Surgical Nursing Concepts 2026 update
1. Four Major subgroups of Late Adulthood: 65 - 74 young
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old 75 - 84 middle old
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85 - 99 old old
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100 and older elite old
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2. Lifestyle and Practice to Promote Wellness older adults: Yearly flu vaccine
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n, pneumococcal vaccine n,
Shingles vaccine n,
tetanus and booster every 10 years wear
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n, seat belts n,
alcohol in n,
n, moderation
avoid
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,smoking smoke n,
detectors
prevent falls - waxed floors and scattered rugs
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n, medications as prescribed n, n,
avoid OTC medications unless primary care phyisican directs
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n, Yearly physicial n,
regular exercise n,
socialization
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reminisce
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3. Common health Issues and Concerns older adults: Decreased nutrition
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and hydration
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Decreased mobility n,
n, Stress and loss
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Accidents - falls most common/MVA n, n, n, n,
n, Drug use and misuse
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Mental health/cognition problems (including substance abuse)
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n, Elder neglect and abuse
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4. GFTT ( Geriatric Failure ToThrive) Complex Syndrome: Under nutrition
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n, Impaired mobility n,
Depression
,Cognitive
impairment
5. Depression older adults: Most common mental health/behavioral health
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prob- lem among older adults.
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Use Geriatric Depression Scale form
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Mood disorder having cognitive, affective, physical manifestations
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n, Primary (lack of neurotransmitters)
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Secondary or situational n, n,
6. Dementia older adults: slowly progresses
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n, generally chronic n,
intellectual impairment n,
n, Most common
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Alzheimer's
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Multi-infarct dementia, the second most common resulting from a vascular
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n, disorder
7. Delirium older adults: Acute and fluctuating
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n, onset results from an unfamiliar place
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Symptoms - inattentiveness, disorganized thinking, and altered level of conscious-
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n, ness
, 8. Nurse's role in Rehab: Advocate for the patient and family
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