Week 1 Geri

The greatest increase in aging by group percentage is occurring among those A. 60 and older B. 65 and older C. 75 and older D. 85 and older

A

What are the 5 R's?

Right service Right setting Right provider Right time Right cost

Who qualifies for Medicare?

1. people age 65 or older 2. People under age 65 with disabilities 3. People of all ages with End- Stage Renal Disease

Young-old

65-74

Middle old age

75-84

Old-Old

85+

Home care can best be defined as care provided by a A. Formal caregiver withing a clients home B. Home health care agency C. Hospice Agency D. Visiting Nurse Association

??

What does Medicare not cover? (Select all) A. ADL assistance B. infection C.Catheter D. Colostomy care

A,C,D

The transitional care nurse is someone who? A. Plans for patients needs only B. Can increase the revenue in the hospitals they work at C. Helps patient sand families in transition from one level of care to another useing clinical pathways, technology, and communication between facilities D. Writes extensive care palns for the family

C

Focus on medical needs of client A. Acute phase B. Transitional C. Continuing

Acute Phases

stereotyping of older adults

Ageism

Acute care needs decreased, client/family involvement planning future care A. Acute B. Transitional C. Continuing

B

The home health nurse is visiting a client for the first time. While assessing the client's medication history, it is noted that there are 19 prescriptions and several over-the-counter medications that the client has been taking. Which intervention should the nurse do first? A. Check for medication interactions B. Determine whether there are medication duplications. C. Call the prescribing health care provider and report that the patient is on too many medications. D. Determine whether a family member supervises medication administration.

B

Which role of the home helath nurse is often considered the basis for care? A. Coordinator B. Educator C. Advocate D. Case Manager

B

Age 72- 54 *Born when WWII ended * Great variation in life experiences among this group * Better access to medication and treatment * Immunizations standard of care * Live longer with chronic disease

Baby Boomers

outward expression of individual genetic makeup

Biological aging

Client plans and implements care A. Acute B. Transitoinal C. Continuing

C

The nurse is evaluating a client's environment at home. Which of the following observations in the home would require further demonstration and education with the client? • A. Medications in a daily planner box and a list of all of his home medications. • B. A small night light in the hallway as well as an overhead light. • C. A small throw rug in the living room to cover an exposed extension cord. • D. A small pantry with a variety of non-perishable foods.

C

Specialty in field, focused on specific populations

Care Management

Works one on one with family

Case Manager

* Age: 100-109 yrs old * Experienced Great Depression and small pox *Age group is rising fast * genetic markers are not activated until later

Centenarians

Varies around the world but generally around 50-65

Chronological aging

Process throught which a client's ongoing health care needs are assessed planned for, coordinated and met

Continuity of care

Gerontological nurses can shape the world of person where they can thrive and grow old, not merely survive by utilizing which of the following wellness-based strategies? A. Minimize limitations B. Facilitate adaptation C. Maximize strengths D. All of the above

D

The home care nurse opens the case of an elderly woman who has been discharged to home with the diagnosis of syncope. During the initial visit, one of the primary goals is to: A. Instruct the client to call a neighbor for any emergency. B. Pick up the client's prescriptions at the local pharmacy. C. Make the client a sandwich if she is hungry. D. Assess the home for safety hazards

D

Can be done by Social Worker or Nurse, What needs to be done for pt. to leave, Starts on Admission

Discharge Planning

Learning about older adults

Gerontolgical

Study of older adults

Gerontology

Done by Care management, Case Manager and Discharge Planning

Referral Process

* Live to at least 110 yrs of age * There are 200-300 worldwide, 60 in the US * Survived outbreaks and pandemic disease * They are rare and unpredictable

Super-Centernarians

* Age: 73-99 yrs old * Holocaust survivors *Civil rights movement *Assassination of President Kennedy *Cold war * Part of the depression *Polio epidemic *Greatest ethnicity is Hispanics

Those In-Between

A set of actions designed to ensure coordination and continuity of care

Transitional Care