NSG 501 WEEK 9: SENSORY ALTERATIONS AND OLDER ADULTS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

NSG 501 WEEK 9: SENSORY ALTERATIONS AND OLDER ADULTS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS Trends in aging in US 12% by 2030, 18% by 2050, more ethnically diverse Attitudes/myths towards aging in US don't have sex unattractive/disabled/ill forgetful, confused unable to learn slow, can't hear, can't see elderspeak (honey, dear) gomer (undesirable hospital patient) Aging a progressive, generalized impairment of function resulting in loss of adaptive response to stress and growing risk of age-associated disease Ageism negative attitude/beliefs towards aging/older adults Gerontology study of the aging process Geriatrics the medical care of older adults young-old octogenarian middle-old nonogenerians old-old/frail centenarians special populations in older adults women (live longer), inmates (age faster), LGBTQ+ (HIV), rural (transport), mental health (underrecognized), Foreign-born (multi-generational households), veterans (PTSD, disabilities), cognitively impaired (vulnerable) Nursing considerations with older adults -slower drug metabolism (adjust time to evaluate) -decreased sleep time -dehydration/malnutrition(decreased total body water) -sensory changes (pressure sores) -falls -incontinence -polypharmacy geriatric sensory changes reduced taste, smell, vision, touch (increased daily pain common), hearing reduced 3 D's of acute care with older adults Dementia (progressive) Depression (chronic or abrupt) Delirium (acute) interprofessional teams and older adults very common due to multiple needs by patients age-friendly health system 4Ms create and healthcare system where every older adult gets -best care possible -experiences no healthcare-related harms -satisfaction with healthcare -realizes optimal value 4 Ms model What Matters (patient-specific) Medication (optimize use, reduce burden) Mentation (managing mental health problems) Mobility (maintaining independence) caregivers informal, can include spouses, adult children, neighbors, relatives, and friends unpaid support for them is VITAL caregiver stressors