NUR 257 Exam 1- Unit 2 with precise detailed solutions || || || || || || || || ||
Most common "Geriatric syndrome" conditions
|| || || ||
- falls and gait abnormalities
|| || || ||
- frailty
||
- delirium
||
- urinary incontinence
|| ||
- sleep disorders
|| ||
- pressure injuries
|| ||
- malnutrition
||
- sarcopenia- loss of muscle strength that can happen when someone gets older and does
|| || || || || || || || || || || || || || ||
less activity ||
The chronic illness trajectory and nursing responses
|| || || || || ||
1. pretrajectory- before the illness course begins, the preventative phase, no signs/symptoms
|| || || || || || || || || || ||
present
||
2. trajectory onset- s/s present, includes diagnostic period
|| || || || || || ||
3. crisis- life threatening situation
|| || || ||
4. acute- active illness/complications that require hospitalization for optimal management
|| || || || || || || || ||
5. stable- controlled illness course/symptoms
|| || || ||
6. unstable- illness course-symptoms not completly controlled by regimen but not
|| || || || || || || || || || ||
requiring/desiring hospitalization ||
7. downward- progressive decline in physical/mental status characterized by increasing
|| || || || || || || || || ||
disability/symptoms
8. dying- active decline in physical/mental status characterized by increasing
|| || || || || || || || || ||
disability/symptoms
Immediate weeks, days, hours preceding death || || || || ||
Characteristics of successful chronic illness management models || || || || || ||
- interdisciplinary team of health care professionals, often led by a nurse
|| || || || || || || || || || ||
- ability to conduct initial and intermitten comprehensive assessments
|| || || || || || || ||
- skill in the development of a comprehensive care plan that is individualized, incorporates
|| || || || || || || || || || || || || ||
evidence based protocols, and is culturally appropriate
|| || || || || ||
- adequate funding to implement the plan over time
|| || || || || || || ||
- actively engages the patient and family caregivers in care
|| || || || || || || || ||
, - proactive monitoring of the pt's clinical status and ability and willingness to modify the
|| || || || || || || || || || || || || || ||
care plan as needed
|| || ||
- success in facilitating transitions across settings
|| || || || || ||
- facilitation of the pt's access to community resources
|| || || || || || || ||
Reducing caregiver stress || ||
- educate yourself about the disease/med condition
|| || || || || ||
- contact appropriate disease-related organization to learn about resources and edu and
|| || || || || || || || || || || ||
support groups to help you adapt to the challenges you encounter
|| || || || || || || || || ||
- find a health care professional who understands the disease
|| || || || || || || || ||
- consult w/ other experts to help plan for the future (legal, financial)
|| || || || || || || || || || || ||
- tap your social resources for assistance
|| || || || || ||
- take time for relaxation and exercise
|| || || || || ||
- use community resources
|| || ||
- maitain your sense of humor
|| || || || ||
- explore religious beliefs and spiritual values
|| || || || || ||
- participate in pleasant, nurturing activites such as reading a good book, taking a warm
|| || || || || || || || || || || || || || ||
bath
- seek supportive counseling when you need it
|| || || || || || ||
- identify and acknowledge your feelings; you have a right to all of them
|| || || || || || || || || || || || ||
- set realistic goals
|| || ||
- attend to your own health care needs
|| || || || || || ||
Prevention of elder mistreatment || || ||
- make professionals aware of potentially abusive situations.
|| || || || || || ||
- help families develop and nurture informal support systems.
|| || || || || || || ||
- link families with support groups.
|| || || || ||
- teach families stress management techniques.
|| || || || ||
- arrange comprehensive care resources.
|| || || ||
- provide counseling for troubled families.
|| || || || ||
- encourage the use of respite care and day care.
|| || || || || || || || ||
- obtain necessary home health care services.
|| || || || || ||
- inform families of resources for meals and transportation.
|| || || || || || || ||
- encourage caregivers to pursue their individual interests.
