Gerontology Review

05/22/2013

NO percentages
- Major of this population suffers from Diabetes.
How to put everything together quality of life.
See the topic (highlighted).
Key terms. Key points.
Change normal or abnormal.
Chronicity changes every other system.
I.e. Stroke will affect everything.
How to do care plans.
- No Risk for falls, skin integrity.
- Look over care plan bible.
Gerontology Principles
Enhance quality of life, primary tertiary prevention, myths about
aging, characteristics of centurions
Sarcopenia lose muscle mass.
- Supplements, activities.
- Tufts food pyramid exercise, supplements, water.
- No water for heart failure and kidney disease.
What kind of factors influence a persons risk for dehydration.
- immobility, confusion, dependence, decreased thirst receptors
Improve nutrition
- company, atmosphere, presentation

Cognitive function
- Response is slower, can still learn
Dementia, delirium, and depression
- Loss of function, impaired social skills, agitation (frustrated) Geriatric
Depression Scale.
Sleep aides
Pharmacology
Pharmakinetics and pharmadynamics
Start low and gradually increase
Kidney and liver function.
Lungs metabolic waste and acid base balance
Cardiovascular serum albumin levels are lower.
Mood effect medications - Corticosteroids, Benadryl, opioids.
People see more and more physicians poly pharmacy.
Beers criteria Benadryl and pyridine.
Skin integrity pressure ulcers and baroreceptors.
Skin turgor, elasticity, senile pulpurea, angioedema
Photoaging, carcinoma
Braden scale for pressure ulcers.
Oonchymyosis for nails rigidity
Central focus MD.

Changes in nerve endings decreases touch.

Nursing diagnosis for skin
Impaired sensory perception, related to.
Urinary system
Kidneys process differently when you lie down sleep deprivation and risk
for falls.
Incontinence and atrophic vaginitis for females lack of lubrication.
Types of incontinence
BPH benign prostatic hyperplasia.
Fluid and electrolyte balance, Acid base balance. ABGs by kidneys.
Acute and chronic renal failure we can fix discomfort.
- Kegles, scheduled urination, decreased fluids before bedtime, access
to komode. Cranberry juice, cranberry pills.
Cardiovascular and respiratory.
JNC 7 how to treat hypertension.
Aortic stenosis, valve stiffen (leaks), postural hypotension
Elderly women for undiagnosed MI.
Chew 2 aspirin pills while waiting for emergency group.
Tpa therapy not for GI bleeding, recent surgeries, aneurysms
Statins for lipids benefits of this.
Nitroglycerin for chest pain (total of 3 five minutes apart).
Atrial Fibrillation for dysrhythmia.
Know x-rays and graphs for lungs.

Alveoli increases surface area.

Stiffening of the diaphragm and intercostal muscles.
Cilia loosens its function to clear phlegm.
Tests for lung disease.
COPD with bronchitis and emphysema.
Medications for bronchitis.
How to administer inhaler.
Know about smoking.
Nursing diagnosis ineffective airway clearance (Activity and Exercise).
Musculosketal RA, Osteoporosis, gout
S shaped and lordosis
Calcium and vitamin D, Tylenol, meds
Falls always asses for risk of falls.
Neurological less blood flood to the brain, decrease in size, neurons
decrease. Increased reaction to, decreased sensation of pain higher
threshold. Three Ds. Alzheimers Disease in dementia.
Power of attorney for early stage.
Resistance for care.
Terminal stages of Alzheimers Disease.
Glagscow coma scale.
Pain management.
Grimaces and vitals for pain.
Opioids and non-opioids.
Analgesics side effects nausea, vomiting, pruritus.

Chronic pain treat pain before it starts.

Elder abuse depression, withdrawal, alopecia.
Mandated reporter.
Frailty and comorbidities know pictures.
Different types of care.
Barriers to providing compassionate care family, miscommunication,
religion
Palliative can expand life for a few more days, hospice knows someones
going to die.
Give them morphine at end of life.
Antiemetics, Ambien.
Anorexia.
Advanced Directives.
Know CODES.
Physician assisted suicide.