Exam 1: NUR257/ NUR 257 (New 2024/ 2025 Update) Aging and Chronic Illness in Nursing |Complete Guide with Questions and Verified Answers| 100% Correct| A
... [Show More] Grade - Galen
QUESTION
How to communicate with elderly
Answer:
Speak in a normal tone and clearly to them. Face to face
No need to over enunciate your words. Properly enunciate
Don't be overly loud, or talking in a baby voice
QUESTION
Promoting compliance/adherence
Answer:
Be certain that instructions are under- standable and support patient goals.
Educate about medication compliance, importance of follow up appointments and education concerning treatment
Ex: some medications put should be instructed to rise slowly when sitting up or standing to prevent Orthostatic hypotension
QUESTION
The LEARN model
Answer:
Listen carefully to what the person is saying and observes cues to meaning. Attend to the words + nonverbal communication + meaning behind the stories
Explain your hypotheses and priorities
Acknowledge and discuss both the similarities and the differences between your hypotheses, priorities + desirable outcome
Recommend a plan of action that takes both perspectives into account
Negotiate strategies and an action plan that is mutually acceptable
QUESTION
Skin and nails
Answer:
Epidermis
Reduced number of melanocytes - Risk for skin cancer
Thinning - Bruises more easily and blood vessels more fragile, tears more easily
Increased healing time!
Dermis
Reduced thickness - Pallor, less ability to withstand cool temps
Reduced elastin - Sagging, Increased risk of injury
Hypodermis
Thinning - Reduced ability to modulate environmental temp
Reduced sebum production- Reduced ability to produce vitamin C when skin is exposed to sunlight
Nails
Thickening of nails - Increased risk of fungal infections
Fingernails and toes nails become harder and thicker
QUESTION
Common but NOT normal aspects of skin aging
Answer:
Skin tears, purpura (large purple spots) and xerosis (excessive dryness)
QUESTION
Hair
Answer:
All people's hair (men and women) have lighter, thinner and less hair as they get older.
Older women develop chin hair d/t decreased estrogen to testosterone level ratio
Leg, axially + public hair lessens or disappears
QUESTION
SPICES (Older Adult Assessment)
Answer:
S - Sleep disorders
P- Problems with eating or feeding
I- Incontinence
C - Confusion
E- Evidence of falls
S - Skin breakdown
QUESTION
Musculoskeletal changes
Answer:
Dryer ligaments, tendons and joints - Reduced
Flexibility
Reduced Muscle Mass - Reduced Strength
Reduced bone mineral - INCREASED RISK FOR FRACTURES, SPONTANEOUS AND TRAUMATIC
Reduced body water - INCREASED RISK FOR DEHYDRATION
None of the changes are life threatening but can affect a persons ability to function and quality of life
QUESTION
Cardiovascular
Answer:
The size of the heart remains unchanged but the walls thicken and the shape changes somewhat
Stiffening and thickening of the heart tissue - decreased ability to respond to the need for increased circulation/oxygen.
Takes heart a longer time to return to resting state after something stressful
Decreased elasticity of the arterial walls - increased risk for hypertension and reduced blood flow to some organs (decreased perfusion) [Show Less]