Adults II Exam 1
neuro changes (older adult) - ✅✅ --decrease in NT production, more
permeable BBB, dilation of the ventricles
CV system changes (older adult) - ✅✅ --decreased elasticity and
increased stiffness of the arterial walls, loss of conductive tissue,
calcification of valves
palliative care -✅✅ -"relieve suffering and improve the quality of life"
-NOT withdrawal of care
-acceptance of a "new normal"
-able to receive curative tx's if available
-barriers: lack of understanding, denial, silos
hospice care - ✅✅ --6 months or less to live, support clients/caregivers
during terminal portion of illness
-inpatient or home
-symptom management and comfort
end-of-life care -✅✅ -final phase of illness, death is imminent
-can receive hospice and palliative care at this time
-care shifted to physiological and emotional comfort and support
withdrawal of care - ✅✅ -of life supporting measures (dialysis, vent,
vasopressors, etc...)
-usually w meds to sedate, relieve pain, dry secretions, aka help ease
EOL symptoms
manifestations + interventions for delirium - ✅✅ -"confusion, attention
def, fluctuating mental status, altered LOC, disordered thinking"
-quick development
-caused by: infx process, drug reaction, metabolic conditions, lack of
sleep
-most common high acuity disorder
-incr in delirium = incr risk for death (5x risk than those wo)
neuro changes (older adult) - ✅✅ --decrease in NT production, more
permeable BBB, dilation of the ventricles
CV system changes (older adult) - ✅✅ --decreased elasticity and
increased stiffness of the arterial walls, loss of conductive tissue,
calcification of valves
palliative care -✅✅ -"relieve suffering and improve the quality of life"
-NOT withdrawal of care
-acceptance of a "new normal"
-able to receive curative tx's if available
-barriers: lack of understanding, denial, silos
hospice care - ✅✅ --6 months or less to live, support clients/caregivers
during terminal portion of illness
-inpatient or home
-symptom management and comfort
end-of-life care -✅✅ -final phase of illness, death is imminent
-can receive hospice and palliative care at this time
-care shifted to physiological and emotional comfort and support
withdrawal of care - ✅✅ -of life supporting measures (dialysis, vent,
vasopressors, etc...)
-usually w meds to sedate, relieve pain, dry secretions, aka help ease
EOL symptoms
manifestations + interventions for delirium - ✅✅ -"confusion, attention
def, fluctuating mental status, altered LOC, disordered thinking"
-quick development
-caused by: infx process, drug reaction, metabolic conditions, lack of
sleep
-most common high acuity disorder
-incr in delirium = incr risk for death (5x risk than those wo)