|| || || || || || ||
Examples of IADL's (Instrumental Activities of Daily Living)
|| || || || || || ||
Most common "Geriatric syndrome" conditions
|| || || ||
- falls and gait abnormalities
|| || || ||
- frailty
||
- delirium
||
- urinary incontinence
|| ||
- sleep disorders
|| ||
- pressure injuries
|| ||
- malnutrition
||
- sarcopenia- loss of muscle strength that can happen when someone gets older and does
|| || || || || || || || || || || || || || ||
less activity ||
The chronic illness trajectory and nursing responses
|| || || || || ||
1. pretrajectory- before the illness course begins, the preventative phase, no signs/symptoms
|| || || || || || || || || || ||
present
||
2. trajectory onset- s/s present, includes diagnostic period
|| || || || || || ||
3. crisis- life threatening situation
|| || || ||
4. acute- active illness/complications that require hospitalization for optimal management
|| || || || || || || || ||
5. stable- controlled illness course/symptoms
|| || || ||
6. unstable- illness course-symptoms not completly controlled by regimen but not
|| || || || || || || || || || ||
requiring/desiring hospitalization ||
7. downward- progressive decline in physical/mental status characterized by increasing
|| || || || || || || || || ||
disability/symptoms
8. dying- active decline in physical/mental status characterized by increasing
|| || || || || || || || || ||
disability/symptoms
Immediate weeks, days, hours preceding death || || || || ||
Characteristics of successful chronic illness management models || || || || || ||
- interdisciplinary team of health care professionals, often led by a nurse
|| || || || || || || || || || ||
- ability to conduct initial and intermitten comprehensive assessments
|| || || || || || || ||
- skill in the development of a comprehensive care plan that is individualized, incorporates
|| || || || || || || || || || || || || ||
evidence based protocols, and is culturally appropriate
|| || || || || ||
- adequate funding to implement the plan over time
|| || || || || || || ||
- actively engages the patient and family caregivers in care
|| || || || || || || || ||
, - proactive monitoring of the pt's clinical status and ability and willingness to modify the
|| || || || || || || || || || || || || || ||
care plan as needed
|| || ||
- success in facilitating transitions across settings
|| || || || || ||
- facilitation of the pt's access to community resources
|| || || || || || || ||
Reducing caregiver stress || ||
- educate yourself about the disease/med condition
|| || || || || ||
- contact appropriate disease-related organization to learn about resources and edu and
|| || || || || || || || || || || ||
support groups to help you adapt to the challenges you encounter
|| || || || || || || || || ||
- find a health care professional who understands the disease
|| || || || || || || || ||
- consult w/ other experts to help plan for the future (legal, financial)
|| || || || || || || || || || || ||
- tap your social resources for assistance
|| || || || || ||
- take time for relaxation and exercise
|| || || || || ||
- use community resources
|| || ||
- maitain your sense of humor
|| || || || ||
- explore religious beliefs and spiritual values
|| || || || || ||
- participate in pleasant, nurturing activites such as reading a good book, taking a warm
|| || || || || || || || || || || || || || ||
bath
- seek supportive counseling when you need it
|| || || || || || ||
- identify and acknowledge your feelings; you have a right to all of them
|| || || || || || || || || || || || ||
- set realistic goals
|| || ||
- attend to your own health care needs
|| || || || || || ||
Prevention of elder mistreatment || || ||
- make professionals aware of potentially abusive situations.
|| || || || || || ||
- help families develop and nurture informal support systems.
|| || || || || || || ||
- link families with support groups.
|| || || || ||
- teach families stress management techniques.
|| || || || ||
- arrange comprehensive care resources.
|| || || ||
- provide counseling for troubled families.
|| || || || ||
- encourage the use of respite care and day care.
|| || || || || || || || ||
- obtain necessary home health care services.
|| || || || || ||
- inform families of resources for meals and transportation.
|| || || || || || || ||
- encourage caregivers to pursue their individual interests.
|| || || || || || ||
Examples of IADL's (Instrumental Activities of Daily Living)
|| || || || || || ||
