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Final

Older Adult Final Exam Review Lecture and Textbook Notes Session 1-5.docx

45 Pages
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School
UOIT
Department
Nursing
Course Code
NURS 1700U
Professor
A.De La Rocha

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OlderAdultFinalExamReviewSession1TerminologyGeriatrics branch of medicine dealing with physiological and psychological aspects of aging with diagnosis and treatments of diseases affecting older adults Potter and Perry p 378Geronic nursing nursing care of the older adults to be the art and practice of nurturing caring and comforting rather than merely the treatment of disease Ageism Butler 1969 defined ageism as the prejudices and stereotypes that are applied to older people sheerly on the basis of their age This definition pigeonholes people and does not allow them to be individuals with unique ways of living their livesGerontological Nursing Nursingassessment of health and functional status of older adults diagnosis planning implementing and evaluating the effectiveness of such careGerontology is study of all aspects of the aging process and its consequencesOld age security pension Canadian federal govt pension provided to persons aged 65 and older who have lived in Canada for at least 10 yearsTruthstheories of aging1Older Adults are the fastest growing population in Canada2 Most older adults living at home view their health as good3 The majority of older adults have a chronic health condition4 Older adults are prone to injuries5 Older adults are more likely to be hospitalized 6 Most older adults live independently7 An average aftertax income for a married Older Adult couple in 2008 was 455008 Some older adults still participate in the workforce9 It is common for older adults to remain active in their communityGeriatrics Branch of medicine dealing with physiological and psychological aspects of aging and treatments of diseases affecting older adults PP 378Gerontology is the study of all aspects of the aging process and its consequencesGerontological nursing Assessment of health and functional status of older adults diagnosis planning implementing and evaluating the effectiveness of such careGeronic nursing nursing care of the older adults to be the art and practice of nurturing caring and comforting rather than merely the treatment of diseaseEbersoleTextbookNotesPsychologists have divided the old into three groups the youngold roughly 65 to 74 years old the middleold 75 to 84 years old and the oldold those over 85 A fourth group of persons those aged 100 years and older centenarians is growing rapidlyCurrently about 15 of the population in Canada is at least 100 years old The proportion of the population aged 65 and older has been steadily increasing since the early 1970s this is because of a relatively low fertility rate of about 16 children per woman and an increased life expectancy in the 1900sFemale Canadians born today have a life expectancy of 83 and males of 783 yearsThe proportion of the population is expected to increase dramatically as baby boomers born between 1946 and the early 1960s ageCohortthose born within the same decade and country and may share a common historical context ex men born between 1920 and 1930 were very likely to have been active participants in WWII or the Korean WarWomen born between 1920 and 1930 were raised with traditional values and roles and may have never worked outside the home or been limited to housekeeping teaching and nursingIn contrast women born between 1940 and 1950 experienced social pressure to work outside the home and had more career opportunities as adults partially as a result of the feminist revolution of the 1960s and 1970sWomen usually live longer than men and live alone after widowhoodMen who survive their wives often remarryThe number of Aboriginal older adults is predicted to double by 2017Determinants of health Recignized in 1974 by Marc Lalonde socioeconomic environmental and biological factors are equallymore important than health care in their influence on the health of the Canadian populationHealth Canada has identified 12 key determinants income and social status social support networks education and literacy employment and working conditions social environments physical environments personal health practices and coping skills physical environments personal health practices and coping skills healthy child development biology and genetic endowment health services gender and culturePrimary health care principles accessibility public participation health promotion appropriate technology and intersectoral collaborationAccessibility Health services are available to all Canadians regardless of age or geographic locationHealth promotion The process of enabling people to increase control over and improve their health CNAPublic participation In gerontological nursingindividual older persons and their communities are active partners in making decisions about their health care and the health of their communitiesAppropriate technology Includes methods of care service delivery procedures and equipment that are socially acceptable and affordableIntersectorial collaboration Recognizes that health and wellbeing are linked to both economic and social policy experts in the health sector working with experts in other sectors ex education housing employment immigration health professionals from various disciplines collaborate and function interdependently to meet needs of CanadiansOlder adults comprise 60 of medicalsurgical patients and 46 of critical care patients Mezey Stierle Huba et al 2007 This means that all nurses working in acute care settings need to be knowledgeable about aging and gerontological nursing Exacerbations of persistent chronic illnesses and injuries are often the cause of hospitalizations for older adults Older adults who experience episodic or acute illnesses frequently have multiple persistent conditions and comorbidities and present many care challenges Benedict RobinsonHolder 2006 Hospitals are dangerous places for older persons 34 experience functional decline and iatrogenic complications occur in as many as 29 to 38 a rate 3 to 5 times higher than in younger patients Inouye BakerLeoSummers 2000 Kleinpell 2007 Common iatrogenic complications include functional decline newonset incontinence malnutrition pressure ulcers drug interactions and adverse effects delirium and falls the majority of older adults live in the community Only about 6 of older adults at any given time reside in LTC
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