NU 316-Gerontology Exam 3 Study Guide(Complete Study Document)LATEST 2021

Gerontology Exam 3 Study Guide 1. What is the difference between Gerontology and geriatrics? a. Gerontology - study of aging and older adults i. Multidisciplinary ii. Focus: healthy and successful aging iii. Address diversity among older adults and complexity of care b. Geriatrics - subspecialty of internal medicine or family practice that focuses on the medical problems of older people i. Shifted their focus from curing to caring ii. Interventions are based on holistic assessment with emphasis on quality of life 2. What are the 19 competencies that are essential for all nurses who provide care for older adults by the AACN? a. The 19 competencies essential for all nurses who provide care to older adults are: 1. Incorporate professional attitudes, values, and expectations about physical and mental aging 2. Assess barriers for older adults in receiving, understanding, and giving of information 3. Use valid and reliable assessment tools to guide nursing practice 4. Assess the living environment as it relates to the functional, physical, cognitive, psychological, and social needs 5. Intervene to assist older adults and their support network to achieve personal goals 6. Identify actual or potential mistreatment and refer appropriately 7. Implement strategies and use online guidelines to prevent, identify, or manage geriatric syndromes 8. Recognize and respect variations of care, increased complexity, and increased use of healthcare resources 9. Recognize the complex interaction of acute and chronic comorbidities of physical and mental conditions and associated treatments 10. Compare models of care that promote safe, quality physical and mental health care for older adults, such as PACE and NICHE 11. Facilitate ethical, non-coercive decision making by older adults and/or families/caregivers for maintaining everyday living, treatment, initiating advanced directives, and implementing EOL care 12. Promote adherence to the practice of restraint-free care 13. Integrate leadership and communication techniques that foster discussion and reflection on the impact of care 14. Facilitate safe and effective transitions across levels of care for older adults 15. Plan patient centered care with consideration of mental and physical health and well being of formal and informal caregivers 16. Advocate for timely and appropriate palliative and hospice care of older adults with physical and cognitive impairments 17. Implement and monitor strategies to prevent risk and promote quality and safety in the nursing care of older adults 18. Utilize resources and/or programs to promote functional, physical, and mental wellness 19. Integrate relevant theories and concepts included in liberal education into the delivery of patient-centered care. 3. Why do you think fewer prevention and screening are given to older adults rather than other populations? a. screening programs focus on detecting the disease before it has progressed to a serious or fatal stage. One major factor would be chronological age. It is more likely that younger adults would not have a disease that has progressed to a harmful stage than an older adult. Thus, people figure it would be more cost effective to focus screening efforts on the younger population. b. misconceptions that older adults are less responsive to health promotion interventions and that preventive services are less effective after the onset of chronic illness.