C475 – Care of the Older
Adult – ComprehensiveA+
• Compassionate and Respectful Care of Older Adults
• How do the five senses help the older adult interpret various forms of communication?
Hearing- use repeat method, elimate backround noise, ask if volume of voice is approriate for
pt, maintain direct line of vision so pt can see lips, provide time for pt to process and anwser,
summarize, limit amount of spearks talking to the pt.
Vision- maintain eye contact, visuals of teaching such as pictures/graphs. use large easy to read
print for education, make sure glasses are present for pt.
Touch- use touch to maintain attention/comfort
Cognitive processes- include pt, if mentaly impaired have care giver present for education,
summarize, provide written inforamtion, speak at a slower rate, avoid jargen
• Explain how the aging of Baby Boomers has impacted the healthcare system in the
UnitedStates?
Over 75% of baby boomer population have atleast one chronic disease, now that peaople are
living longer this requires use of goverment health assistance such as medicare,medicaid,
socialsecurity and increased demand for nurses in the long term and cute care settings.
Geriatric specialty needs has also increased.
• Describe Miller’s Functional Consequences Theory of Aging?
Environmental and biopsychosocial consequences impact functioning. Nursing’s role is
risk reduction to minimize age-associated disability in order to enhance safety and
qualityof living. Miller’s theory has been used to create an assessment tool for the early
detection of hospitalized elderly Clients experiencing acute confusion.
• List 4 health disparities seen among the African-American population in the
US. Distrustful of the healthcare system, increased cases of heart disease,
htn,stroke,
• Describe effective communication techniques for Clients who have
cognitive impairment?
, Use repeat method/clarification, face pt, have caregiver present, use pts first
language, determine level of compentcies/skills.
• Which teaching preferences are desired by most older adults?
Methods that enable them to keep up with what’s going on in the world,Methods that are
direct, hands-on experiences,Methods that are easy to access, require small investments
of time and money to get started,and allow learning to begin immediately.
• Write two questions you could ask a Clients to screen for spiritual needs.
Do you consider yourself a spiritul person? do you need to see a chaplian? do you
haveany spiritual needs at this time?
• Health Promotion/Maintenance and Living Environments of Older Adults
• How does the heart of an older adult respond to exercise?
With age, the increased heart rate and contractility usually associated with
exercise become less pronounced; however, opposition to blood flow increases.
With these changes, an overall decline in cardiac function and cardiac output is
observed withinitiation of exercise
• Describe how changes in kidney function can contribute to ADRs (adverse drug
reactions).
A decline in GFR becomes significant as people age because elimination of waste
andtoxins declines, causing an accumulation of harmful substances such as uric acid
and medications in the body, causing an increased chance of adr. they cannot
metabolize effictivley.
• Explain “start low and go slow.”
The key phrase in geriatric pharmacy remains “start low and go slow” because of renal
changes that affect pharmacokinetics and pharmacodynamics with age Titration should
be done cautiously, with close monitoring of the older adults response to the
medication.
• What are controllable risk factors for stroke?
Prevention of afib rvr, htn, stress, dm, smoking, high choleterol
• Which lifestyle modifications would you teach a Clients with heart
failure?Reduce stress, low fat diets, low ldl diet, dont smoke, control
htn
• Describe the Mini-Cog tool and how it is utilized.
Screening consists of a three-item recall and a clock-drawing test. Assess language
comprehension, visual—motor skills and executive function
Adult – ComprehensiveA+
• Compassionate and Respectful Care of Older Adults
• How do the five senses help the older adult interpret various forms of communication?
Hearing- use repeat method, elimate backround noise, ask if volume of voice is approriate for
pt, maintain direct line of vision so pt can see lips, provide time for pt to process and anwser,
summarize, limit amount of spearks talking to the pt.
Vision- maintain eye contact, visuals of teaching such as pictures/graphs. use large easy to read
print for education, make sure glasses are present for pt.
Touch- use touch to maintain attention/comfort
Cognitive processes- include pt, if mentaly impaired have care giver present for education,
summarize, provide written inforamtion, speak at a slower rate, avoid jargen
• Explain how the aging of Baby Boomers has impacted the healthcare system in the
UnitedStates?
Over 75% of baby boomer population have atleast one chronic disease, now that peaople are
living longer this requires use of goverment health assistance such as medicare,medicaid,
socialsecurity and increased demand for nurses in the long term and cute care settings.
Geriatric specialty needs has also increased.
• Describe Miller’s Functional Consequences Theory of Aging?
Environmental and biopsychosocial consequences impact functioning. Nursing’s role is
risk reduction to minimize age-associated disability in order to enhance safety and
qualityof living. Miller’s theory has been used to create an assessment tool for the early
detection of hospitalized elderly Clients experiencing acute confusion.
• List 4 health disparities seen among the African-American population in the
US. Distrustful of the healthcare system, increased cases of heart disease,
htn,stroke,
• Describe effective communication techniques for Clients who have
cognitive impairment?
, Use repeat method/clarification, face pt, have caregiver present, use pts first
language, determine level of compentcies/skills.
• Which teaching preferences are desired by most older adults?
Methods that enable them to keep up with what’s going on in the world,Methods that are
direct, hands-on experiences,Methods that are easy to access, require small investments
of time and money to get started,and allow learning to begin immediately.
• Write two questions you could ask a Clients to screen for spiritual needs.
Do you consider yourself a spiritul person? do you need to see a chaplian? do you
haveany spiritual needs at this time?
• Health Promotion/Maintenance and Living Environments of Older Adults
• How does the heart of an older adult respond to exercise?
With age, the increased heart rate and contractility usually associated with
exercise become less pronounced; however, opposition to blood flow increases.
With these changes, an overall decline in cardiac function and cardiac output is
observed withinitiation of exercise
• Describe how changes in kidney function can contribute to ADRs (adverse drug
reactions).
A decline in GFR becomes significant as people age because elimination of waste
andtoxins declines, causing an accumulation of harmful substances such as uric acid
and medications in the body, causing an increased chance of adr. they cannot
metabolize effictivley.
• Explain “start low and go slow.”
The key phrase in geriatric pharmacy remains “start low and go slow” because of renal
changes that affect pharmacokinetics and pharmacodynamics with age Titration should
be done cautiously, with close monitoring of the older adults response to the
medication.
• What are controllable risk factors for stroke?
Prevention of afib rvr, htn, stress, dm, smoking, high choleterol
• Which lifestyle modifications would you teach a Clients with heart
failure?Reduce stress, low fat diets, low ldl diet, dont smoke, control
htn
• Describe the Mini-Cog tool and how it is utilized.
Screening consists of a three-item recall and a clock-drawing test. Assess language
comprehension, visual—motor skills and executive function
