Mini-Cog
This consists of 3-item recall and Clock-Drawing Test (CDT). and assists nurses with early assessment of cognitive problems problems like
... [Show More] language comprehension, visual-motor skills and executive function, and recall in a less stressful way as it can be done in 5 minutes or less.
Confusion Assessment Method (CAM)
This tool helps the nurse quickly identify delirium.
Nurses
Who are in key positions to provide disease prevention health promotion, promote positive aging, and assist the growing older population in end-of-life decision making?
active listening
what is identified as the key to meeting patient needs?
honesty, openness, and trust
When what three things are present are patients more likely to ask question if they don't understand what is being said?
True
True or False: Gerontological nursing is a specialty
Prehypertension, life style changes
What is a systolic BP between 120 and 139 or a diastolic BP between 80 and 89 on multiple readings and what do you recommend?
treatment
what should be initiated to lower systolic BP if ≥150 mm Hg or diastolic BP if ≥90 mm Hg
Diuretics
Decrease water and salt retention example: Furosemide (Lasix) helps in tx of HTN and HF
Beta Blockers
Lower cardiac output and heart rate example: Atenolol (Tenormin)
helps in tx of HTN and HF
ACE inhibitors
Block hormone that causes artery constriction example: Captopril (Capoten) helps in tx of HTN and HF
Central Alpha Agonists
Block constriction of vessels example: Clonidine (Catapres) helps in tx of HTN and HF
Calcium Channel Blockers
Block constriction of vessel example: Clonidine (Catapres) helps in tx of HTN and HF
Angiotensin II Receptor Blockers
Relax blood vessels by blocking angiotensin II example: Irbesartan (Avapro) helps in tx of HTN and HF
vasodilators
Relax the walls of the arteries example: Hydralazine (Apresoline) helps in tx of HTN and HF
Digitalis
Strengthens and slows the heart example: Digoxin (Lanoxin) helps in HF
Potassium
Helps control heart rhythm example:
K-Dur, K-Tab helps in HF
blood thinners
Prevent clots example: Warfarin (Coumadin); Heparin helps in HF
False
True of False: Digoxin, K-dur, K-tab, warfarin, heparin are used for HTN.
Florence Nightingale
who was truly the first gerontological nurse?
dyspnea, dizziness, or confusion
Older adults with angina first complain of what instead of chest pain?
ageism
negative attitudes toward aging or older adults
young old
ages 65-74
middle old
age 75-84
old old (frail elderly)
age 85 and up
Braden scale
This tool assesses sensory perception, moisture, activity, mobility, nutrition & friction which helps to determine pressure ulcer risk
Beer's List
Developed with the aim of improving the safety of medicines among older persons. It identifies drugs to avoid in older adults (potentially inappropriate medications "PIMs") independent of diagnosis and considering diagnosis, to reduce adverse drug reactions (ADRs), and improve medication selection and use in older adults
reduced diastolic function
Enlargement of heart chambers, increased thickening of heart walls (especially in the left ventricle) which causes a decline in ventricle flexibility, and a decline in the number of myocardial cells with enlargement of remain cells all contribute to what in the older adult?
CMP (complete metabolic panel; chem 14)
monitors kidney and liver function, glucose, calcium, protein levels, and electrolyte and fluid balance
Hypertension Pathophysiology
With age, large arteries begin to dilate and stiffen, leading to what? [Show Less]