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Study Guide

[NURS 175] - Final Exam Guide - Ultimate 59 pages long Study Guide!


Department
Nursing
Course Code
NURS-175
Professor
Irene Coulson
Study Guide
Final

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MacEwan
NURS 175
FINAL EXAM
STUDY GUIDE

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NURS 175 Lecture #3 Prep Notes
Textbook:
Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A.M., Ross-Kerr, J. C., Wood, M. J., Astle, B.
J., & Duggleby, W. (Eds.). (2014). Canadian fundamentals of nursing (5th Ed). Toronto,
ON: Elsevier Mosby.
Chapter 24 Older adult (pg.375-394)
Beginning at age 65
Variability among older adults
Variations in physiological, cognitive and psychosocial health
Increased risk of illness and functional deterioration influenced by
different factors such as experiencing multiple losses, decreased ability to
tolerate stress and physical changes
Portion living with their spouse or institution increases with age
Aging does not inevitably equal disability
In depth assessment must be done to establish the patient's functional
status despite the presence of chronic disease
Many patients are only partially limited
Do not make assumptions during assessment based on age
Identify the client's strengths and abilities
Terminology
Geriatrics: branch of medicine dealing with the physiological and psychological
aspects of aging and with the diagnosis and treatment of disease affecting older
adults
Gerontology: study of all aspects of the aging process and its consequences
Gerontological nursing: assessment of health and functional status of older
adults, diagnosis, planning and implementing care and services to meet the
identified needs, and evaluating the effectiveness of interventions. Form of
specialized nursing care.
Gerontic nursing: art and practice of nurturing, caring for and comforting older
patients rather than simply treating disease
Myths and stereotypes
Stereotypes can negatively influence nursing care
It is important the nurse does not bring such stereotypes into practice
Ageism and undermine the client's self confidence
Old age does not equal disability
Consider possible sensory differences and accommodate appropriately to
accommodate is a way that is considerate and facilitates learning
Nursing attitudes towards older adults
Nurse should reflect on their attitudes towards older adults and assess their
validity
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Treat each patient as an individual
Theories of aging
Biological theories
Stochastic theories: view aging as the cumulative of random cellular
damage over time
Nonstochastic theories: there is a genetically programed physiological
mechanism within the body that controls the process
Psychosocial theories
Attempt to explain changes in h=behavior, roles, and relationships that
came with aging
Disengagement theory: people withdraw from their roles and take up
introspective self focused activities as society disengages from them
Activity theory: continuation of activities present in middle age important
in aging
Continuity theory: personality remains the same but behaviors become
increasingly predictable with age
Gerotranscendence theory: older adults deal with the aging process by
focusing on others and existential issues such as spirituality rather than
their own limitations
Developmental tasks for older adults
Older adults must adapt to losses involving health, significant others,
socialization, income, physical changes and independence
Must be sensitive to these changes and offer support
Aging well and quality of life
Achieving self integration of all aspects of aging
Definition of QofL varies between clients
Set goals based on the client's definition
Community based institutional health care services
Supportive living facilities, personal home care, palliative care facilities
Assist older adults and the families with living decisions where possible through
providing information and assisting them in finding care options
Assessing the needs of older adults
Comprehensive assessment on the patient's strengths, resources and limitations
Select interventions that maintain maintain physical abilities and create an
environment that supports overall wellbeing
Take into account:
Interrelationship between physical and psychological aspects of aging
Effects of disease and disability on functional status
Decreased efficiency of homeostatic mechanisms
Lack of standards for health and illness norms
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