3 reasons people are living longer
Annual immunizations
Better sanitation
More access to quality healthcare
3 different types of ages?
Social
... [Show More] age, biological age, and chronological
Social age - social norms. Are you drinking age? Driving? Retirement? etc.
Biological age - Expression of the declining functional capacity. Like you could be 20 but because of how you live biologically be 30
Chronological age - measurement from birth time
What is primary prevention?
Strategies that can and are used to prevent illness before it occurs
Examples of primary intervention?
Vaccination is the number one example of primary intervention
Education (like to stop smoking), stress management (yoga, breathing, mindfulness), social engagement (friendship)
What is secondary prevention?
Early detection of a disease or health problem that has already developed
Examples of secondary prevention?
health screenings (diabetes, high blood pressure, self examinations, colonoscopy, skin screenings etc. etc.)
What is tertiary prevention?
Promoting wellness to the extent possible in the presence of an active health challenge.
We tryna get them as healthy as they can be
Example of tertiary prevention?
Rehab, dietary education for a diabetic
What is NICHE?
Goal?
Nurses Improving Care for Healthsystem Elders
The goal of NICHE is to improve outcomes for hospitalized older adults.
Prevention of iatrogenic complications (unintentional errors caused by medical treatment)
What are examples of iatrogenic complications for an older adult?
malnutrition and pressure ulcers
What's the number one reason patients and family members become agitated?
They feel like they're not being listened to
What is a common communication technique in Native American cultures?
Pausing after someone finishes a question to consider what they're going to say
Oral temperature norms for an older adult are
What does this mean in practice?
LOWER
95 F to 97 F (35 C - 36.1 C)
A low grade fever could be as low as 99 F and could still signify serious illness
To determine illness, we should carefully watch for
new onset of confusion
What's a common cause of death for the older adult?
Sepsis caused by UTIs
What vitamin helps with pernicious anemia?
Untreated pernicious anemia could lead to...
B12
Depression
Do environmental allergies stay the same as we age?
Nah, they get worse
What is Fulmer SPICES?
Fulmer SPICES is an efficient and effective instrument for obtaining the information necessary to prevent health alterations in the older adult patient. SPICES is an acronym for the common syndromes of the elderly requiring nursing intervention:
S is for Sleep Disorders
P is for Problems with Eating or Feeding
I is for Incontinence
C is for Confusion
E is for Evidence of Falls
S is for Skin Breakdown
What are the parts of the mini-cog mental status assessment?
A score below ___ is validation for dementia
Three-word registration (0)
Clock drawing (2)
Three-world recall (3)
score below 3
On the mini-cog what are we looking at for three word registration?
Immediate and remote recall
Immediate - three words repeated immediately. They should be able to repeat at least 2 out of 3
Remote - You ask them the words again 5 minutes later.
For remote recall how many words do they need to remember for max score?
Clock drawing for the mini cog. Tell me stuff.
They might get all the numbers shoved to one side or be pretty accurate.
That's just one part.
The other part is having them draw the hands of the clock and telling them to make it a specific time
What tool do we use to assess for depression in older adults?
What doesn't it cover?
Can be used with?
Geriatric depression scale [Show Less]