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NURS 194 EXAM REVIEWER.docx
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Department
Nursing
Course
NURS194
Professor
Jo- Anne Henson
Semester
Fall

Description
CARPETBOWLERSGDOLDERADULTSstudyeriksonstheoryBriefReviewofCommonBiologicalChangesSkinloseselasticitywhichiswhatcauseswrinklesandsagginessandthelossofelasticityaswellasdecreaseinmusclemassandtoneresultsinthesagginessofbreastsBloodvesselsalsohavealowerelasticityandtheythickencausingperipheralresistancetheyhavelowercardiacoutputandgenerallyanincreasedsystolicBPOlderadultshavealowercoughreflexaswellaslowerremovalofirritantsfromairwayswhichmeanstheyreatahigherriskforrespiratoryinfectionsTheymaylosetheirteethandneedtoweardenturesdecalcificationofbonesoccursjointscandegeneratelychangetheirheightcandecreaseasaresultofintervertebraldiscsdegeneratingandmusclemassandstrengthdecreasesaswellDecreasedgastricsecretionsanddecreasedesophagealperistalsisdecreasedsalivaNutritionNutritionalstatusofolderadultscandependonincomeaswellasphysicalhealthasmoneytobuyfoodcanbelowandphysicalproblemscaninfluencetheirdietaswellasabilitytopreparefoodSomeolderadultstakeadvantageofhomedeliveredmealsorpremademealservicesAdults65yearsofageanduphavelowerneedsforenergyduetotheslowedmetabolicratethatcomeswithageVitaminandmineralneedsandrequirementsarethesameDifficultyeatingcanariseduetothefactthattheadultmighthavealackofteethorhavedenturescausingmeattobedifficulttochewmightbefollowingaspecificmealplanmightnotbeabletoeatcertainthingsduetodruginteractionswiththeirfoodorsimplyduetootherphysicalsymptomsOlderadultsoftendontconsumeenoughfluidsandbecomedehydratedbecausetheirthirstsensationoftendiminishesMilkisveryimportantforolderadultstoconsumeasitwillhelptoprotectthemagainstosteoporosisitsalsoimportanttoscreenforosteoporosisSinceeatingmeatscanbedifficultpeanutbuttercheeseandeggsaregoodsourcesofproteinOlderadultsshouldensuretoincludeallfoodgroupsintheirdietsHealthPromotionOlderadultsallhavedifferentopinionsanddesireswhenitcomestotheirownhealthsomewanttoparticipateandsomehavenointerestinbeingapartofheathpromotionTheyeachhavedifferentbeliefsaboutstayingfitandhealthyOlderadultsalsoliveinavarietyofdifferentsettingsandeachpresentmanydifferentstrengthsresourcesneedswishesandexpectationsNursesshouldcomprehensivelyassesseachindividualasthiscanhelpimprovethequalityofcareandeventhepatientsspecificphysicalconditionandabilitytolivemoreindependentlySpecificlearningneedsofeachindividualshouldalsobeconsideredThehealthofanindividualdependsonseveralfactorssomeofthosebeinggeneticsandgoodhealthpracticesExamplesofpreventativemeasuresolderadultscouldtakeandthatnursescouldencourageareregularexerciseWeightreductionifthepersonisoverweightManagementofhypertensionSmokingcessationImmunizationforinfluenzapneumococcalpneumoniaandtetanusCommonconditionsthatoccurinolderadultsarehighbloodpressureheartproblemsarthritisdiabetesbackproblemsandcataractsThemeasureslistedabovecanallaidinpreventingorloweringtheeffectsoftheseconditionsSpiritualSpiritualityinanolderadulthelpsinpromotingapositivepsychologicalhealthbecausetheyrelyandseeGodasafriendwhomtheycanaskforstrengtholderadultsgainmoreknowledgeandunderstandingabouttheirspiritualityastheyfacethechallengesofagingActivitiesrelatedtoreligiousorspiritualbeliefscreateabetteremotionalhealthforolderpeoplebecauseithelpsthemcopewithillnessAstheygrowolderthemeaningofafterlifeforthemhasboostedbecausesomeolderadultsmayfeelliketheyhavetocompleteallunfinishedbusinessinordertoleavetheworldguiltfreeandwithsomethingmemorableSpiritualgrowthforolderadultscanbeenhancedthroughplantingcaringforpetsandbywalkingoutdoorsinordertoexperiencenaturePsychosocialPsychosocialchangesinolderadultsincludethechangeofrolesandrelationshipswithinthefamilyOlderadultsbecomegrandparentsastheiradultchildrenstartnewfamiliesandtheyarenowtheoneswhoprovidecareforthemSomeolderadultsexperiencedepressionbecauseofthesechangeswhichmakesthempronetochronicpainnauseavomitingandinsomniaaproblemthatmayarisefromagingisthefeelingofsocialisolationandlonelinessItmaybecausedbyanillnessthatstopsthemfromsocializingwhichdecreasestheirchanceofhavingcontactwithotherpeopleoritcouldcomefromtheirownchoicebybeinganactivelistenertoolderadultsitgivesthemasenseoffeelingconnectedIfanurseshareshisorhertimeandpresenceithelpsolderadultstorealizethattheystillhaveapurposeinlifeAlthoughthesexdrivelibidoofolderadultsdonotdeclinesexualactivitiesmaydecreasebecauseoftheirinabilitytoperformcertainactivitiesduetothephysicalchangesthatarehappeningwithintheirbodyRETIREMENTLivingaccommodationsOlderadultsusuallywishtoliveintheircommunitiesaslongaspossiblebuthousingchoicesarestronglydeterminedbytheirabilitytoliveindependentlyOutsideoftheacutecarehospitalsettingnursesmaycareforolderadultsinprivatehomesandapartmentsadultdaycarecentresassistedlivingfacilitieslongtermcarefacilitiesandhospicesoLongtermcareLTCfacilitiesprovideaccommodations24hournursingcareandsupportservicesforpeoplewhocannotcareforthemselvesathomebutdonotneedhospitalcareoAssistedlivingfacilitiesaredesignedforresidentswhoneedonlyminimaltomoderatecareNursingservicesarenotusuallyincludedinassistedlivingfacilitiesResidentswillliveindependentlyintheirownapartmentsandareprovidedwithsupportservicessuchashomemakingorpersonalcareSomeassistedlivingfacilitiesaresmallgrouphomeswhereresidentssharecommoneatingandlivingareasoPalliativecarefacilitiessuchashospitalsfocusonprovidingcareforadultswhoaredyingoHousingandenvironmenthaveamajorimpactonthehealthofolderadultsTheenvironmentcansupportorhinderphysicalandsocialfunctioningcanenhanceordrainenergyandcancomplementortaxexistingphysicalchancessuchasvisionandhearingTransitionfromworkingtoretirementOlderadultsretiredfromemploymentoutsidethehomearechallengedtocopewiththelossofthatworkroleItsimportanttoplanforretirementthosewhoplanintheirmiddleagedlifegenerallyhaveasmoothertransitionintothatstageoflifeWidowPartofthelifeofanolderadultistheexperienceofthedeathoffamilymembersandfriendsThemajorityofolderadultsarefacedwiththedeathofaspouseDeathsrepresentbothlossesandremindersofpersonalmortalityTherearepsychosocialchangesthatoccurwithagingwhenanolderadultbecomeswidowsorwidowersTheycanbelonelieroncetheyfinallyretireTHEORIESOFAGINGThebiologicaltheoriesofagingarecategorizedaseitherstochastictheoriesornonstochastictheoriesStochastictheoriesviewagingastheresultofrandomcellulardamageovertimeTheaccumulateddamageleadstothephysicalchangescharacteristicsoftheagingprocessAccordingtothenonstochastictheoriesgeneticallyprogrammedphysiologicalmechanismswithinthebodycontroltheprocessofagingthesetheoriestrytoexplainthechangesinrelationshipsemotionsactionsandbehaviorsthataccompanyagingThethreemostacceptedtheoriesofagingincludedisengagementactivityandcontinuitytheoriesThedisengagementtheorytalksaboutolderadultsbecomingmoreintrovertedandwithdrawnfromsocialactivitiesastheyageTheactivitytheorycontradictsthedisengagementtheoryandstatesthatcontinuingactivitiesthattheyenjoyedinmiddleagehoodisneededforhealthyagingThecontinuitytheorysuggeststhatolderadultsstaybehaviorsstaythesameastheyageandbecomemorelikehabitorapatternHealthyagingisessentiallybeingabletoadjustwelltoallofthechangesthatcomewithmovingintoolderadulthoodifolderadultscanmaintainthesamequalityoflifefrommiddleagetoolderadulthoodtheyareconsideredtobeagingwellPARISHNURSEANDDAILYACTIVITIESOFLIVINGParishNurseAparishnurseisaregisterednursewithspecializedknowledgewhoiscalledtoministryandaffirmedbyafaithcommunitytopromotehealthhealingandwholenessTheyusuallyhaveadditionaleducationinpastoralcareandsocialsciencesGoaltomaintainhealthministrieswithinfaithcommunitiesTheylinkthepersonsfaithbeliefwiththeaspectofhealinghealthpromotionanddiseasepreventionTheycangotopeopleshomeslongtermfacilitieshospitalsorplaceofworshipTheRoleofaParishNurse1HealtheducationoPublishanddistributeinformationoProvidebetterunderstandingoftotalphysicalmentalandspiritualwellbeing2LiaisonbetweenthefaithcommunityandlocalcommunityoHelpindividualsandfamiliesknowthatthereareresourcesavailabletothemandalsohelpthemchoosetheapplicableresourcethatwillaidtheirhealthconcerns3FacilitatorsoLinkcongregationalhealthconcernstotheestablishmentofandreferraltosupportgroups4ToprovidepastoralcareoTogivesupportduringhappyandsadtimesoStressthespiritualdimensionofnursingoHelpindividualsfindtheirspiritualstrengthsthatwillassistthemineverydaycoping
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