency tones, fewer taste buds

Retirement, social isolation, sexuality, housing and environment, death

Participation in health screenings, regular exercise, weight reduction, lowfat balanced diet, regular dental visits, stop smoking, immunizations

Creativity assessment, spiritual assessment, functional assessment

• Assessment
• Diagnosing
• Planning
• Implementing
• Evaluating

• Data collecting
• -Review clients chart, interview client, physical assessment, validating data, clustering data, facusing data
• *Client always primary source of data

• Subjective- Client tells you
• Objective-signs, what you see
• Secondary-Family tells you

• 1. Health Perception and Management: Delayed growth and devlopment, risk for injury
• 2. Nutritional and Metabolic: Body temp
• 3. Elimination
• 4. Activity and Exercise
• 5. Sleep and Rest
• 6. Cognitive and Perceptual: Comfort, Confusion, thought process
• 7. Self perception: Anxiety, fear, powerlessness, fatigue, hope
• 8. Role and Relationship: Grieving, social, lonliness
• 9. Sexuality and Reproductive
• 10. Coping and Stress Tolerance
• 11. Value and Belief: Moral, spiritual, religion

• Statement of nursing judgement; a condition that nurses are licensed to treat
• Wellness
• Risk
• Actual
• Promotion of Health
• Syndrome: 2 or 3 diagnoses together

• "Related to" factors
• Factors that cause or contribute to problem
• Directs how problem should be managed

• Setting priorities
• Writing goals and outcomes
• Establishing interventions

• -Carrying out plan of care
• -Making independent or dependent interventions

• -Direct care
• -Teaching
• -Counseling
• -Coordination
• -Collaboration
• -Monitoring
• -Health promotion
• -Disease prevention
• -Health maintenance
• -Restoration
• -Rehabilitation
• -Easing transition of dying

• 1. Forming-trust-infancy
• 2. Storming-forming judgements and competition-adolescence
• 3. Norming-trust in the abilities of their peers-early adulthood
• 4. Performing- optimal functioning as a team-maturity
• 5. Transforming- end- transfer learning to the next group

The quality that makes something laughable or amusing

Conscious exclusion of unacceptable desires, thoughts, or memories from the mind

The unconscious exclusion of painful impulses, desires, or fears from the conscious mind

an unconscious defense mechanism characterized by refusal to acknowledge painful realities, thoughts, or feelings

A person's association with or assumption of the qualities, characteristics, or views of another person or group

Unselfish concern for the welfare of others; selflesness

To divert the expression from its primitive form to one that is considered more socially or culturally acceptable

Accepting or submitting without objection or resistance

Inclined to behave in an actively hostile fashion

• Passive listening
• Moves in slow motion when ased to do something
• Purposeful forgetting
• Accidental destruction
• Frequently out of seat

• Clarify-describe the behavior or message
• Articulate-your feelings about the behavior and its effects
• Request-a specific change in behavior
• Encourage- emphasize benefits or changed behavior

Adjustment of living to other living things and environmental conditions

Various physiologic and psychologic mechanisms respond to changes in the internal and external environment to maintain a balanced state

• Mild
• Moderate
• Severe
• Panic