guide Objectives LATEST STUDY GUIDE
Care of the older Adult.
#1 Competency 742.1.1: Compassionate and Respectful Care of Older
Adults
How do you define Baby
Boomers? Born between 1946-1964
What are the five racial groups listed in text?
European Americans, African Americans, Hispanic Americans, Asian Americans,
and Native Americans.
How would you perform discharge teaching to an Hispanic patient?
Involve family
response to disagreement may be silence and non-compliance
How would you perform discharge teaching to a European
American patient?
possibly not as many close family ties
trust in science/medicine
How would you perform discharge teaching to an Asian American
patient? more closer to western, with emphasis on science
health philosophy balance between individual and world
traditional medicine focuses on regaining balance
How would you perform discharge teaching to an African American patient?
NURS C475 Care of the older Adult study
guide Objectives LATEST STUDY GUIDE
,NURS C475 Care of the older Adult study
guide Objectives LATEST STUDY GUIDE
include religion and spirituality, include family, account for distrust of medical
community d/t hx of discrimination
How would you perform discharge teaching to a Native American
patient Natualistic/magic approach
Issues of trust with providers
What is the concept of individualized care?
the standard of practice with older adults, considering the right care, at the right
time, in the right place and by the right provider of care.
NURS C475 Care of the older Adult study
guide Objectives LATEST STUDY GUIDE
,NURS C475 Care of the older Adult study
guide Objectives LATEST STUDY GUIDE
What are some visual changes related to aging?
lens changes in color (more yellow), more opaque, denser, thinner and less flexible
• pupil/iris- does not dilate as fully (more difficult to see in lower light) or
contract as quickly (prob. sudden illumination
What are some communication accommodations that can be made for
visual deficits?
Position objects within visual field
• verbal indications of actions about to impart
• Large print type
• avoiding dim-illumination or glare
What are some hearing changes related to aging?
decreased sensitivity to pitch, with high-pitched consonants lost first (t, p, k, f, s,
and ch)
• Conductive problems - reduction of sound transmission - wave blocked from
outer to inner.
• Sesorinueral - sound wave transmission interrupted from inner ear to
auditory cortex (possible damage to choclea and/or auditory nerve).
What is presbycusis?
Old man's hearing - Presbycusis occurs following loss of hair and supporting cells
and nerve fibers in the cochlea.
What are some communication accommodations that can be made
NURS C475 Care of the older Adult study
guide Objectives LATEST STUDY GUIDE
, NURS C475 Care of the older Adult study
guide Objectives LATEST STUDY GUIDE
for hearing deficits?
Don't shout
• Make use of unimpaired senses
• Stand in front of pt in well-lit room
• Limit background noise
• short sentences, speak clearly
• writing, pictograms, other modes
What are some speech/language changes associated with aging?
↓respirations strength, deeper voice and shaky/breathy
• ↓saliva, teeth, elasticity and muscle tone may change articulation
• cognitive changes may result in fewer words and making more semantic errors
NURS C475 Care of the older Adult study
guide Objectives LATEST STUDY GUIDE