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NUR 304: Gerontological Nursing
Osteoarthritis Assessment
Mechanism
Aging
Articular Cartilage Destruction
Biomechanical Stress
Signs and Symptoms
Asymmetric
Pain Decreases with Rest
Morning Stiffness under 30 Minutes
Crepitus
DIP and PIP Joints
1 min
Child and Elder Physical Abuse Assessment
Physical Abuse
Inconsistent Injuries
Delay in Treatment
Various Stages of Healing
Child Abuse
Symmetrical Burns
Sexually Transmitted Infection
Bloody/Torn Undergarments
Shaken Baby Syndrome
Elder Abuse
Poor Hygiene
Overmedication
2 mins
Age-Related Macular Degeneration (AMD)
Mechanism
Dry (nonexudative)
Wet (exudative)
Signs and Symptoms
Scotomas
Blurred, Darkened Vision
Loss of Central Vision
Distortion of Vision
Considerations
Drug Therapy
Surgery
Low-vision Assistive Devices
2 mins
Geront/o Or -ger/o
Meaning
Aged or Old Age
38 secs
Cataract
Mechanism
Age-related
Assessment
No Pain
Cloudy Opaque Lens
Decreased Visual Acuity
Occurs Gradually
Treatment
Surgery
1 min
Alzheimer's Disease Assessment (Early Symptoms)
Risk Factors
Advanced Age
Early Signs and Symptoms
Poor Judgment and Decision-Making
Difficulty Having a Conversation
Inability to Manage a Budget
Losing Track of the Date or Season
Misplacing Things
1 min
Prevention of Falls
Risk Factors
Physical Aging
Polypharmacy
Environmental
Hospital / Facility Prevention
Call Light within Reach
Assistive Devices Available
Bed Alarms
Home Prevention
Improve Lighting
Remove Home Hazards
Priority Nursing Interventions
Promote Exercise
Fall Risk Assessment
2 mins
Braden Scale
Characteristics
Sensory Perception
Moisture
Activity
Mobility
Nutrition
Friction and Shear
2 mins
Erikson’s Theory Of Psychosocial Development - Stage 8 (Older Adult)
Age
Older Adult (65+ to Death)
Basic Conflict
Integrity vs. Despair
Important Events
Reflection on Life
Virtue
Wisdom
1 min
Parkinson's Disease Assessment
Assessment
Decreased Dopamine
Older Adult
Cogwheel Rigidity
Bradykinesia
Shuffling Gait
Resting Tremor
Pill-Rolling
Mask-Like Face
Cognitive Decline
2 mins
Pneumonia Assessment
Risk Factors
Older Adult
Immunocompromised
Long Term Care
Assessment
Shortness of Breath (SOB)
Hypoxemia
Cough and Sputum Production
Wheezing or Crackles
Fever
Pleuritic Pain
Diagnosis
Chest X-ray
2 mins
Erectile Dysfunction
Cause/Mechanism
Age-Related Changes
Psychological
Medical Conditions
Drug-Induced
Assessment
Sexual Dysfunction (Unable to Maintain Erection)
Interventions
Phosphodiesterase Type 5 (PDE5) Inhibitors
Vacuum Constriction Devices
Intraurethral Devices
Penile Implants
Considerations
Sexual Counseling
2 mins
Common Causes of Pneumonia: Elderly (65+ Years Old)
Influenza Virus
Haemophilus influenzae
Anaerobes
Streptococcus pneumoniae
Gram-Negative Rods
59 secs
Common Causes of Meningitis: Elderly (60+ Years Old)
Streptococcus pneumoniae
Gram-Negative Rods
Listeria Monocytogenes
56 secs
Common Causes of Pneumonia: Middle-Aged Adults (40 - 65 Years Old)
Streptococcus pneumoniae
Mycoplasma
Haemophilus influenzae
Anaerobes
Viruses
1 min
Parkinson's Disease Interventions
Medications
Levodopa/Carbidopa (Sinemet)
Entacapone (Comtan)
Selegiline (Eldepryl)
Amantadine (Symmetrel)
Bromocriptine (Parlodel)
Benztropine (Cogentin)
Considerations
Allow Extra Time
Ensure Patient Safety
Surgery As Last Resort
2 mins
Advanced Directives
Advance Care Planning
Process of Planning for Future Care
Living Will
Instructions about Healthcare
Life-Sustaining Treatments
Level of Comfort Care
Artificial Nutrition and Hydration
Durable Power of Attorney for Healthcare
Appointed Person to Make Decisions
Do Not Resuscitate (DNR)
No CPR
Allow Natural Death (AND)
Physician Order for Life-Sustaining Treatment (POLST)
Medical Order
3 mins
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