WGU cotoa

autonomy

- each person has a right to make independent choices and decisions

What are the 3 models of transition care?

1. BOOST 2.CTI 3. TCM

Things to consider with pressure ulcer

1. Braden scale 2. Tissue load management, ex. using air matress, turning 3. Nutrition assessment 4. Patient and family education

What assistive device can relieve dyspnea in a dying pt?

A fan

Exercise recommendations for the older adult

Aerobic 150 mins a week

What is respite care?

Allow for caregivers to have time off from caring for their family members.

What are the 3 triple aim goals?

Better care, better health outcomes and lower costs.

What does CTI stand for?

Care Transition Intervention

What is the emphasis of TCM?

Care coordination and continuity of care.

What is mourning?

Cultural and public display of grief through one's behavior.

What is primary intervention for health promotion and disease prevention?

Designed to prevent disease from occurring. Ex. immunizations

senile kyphosis

Development of this condition can be postural often corrected with adherence to exercise strengthening program. Usually underlying condition is the root cause.

What is secondary intervention for health promotion and disease prevention?

Early detection and management of disease. Ex. breast cancer screening

Two most common interventions for healthy aging.

Exercise and nutrition

Things that can prevent a decline into frailty.

Exercise, Smoking cessation, alcohol moderation, nutrition, fall and injury prevention, social support, medical screenings, immunizations, sleep hygiene, and medication management

What is the leading cause of unintentional injury or death in the U.S. in older adults?

Falls

When is hospice used?

For pain management, terminal diagnosis, 6 mo or less to live.

What are some types of assisted devices?

Gait belts, walkers, canes, etc

What are the goals of BOOST?

Includes predischarge and postdischarge interventions: Reduce 30 day hospital readmission rates for older adults Improve pt satisfaction Identify high risk pts to prevent adverse reactions Improve communication between providers and patients Better prepare the pt and family for discharge

What is quality of life?

Independent and autonomy

Passive euthanasia

Indirectly taking the pts life allowing them to die. Ex. Withholding meds or feedings, taking off of oxygen.

What is assessed in a functional assessment?

Instrumental ADLs, Advanced ADLs, and physical performance measures

When is palliative care used?

Life debilitating diseases and have quality of life but want active treatment.

What is the purpose of a Care Transition Intervention?

Patient centered 4 week intervention program designed to improve quality of care and contain costs for pts with complex care needs as they transition across care settings.

What happens when the sweat glands atrophy?

Person is very susceptible to heat, easily over heat. Decrease wound healing process.

What activity promotes optimal aging?

Physical activity

What does BOOST stand for?

The Better Outcome for Older Adults through Safe Transition

What is transitional care management?

The nurse acts as the main care manager who consults with the pt in the hospital, at home within 24 hours of discharge, accompanies the pt to post discharge follow up appts and provides weekly home visits and telephone support for an average of 2 months.

What does TCM stand for?

Transitional care management

What is functional incontinence?

Unable to get to the restroom because of physical or mental conditions.

What is the orthopneic position?

Upright to prevent SOB

Regarding evaluation of pain, pain is......

What the pt says it is

Active euthanasia

When death is brought about by an act. Ex. When a person is killed being given an overdose of painkillers.

presbycusis

age related hearing loss

What is the wear and tear theory?

cells wear out and cannot function with aging

sleep interventions

cognitive behavioral therapy biologic agents- melatonin, valerian root music therapy massage white noise pharmacology

S/s of dysphagia

coughing, sensation of food stuck in throat, excessive salivation, weight loss, pneumonia

Dysphagia

difficulty swallowing

non maleficence

do NO harm intentionally, ex. avoiding negligent care

What vaccine should a person get yearly at age 65?

influenza

Associated problems with dysphagia

malnutrition, dehydration, aspiration

What is tertiary prevention?

management of clinical diseases to prevent them from progressing/avoiding complications.

What is dementia?

permanent decrease in mental capacity

sarcopenia

progressive loss of muscle mass and strength in aging

Dysthymia

prolonged depression > 2years

What intervention can be done with an older woman who experiences bone loss and is more susceptible to hip fracture?

provide a raised toilet seat

What is an example of isometric exercise?

pushing on the wall

What is insomnia?

recurring problems in falling or staying asleep, persistent

What are advanced ADLs?

social and recreational activities

Rule of pharmacologic interventions

start low, go slow

What is a person at risk for if show signs of depression and low self esteem?

suicide

What is an example of isotonic exercise?

using resistance bands

What type of exercise is the most beneficial at reducing the risk of heart disease and decreasing mortality?

walking

cachexia

weakness and wasting of the body due to severe chronic illness

What is frailty?

when there are three or more ADL deficiencies, combined with weakness and chronic exhaustion