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"Baby boomers" born between 1946 - 1964 account for approximately how much
of Canada's population?
one-thirds (1/3)
Gerontological Nursing
Offers creative approaches for maximizing the potential of older people
What is a purpose of assessment for older adults
To identify physiological or functional changes
Why is it important to assess older adults?
To recognize changes early and plan care to prevent unnecessary complications
What to remember when assessing an older client?
- Do not rush
- Ensure lots of rest periods during the physical exam
- Be thorough and careful with communication
- Think about some of the things you can do to gain your client's attention
What do you need to think about while assessing an older client?
- Differentiating age-related changes from true pathology (quite challenging)
- Multiple chronic conditions and atypical signs & symptoms of problems.
- They may mistake a health problem for a normal part of aging
- They are more likely to develop cognitive problems when experiencing acute and
chronic illnesses
What can affect the gathering of data during assessment?
Sensory changes like visual and hearing
Components of a Holistic Nursing assessment
- General Appearance, Oxygenation, Circulation, Neurosensory, Nutrition, Elimination,
Mobility, rest & sleep, Protection, Psychosocial, Sexuality
Critical Thinking
Nurses need to be aware and recognize EARLY signs and symptoms of acute illness
Critical thinking - [Mental Status Changes]
Physiological changes, drug toxicity, UTI, adverse reactions to meds
Critical thinking - [Falls]
Environmental issues, new illness
Critical thinking - [Dehydration]
Common d/t (due to) decreased thirst response
Critical Thinking - [Decreased Appetite]
Common with onset of pneumonia, heart failure, UTI
Critical thinking- [Loss of functional ability]
This can be both sudden and progressive: thyroid disease, infection, metabolic, anemia
Malnutrition from Elderly
- Unbalanced diet
- Insufficient Intake
- Risk for nutritional deficiencies increases with age
Factors Affecting Nutrition