What is the nursing process?
Assessment
Diagnosis
Planning
Implementation
Evaluation
What are the four types of ways to collect
... [Show More] data?
-complete health data base
-episodic or problem-centered database
-follow up database
-emergency data base
What is the difference between subjective and objective data?
-subjective: what the pt says.
-objective: what you observe as the nurse.
What is a normal pulse for geriatric patients?
50-90 bpm
Male Bladder Evaluation
-note frequency, urgency, and nocturia
-polyuria (excessive)
-oliguria (diminished quality)
-dysuria (pain while urinating)
-UTI treatment
What is gout?
-A systemic disease caused by the buildup of uric acid in the blood (hyperuricemia).
-Gout is most common in men; with women it usually occurs after menopause.
What are some prevention methods for preventing gout?
· Stay well-hydrated and reduce alcohol consumption to prevent gout attacks.
· Additional prevention methods include weight reduction and dietary changes.
· Medications can provide some relief from painful gout attacks.
What is heberden's nodes?
Bony overgrowths of distal interphalangeal joints caused by osteoarthritis
inspection of limbic symmetry
o ˜Inspect and palpate neck (cont.)
o Symmetry
o •Head position is centered in midline, and accessory neck muscles should be symmetrical
o •Head should be held erect and still
o ØThyroid gland
•Difficult to palpate; check for enlargement, consistency, symmetry, and presence of nodules
How do you test Cranial Nerve XII?
hypoglossal nerve, by asking person to stick out tongue; should protrude in midline; note any tremor, loss of movement, or deviation to side
Tremor within an aging adult
o Temporal arteries may look twisted and prominent
o In some aging adults, a mild rhythmic tremor of head may be normal
What is ataxia?
-uncoordinated or unsteady gait
-lack of voluntary coordination of muscle movements. Ataxia is a non-specific clinical manifestation implying dysfunction of the parts of the nervous system that coordinate movement, such as the cerebellum.Several possible causes exist for these patterns of neurological dysfunction. --Dystaxia is a mild degree of ataxia.
-Could be because equilibrium is off == can cause unsteady gait
-Smooth, even gait reflects equal leg lengths and functional hip motion
What can make someone's posture worse?
-posture worsens with bed rest.
What is kyphosis?
Humpback in the thoracic area
What does a CV assessment for an older adult consist of?
· May feel dyspnea on exertion (difficulty breathing)
· Common - gradual rise in systolic blood pressure
· Diastolic pressure remains the same
· Some older adult experience orthostatic hypotension - sudden drop in blood pressure when rising to sit or stand
· ˜Aging adult (cont.)
· Hemodynamic changes with aging
· From age 20 to 60 years, systolic blood pressure increases by about 20 mm Hg, and by another 20 mm Hg between ages 60 and 80 years [Show Less]